Online citations, reference lists, and bibliographies.

Cardiovascular Stent Design And Vessel Stresses: A Finite Element Analysis.

Caitríona Lally, Finbar B Dolan, Patrick J. Prendergast
Published 2005 · Engineering, Medicine
Cite This
Download PDF
Analyze on Scholarcy
Share
Intravascular stents of various designs are currently in use to restore patency in atherosclerotic coronary arteries and it has been found that different stents have different in-stent restenosis rates. It has been hypothesized that the level of vascular injury caused to a vessel by a stent determines the level of restenosis. Computational studies may be used to investigate the mechanical behaviour of stents and to determine the biomechanical interaction between the stent and the artery in a stenting procedure. In this paper, we test the hypothesis that two different stent designs will provoke different levels of stress within an atherosclerotic artery and hence cause different levels of vascular injury. The stents analysed using the finite-element method were the S7 (Medtronic AVE) and the NIR (Boston Scientific) stent designs. An analysis of the arterial wall stresses in the stented arteries indicates that the modular S7 stent design causes lower stress to an atherosclerotic vessel with a localized stenotic lesion compared to the slotted tube NIR design. These results correlate with observed clinical restenosis rates, which have found higher restenosis rates in the NIR compared with the S7 stent design. Therefore, the testing methodology outlined here is proposed as a pre-clinical testing tool, which could be used to compare and contrast existing stent designs and to develop novel stent designs.
This paper references
PHARMACO-MECHANICAL APPROACH TO CAD Stent Design : Implications for Restenosis
Dougal Mcclean (2002)
10.1016/S0735-1097(02)02123-X
Selection of coronary stents.
Antonio Colombo (2002)
Phenomenological and structural aspects of the mechanical response of arteries
Ralph Ogden (2000)
10.1080/14628840050516055
Clinical and angiographic results with the NIR stent: First International NIR Endovascular Stent Study (FINESS-II)
Wolfgang Rutsch (2000)
10.1016/s0021-9290(06)85671-x
A computational model of in-stent restenosis
Colin H. Lally (2006)
10.1016/S0167-5273(00)00472-1
A method for investigating the mechanical properties of intracoronary stents using finite element numerical simulation.
Lip Bun Tan (2001)
10.1007/978-3-662-03589-4
Biomechanical Models for Soft Tissue Simulation
Walter Maurel (1998)
10.1161/01.RES.84.4.378
Balloon-artery interactions during stent placement: a finite element analysis approach to pressure, compliance, and stent design as contributors to vascular injury.
C Rogers (1999)
10.1016/S0045-7949(97)00014-X
Simulation of in vivo loading conditions of nitinol vascular stent structures
F. D. Whitcher (1997)
Effective and efficient strategies for coronary revascularization in the drug-eluting stent era.
Norman E. Lepor (2002)
Intimal proliferation after stenting reflected by increased stent-to-vessel cross-sectional area ratio: serial intravascular ultrasound study.
Kikuo Arakawa (1998)
10.1016/S0002-9149(98)00189-1
Pathobiologic responses to stenting.
Elazer R. Edelman (1998)
10.1152/ajplegacy.1969.217.6.1644
Influence of vascular smooth muscle on contractile mechanics and elasticity of arteries.
Philip B. Dobrin (1969)
10.1016/S0021-9290(01)00026-4
Mechanical properties of coronary stents determined by using finite element analysis.
Frederique Etave (2001)
10.1063/1.1712836
A Theory of Large Elastic Deformation
Melvin Mooney (1940)
An investigation into the applicability of a Mooney–Rivlin constitutive equation for modelling vascular tissue in cardiovascular stenting procedures
C. Lally (2003)
Finite element simulation of stent and balloon interaction
S. N. D. Chua (2003)
10.1016/S0021-9290(00)00098-1
Mechanical behaviour modelling of balloon-expandable stents.
Claude Dumoulin (2000)
10.1016/j.jbiomech.2003.09.002
Numerical investigation of the intravascular coronary stent flexibility.
Lorenza Petrini (2004)
10.1080/10255840108908007
Finite-element Analysis of a Stenotic Artery Revascularization Through a Stent Insertion
Ferdinando Auricchio (2001)
10.1016/S0735-1097(99)00486-6
Acute and chronic tissue response to coronary stent implantation: pathologic findings in human specimen.
Peter Hubert Grewe (2000)
10.1016/S0021-9290(02)00033-7
Mechanical behavior of coronary stents investigated through the finite element method.
Francesco Migliavacca (2002)
10.1002/1522-726X(200007)50:3<290::AID-CCD5>3.0.CO;2-W
Influence of stent design on 1-year outcome after coronary stent placement: a randomized comparison of five stent types in 1,147 unselected patients.
Adnan Kastrati (2000)
10.1016/S0021-9290(03)00032-0
Cardiovascular solid mechanics. Cells, tissues, and organs
Kozaburo Hayashi (2003)
10.1114/1.1492812
A Layer-Specific Three-Dimensional Model for the Simulation of Balloon Angioplasty using Magnetic Resonance Imaging and Mechanical Testing
Gerhard A. Holzapfel (2002)
10.1016/S0002-9149(99)00053-3
Tissue proliferation within and surrounding Palmaz-Schatz stents is dependent on the aggressiveness of stent implantation technique.
Rainer Hoffmann (1999)
10.1161/01.CIR.91.12.2995
Endovascular stent design dictates experimental restenosis and thrombosis.
C Rogers (1995)
10.1016/0021-9290(83)90080-5
Analysis of the passive mechanical properties of rat carotid arteries.
Hans Werner Weizsäcker (1983)
10.1111/j.1540-8183.1994.tb00469.x
Pigs, Dogs, Baboons, and Man: Lessons for Stenting from Animal Studies
Robert S. Schwartz (1994)
10.1016/s0002-9149(00)01307-2
Final results of a randomized trial comparing the NIR stent to the Palmaz-Schatz stent for narrowings in native coronary arteries.
Donald S. Baim (2001)
10.1016/0021-9290(94)90209-7
Static circumferential tangential modulus of human atherosclerotic tissue.
Howard Martin Loree (1994)
10.1115/1.1613674
Analysis of prolapse in cardiovascular stents: a constitutive equation for vascular tissue and finite-element modelling.
Patrick J. Prendergast (2003)
10.1161/01.RES.23.1.61
Compressibility of the Arterial Wall
Thomas E. Carew (1968)



