A computational study of fatigue resistance of nitinol stents subjected to walk‐induced femoropopliteal artery motion

作者: Vadim Silberschmidt , Helen Willcock , Liguo Zhao , Ran He

DOI: 10.1016/J.JBIOMECH.2021.110295

关键词:

摘要: Fatigue resistance of nitinol stents implanted in femoropopliteal arteries is a critical issue because their harsh biomechanical environment. Limb flexions due to daily walk expose the and, subsequently, large cyclic deformations, which may lead fatigue failure smart self-expandable stents. For first time, this paper utilised up-to-date measurements walk-induced motion human artery investigate behaviour stent after implantation. The study was carried out by modelling processes angioplasty, crimping, self-expansion and deformation under diastolic-systolic blood pressure, repetitive bending, torsion axial compression as well combination. highest risk occurs combined loading condition, with bending contributing most, followed torsion. pulsatile pressure alone hardly causes any stent. work significant for understanding improving performance through innovative design procedural optimisation.

参考文章(55)
Mauricio Silva, Eric F. Shepherd, Walter O. Jackson, Frederick J. Dorey, Thomas P. Schmalzried, Average patient walking activity approaches 2 million cycles per year: pedometers under-record walking activity. Journal of Arthroplasty. ,vol. 17, pp. 693- 697 ,(2002) , 10.1054/ARTH.2002.32699
Elena Dordoni, Lorenza Petrini, Wei Wu, Francesco Migliavacca, Gabriele Dubini, Giancarlo Pennati, Computational Modeling to Predict Fatigue Behavior of NiTi Stents: What Do We Need? Journal of Functional Biomaterials. ,vol. 6, pp. 299- 317 ,(2015) , 10.3390/JFB6020299
Keith D Dodson, Thomas G Squires, Polyethylene terephthalate film ,(1974)
T Ji, A Pachi, FREQUENCY AND VELOCITY OF PEOPLE WALKING The Structural engineer. ,vol. 83, ,(2005)
Elena Dordoni, Alessio Meoli, Wei Wu, Gabriele Dubini, Francesco Migliavacca, Giancarlo Pennati, Lorenza Petrini, Fatigue behaviour of Nitinol peripheral stents: the role of plaque shape studied with computational structural analyses. Medical Engineering & Physics. ,vol. 36, pp. 842- 849 ,(2014) , 10.1016/J.MEDENGPHY.2014.03.006
John R. Laird, Barry T. Katzen, Dierk Scheinert, Johannes Lammer, Jeffrey Carpenter, Maurice Buchbinder, Rajesh Dave, Gary Ansel, Alexandra Lansky, Ecaterina Cristea, Tyrone J. Collins, Jeffrey Goldstein, Michael R. Jaff, , Nitinol Stent Implantation Versus Balloon Angioplasty for Lesions in the Superficial Femoral Artery and Proximal Popliteal Artery Twelve-Month Results From the RESILIENT Randomized Trial Circulation-cardiovascular Interventions. ,vol. 3, pp. 267- 276 ,(2010) , 10.1161/CIRCINTERVENTIONS.109.903468
Todd R Vogel, Larry E Shindelman, Gary B Nackman, Alan M Graham, Efficacious use of nitinol stents in the femoral and popliteal arteries Journal of Vascular Surgery. ,vol. 38, pp. 1178- 1183 ,(2003) , 10.1016/J.JVS.2003.09.011
Mark W Mewissen, Self-expanding nitinol stents in the femoropopliteal segment: technique and mid-term results Techniques in Vascular and Interventional Radiology. ,vol. 7, pp. 2- 5 ,(2004) , 10.1053/J.TVIR.2004.01.007
Andrew J. Klein, S. James Chen, John C. Messenger, Adam R. Hansgen, Mary E. Plomondon, John D. Carroll, Ivan P. Casserly, Quantitative assessment of the conformational change in the femoropopliteal artery with leg movement. Catheterization and Cardiovascular Interventions. ,vol. 74, pp. 787- 798 ,(2009) , 10.1002/CCD.22124