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March 29, 2015Mechanics of Advanced Materials and Modern ProcessesOpen Access

A study of balloon type, system constraint and artery constitutive model used in finite element simulation of stent deployment

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Key result

Folded balloons enhance final stent expansion at lower pressures versus rubber balloons in simulations.

Population

Finite element model of a diseased artery with 40% stenosis and stenotic plaque

Comparison

Finite element simulation of Xience stent… vs Simulation using a cylindrical rubber balloon…

Design

Preclinical

Authors

ASA. SchiavoneMarche Polytechnic UniversityLZLiguo ZhaoShenyang Aerospace University

Discussion

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Implication

Modeling parameters critically influence stent FE simulations; extends computational methods but leaves clinical translation open.

Structured PICO

P
Population
Finite element model of a diseased artery with 40% stenosis (inner diameter 4 mm, wall thickness 1 mm, length 20 mm) and stenotic plaque
I
Intervention
Finite element simulation of Xience stent deployment using a folded balloon and partially constrained artery
C
Comparator
Simulation using a cylindrical rubber balloon and free or fully constrained arteries
O
Outcome
Biomechanical behavior of the stent-artery system (stent expansion, recoiling effect, and stress distribution)surrogate

Finite element simulations demonstrate that using a folded balloon and a three-layer anisotropic artery model provides a more accurate representation of stent deployment biomechanics.

Limitations

  • The folded balloon model lacks interaction with the catheter, which led to an overestimation of the dogboning effect during the initial expansion.
  • The folded balloon model lacks interaction with the catheter, leading to an overestimation of the dog-boning effect during early expansion.

Cite This Study

Schiavone et al. (2015) studied Coronary stenosis (simulated). Folded balloon, artery constraints, and constitutive models vs. Rubber balloon, different constraints and models was evaluated on Stent expansion and stress distribution. Finite element simulations demonstrated that folded balloons produce sustained stent expansion under lower pressure compared to rubber balloons, leading to increased stress levels and enhanced final expansion.

synapsesocial.com/papers/6aa119f18b7ad710eb4f856ahttps://doi.org/10.1186/s40759-014-0002-x
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The influence of plaque composition on underlying arterial wall stress during stent expansion: The case for lesion-specific stents2009 · 163 citations
  2. 2Simulation of stent deployment in a realistic human coronary artery2008 · 135 citations
  3. 3Application of A Microstructural Constitutive Model of the Pulmonary Artery to Patient-Specific Studies: Validation and Effect of Orthotropy2006 · 22 citations
  4. 4On the Importance of Modeling Stent Procedure for Predicting Arterial Mechanics2012 · 31 citations