This paper is referenced by
10.1098/rspa.2017.0670
Waves and fluid–solid interaction in stented blood vessels
S Frecentese (2018)
10.1016/j.jbiomech.2016.09.036
Mechanical properties and composition of carotid and femoral atherosclerotic plaques: A comparative study.
Eoghan M. Cunnane (2016)
10.1186/s12938-016-0135-8
Mechanical response of cardiovascular stents under vascular dynamic bending
Jiang Xu (2016)
Numerical Modeling of Blood Flow Problems in Coronary Arteries : Patient-specific Processing , from Stented Geometries to Fluid Dynamics
Boyi Yang (2015)
The Ogden Model for Coronary Artery Mechanical Behaviors
Hui-Lung Chien (2011)
10.1016/j.jbiomech.2014.02.037
The effects of stent interaction on porcine urinary bladder matrix employed as stent-graft materials.
Anthony Callanan (2014)
10.1007/8415_2012_159
Multiscale Modeling in Vascular Disease and Tissue Engineering
Houman Zahedmanesh (2013)
Intramural stresses at the distal graft/artery junction following femoral artery bypass surgery
Michael R. O'Donnell (2010)
10.1007/S12573-011-0044-1
Load-dispersing design with twined-spring geometry of a distensible intracranial stent for cerebral aneurysms
Yasuhiro Shobayashi (2013)
10.1201/B18320-18
Image-Based Modeling for Bioengineering Problems
Adrienne Monique Madison (2015)
10.1115/1.4035895
Computational Modeling of the Mechanical Performance of a Magnesium Stent Undergoing Uniform and Pitting Corrosion in a Remodeling Artery
Enda L Boland (2017)
Biomechanical characterization of the stented artery. Computational solid mechanical aspects
Gerhard A. Holzapfel (2007)
Simulazione FEM delle operazioni di folding e gonfiaggio di palloncini per angioplastica per il trattamento di occlusioni croniche totali in arterie periferiche
Andrea Avanzini (2015)
Cell Mechanics : Mechanical Properties and Membrane Rupture Criteria
Lionel Guillou (2016)
10.1177/0267659113502835
RETRACTED: A comparative study on plaque vulnerability using constitutive equations
Ali Karimi (2014)
10.1016/j.jmbbm.2016.05.002
Detection of degradation in polyester implants by analysing mode shapes of structure vibration.
Hassan Samami (2016)
10.1038/srep23698
Microstructured Thin Film Nitinol for a Neurovascular Flow-Diverter
Yanfei Chen (2016)
JEVT 13-4332 MR Quantification of Deformation of the Popliteal Arterial Tract During Leg Flexion in Subjects with Peripheral Arterial Disease : A Pilot Study
Can Gökgöl (2016)
Towards the development of guidelines for the endovascular treatment of peripheral artery disease: a tissue characterisation approach
Eoghan M. Cunnane (2015)
10.1186/s12938-019-0661-2
Mechanical analysis of a novel biodegradable zinc alloy stent based on a degradation model
Kun Peng (2019)
Design, Parameter Optimization and In Vitro Evaluation of Implantable Medical Devices
Yanfei Chen (2018)
10.1142/s0219519419500532
NUMERICAL INVESTIGATION ON INFLUENCE OF VASCULAR STENOSIS RATE AND CURVATURE RADIUS ON PLAQUE VULNERABILITY IN STENTED VESSELS
Xudong Jiang (2020)
10.1007/978-3-642-22586-4_58
Modelling the Development of In-Stent Restenosis: Preliminary Results of a Structural Model
C. M. Amatruda (2011)
10.1002/cnm.2557
Finite element analysis of balloon-expandable coronary stent deployment: influence of angioplasty balloon configuration.
David Moral Martín (2013)
10.1371/journal.pone.0218768
Multi-objective optimisation of material properties and strut geometry for poly(L-lactic acid) coronary stents using response surface methodology
Ross W Blair (2019)
10.1016/j.jmbbm.2019.103610
How does stent expansion alter drug transport properties of the arterial wall?
Javier Escuer (2020)
10.1007/S00158-013-1038-Y
NURBS modeling and structural shape optimization of cardiovascular stents
Rory P. Clune (2014)
10.1115/1.4027687
Computational Assessment of Stent Durability Using Fatigue to Fracture Approach
Gordana Jovičić (2014)
10.1016/j.jmbbm.2012.10.002
Deformationally dependent fluid transport properties of porcine coronary arteries based on location in the coronary vasculature.
Joseph T. Keyes (2013)
Computational Analysis on Commercially Available Stent Designs
Kristi Basu (2013)
10.1007/S13534-011-0036-5
Assessment of shape memory alloy stent deployment in a stenosed artery
Shijia Zhao (2011)
10.21427/D7G31Z
Sequential Structural and Fluid Dynamics Analysis of Balloon-Expandable Coronary Stents.
David D Martin (2013)
See more
Semantic Scholar Logo Some data provided by SemanticScholar