Why the study?
In an expandable polymeric valved conduit, inserting a polymeric glue layer between the valve and conduit causes radial retraction of the valved region after expansion, requiring an optimized stent design to counteract this retraction.
Computational modeling and optimization can identify stent designs that maintain permanent diameter and resist fatigue and fracture in balloon-expandable prosthetic heart valves.
Optimization identifies candidate stent designs for valves; leaves open translation to human durability.
via subsequent transcatheter balloon dilation procedures. While multiple expandable prosthetic heart valves are currently at different stages of development, this work is focused on one particular design in which a stent is situated inside of an expandable polymeric valved conduit. Since the valve and conduit must be joined with a robust manufacturing technique, a polymeric glue layer is inserted between the two, which results in radial retraction of the valved region after expansion. Design of an appropriate stent is proposed to counteract this phenomenon and maintain the desired permanent diameter throughout the device after a single non-compliant balloon dilation procedure. The finite element method is used to compute performance metrics related to the permanent expansion diameter and required radial force. Additionally, failure due not only to high cycle fatigue but also due to ductile fracture is incorporated into the design study through the use of an existing ductile fracture criterion for metals. Surrogate models are constructed with the results of the high fidelity simulations and are subsequently used to numerically obtain a set of Pareto-optimal stent designs. Finally, a single design is identified by optimizing a normalized aggregate objective function with equal weighting of all design objectives.
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Russ et al. (2021) studied this question.
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