Liu Xiangkun, Liu Guochao, Ye Ping, Luo Qiyi, Chang Zhaohua
Shanghai Institute for Minimally Invasive Therapy, School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, China.
Proc Inst Mech Eng H. 2022 Feb 1:9544119221076946. doi: 10.1177/09544119221076946.
V-shaped braid stents (VBSs), as highly retrievable and flexible nitinol stents, are extensively applied in endovascular diseases. They also cause less damage to vessel wall compared to tube-cutting stents. However, poor performance of VBS or suboptimal operation can give rise to unwanted clinical situations such as thrombosis and intimal hyperplasia. Therefore, research on designing factors affecting the performance of these devices is of great significance. Furthermore, simulation of stenting process can help designers understand the interactions of stents and vessel wall to reduce time to market. Thus, finite element analysis (FEA) and bench test are performed taking into account both designing factors and stenting process of VBS, including development of parametric modeling tool, research on the relationships among structural parameters and radial force, exploration of the interactions of VBS and vessel wall and pulsating load effect. This research was performed using a commercial solver Abaqus/standard with a user material subroutine (UMAT/nitinol). Structural parameters of VBS, unit-cell height and wire diameter have significant impacts on radial force, unit-cell number has slight influence on radial force, and arc diameter has almost negligible impact on radial force. Without pulsatile load, maximum stress and strain always occur in arc position; however, in pulsatile load, maximum stress and strain are gradually transformed to strut position. The stress created near vessel wall and VBS interface is higher than interaction stress due to pulsating load. The obtained result provided valuable information on the structural design of stents as well as the effects of stent on vessel wall and that vessel wall on stent deformation.[Formula: see text].
V形编织支架(VBS)作为具有高度可回收性和柔韧性的镍钛诺支架,广泛应用于血管内疾病。与切割型支架相比,它们对血管壁的损伤也更小。然而,VBS性能不佳或操作不理想可能会导致诸如血栓形成和内膜增生等不良临床情况。因此,研究影响这些装置性能的设计因素具有重要意义。此外,支架植入过程的模拟可以帮助设计人员了解支架与血管壁的相互作用,以缩短上市时间。因此,进行了有限元分析(FEA)和台架试验,同时考虑了VBS的设计因素和支架植入过程,包括参数化建模工具的开发、结构参数与径向力之间关系的研究、VBS与血管壁相互作用的探索以及脉动载荷效应。本研究使用商业求解器Abaqus/standard和用户材料子程序(UMAT/镍钛诺)进行。VBS的结构参数、单胞高度和丝径对径向力有显著影响,单胞数量对径向力影响较小,弧直径对径向力的影响几乎可以忽略不计。在没有脉动载荷的情况下,最大应力和应变总是出现在弧位置;然而,在脉动载荷下,最大应力和应变逐渐转移到支柱位置。血管壁和VBS界面附近产生的应力高于脉动载荷引起的相互作用应力。所得结果为支架的结构设计以及支架对血管壁的影响和血管壁对支架变形的影响提供了有价值的信息。[公式:见原文]