Computational modeling of balloon-expandable stent deployment in coronary artery using the finite element method
Received 10 May 2018
Accepted for publication 25 August 2018
Published 6 September 2019 Volume 2019:10 Pages 43—56
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Colin Mak
Peer reviewer comments 2
Editor who approved publication: Dr Richard Kones
Muhammad Umer, Murtaza Najabat Ali, Aamir Mubashar, Mariam Mir
Biomedical Engineering & Sciences Department (BMES), School of Mechanical and Manufacturing Engineering (SMME), National University of Sciences and Technology (NUST), Islamabad, Pakistan
Correspondence: Murtaza Najabat Ali
Biomedical Engineering & Sciences Department, School of Mechanical and Manufacturing Engineering (SMME) National University of Sciences and Technology (NUST), Sector H-12, Islamabad, Pakistan
Tel +929 085 6053
Introduction and purpose: For the implantation of a small mechanical supporting device such as a stent, angioplasty is a more reliable technique to regain the perfusion along the heart vessel. This research work demonstrates a relative study for two different stent models during implantation in coronary artery. The purpose of this analysis was to explore the clinical efficiency of a balloon expandable stent deployment employing the finite element method.
Methods: The two different models included are the Cypher Bx Velocity® (Bx_Velocity; Johnson & Johnson Corporation, New Brunswick, NJ, USA) and Savior (ST Flex Pro; National Engineering and Scientific Commission, Islambad, Pakistan). As the majority of stents are deployed using an angioplasty balloon guided by a catheter-shaft, in this study, the delivery of stents was governed by a sophisticated balloon of a trifolded pattern, attached to the catheter-shaft. This configuration has often been neglected in the past due to the complexity of interaction and the limitation of computational power.
Results: The use of a trifolded semi-compliant balloon gives more promising results for quantification with experimental data available from the manufacturer’s compliance charts. This type of relative study allows us not only to improve the design of the available stent model, but also helps in probing the integrity of newly suggested models and reduces certain risks associated with the angioplasty technique. The following factors, such as stent expansion, foreshortening, dog-boning, elastic recoil, and the distribution of equivalent stresses were used to compare and improve the clinical outcome of the available stent models.
Conclusion: The validation of numerical study for the Bx_Velocity stent was made with the manufacturer’s compliance chart data and for the Savior Stent with a report of experimental work data from NESCOM. Finally, some suggestions were made for good deliverability and reliability based on the above design criteria.
Keywords: stent, finite element method, trifolded balloon, foreshortening, open-deployment, confined-deployment
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