Evaluation of Stent Performances using FEA considering a Realistic Balloon Expansion
A number of previous studies were rarely considered
the effects of transient non-uniform balloon expansion on evaluation
of the properties and behaviors of stents during stent expansion, nor
did they determine parameters to maximize the performances driven
by mechanical characteristics. Therefore, in order to fully understand
the mechanical characteristics and behaviors of stent, it is necessary to
consider a realistic modeling of transient non-uniform balloon-stent
expansion. The aim of the study is to propose design parameters
capable of improving the ability of vascular stent through a
comparative study of seven commercial stents using finite element
analyses of a realistic transient non-uniform balloon-stent expansion
process. In this study, seven representative commercialized stents were
evaluated by finite element (FE) analysis in terms of the criteria based
on the itemized list of Food and Drug Administration (FDA) and
European Standards (prEN). The results indicate that using stents
composed of opened unit cells connected by bend-shaped link
structures and controlling the geometrical and morphological features
of the unit cell strut or the link structure at the distal ends of stent may
improve mechanical characteristics of stent. This study provides a
better method at the realistic transient non-uniform balloon-stent
expansion by investigating the characteristics, behaviors, and
parameters capable of improving the ability of vascular stent.
[1] Fischman, D.L., et al. "A randomized comparison of coronary-stent
placement and balloon angioplasty in the treatment of coronary artery
disease," New England Journal of Medicine, 331:496-501, 1994.
[2] Serruys, P.W., et al. A comparison of balloon-expandable stent
implantation with balloon angioplasty in patients with coronary artery
disease. New England Journal of Medicine, 331:489-495, 1994.
[3] Wang, W.Q., et al. Analysis of the transient expansion behavior and
design optimization of coronary stents by finite element method. Journal
of Biomechanics, 39:21-32, 2006.
[4] Stefanidis, I.K., et al. Development in intracoronary stents. Hellenic
Journal Cardiology, 43:63-67, 2002.
[5] Kastrati, A., et al. Restenosis after coronary placement of various stent
types. American Journal of Cardiology, 87:34-39, 2001.
[6] Schwartz, R.S. Pathophysiology of restenosis: Interaction of thrombosis,
hyperplasia, and/or remodeling. The American Journal of Cardiology,
81:14E-17E, 1998.
[7] Dumoulin, C. and B. Cochelin. Mechanical behavior modeling of
balloon-expandable stents. Journal of Biomechanics, 33:1461-1470,
2000.
[8] Timmins, L.H., et al. Stented artery biomechanics and device design
optimization. Medical and Biological Engineering and Computing,
45:505-513, 2007.
[9] Albertini, C. and M. Montagnani. Dynamic uniaxial and biaxial
stress-strain relationships for austenitic stainless steels. Nuclear
Engineering and Design, 57:107-123, 1980.
[10] MatWeb. Dupont Fusabond E MB100D High Density Polyethylene,
Available at
http://www.matweb.com/search/SpecificMaterial.asp?bassnum=PDUP
M015. MatWeb Material Property Data, 2006.
[11] U. S. Department of Health and Human Services Food and Drug
Administration (2005) Non-Clinical tests and recommended labeling for
intra vascular stents and associated delivery systems.
[12] EN 12006-3 (1998) Non-active surgical implants - Particular
requirements for cardiac and vascular implants - Part 3: Endovascular
devices.
[13] A. Baumel, T. Seeger (1990) Materials Data for cyclic Loading,
Supplement 1, Materials Science Monographs 61, Elsevier, New York.
[14] James M Gere, Stephen P. Timoshenko (1984) Mechanics of Materials.
KITP, pp 414-418.
[15] F. Etave, G. Finet, M. Boivin (2001) Mechanical properties of coronary
stents determined by using finite element analysis. Journal of
Biomechanics 34:1065-1075.
[16] Migliavacca, F., et al. A predictive study of the mechanical behavior of
coronary stents by computer modeling. Medical Engineering and Physics,
27:13-18, 2005.
[17] Migliavacca, F., et al. Mechanical behavior of coronary stents
investigated through the finite element method. Journal of Biomechanics,
35:803-811, 2002.
[1] Fischman, D.L., et al. "A randomized comparison of coronary-stent
placement and balloon angioplasty in the treatment of coronary artery
disease," New England Journal of Medicine, 331:496-501, 1994.
[2] Serruys, P.W., et al. A comparison of balloon-expandable stent
implantation with balloon angioplasty in patients with coronary artery
disease. New England Journal of Medicine, 331:489-495, 1994.
[3] Wang, W.Q., et al. Analysis of the transient expansion behavior and
design optimization of coronary stents by finite element method. Journal
of Biomechanics, 39:21-32, 2006.
[4] Stefanidis, I.K., et al. Development in intracoronary stents. Hellenic
Journal Cardiology, 43:63-67, 2002.
[5] Kastrati, A., et al. Restenosis after coronary placement of various stent
types. American Journal of Cardiology, 87:34-39, 2001.
[6] Schwartz, R.S. Pathophysiology of restenosis: Interaction of thrombosis,
hyperplasia, and/or remodeling. The American Journal of Cardiology,
81:14E-17E, 1998.
[7] Dumoulin, C. and B. Cochelin. Mechanical behavior modeling of
balloon-expandable stents. Journal of Biomechanics, 33:1461-1470,
2000.
[8] Timmins, L.H., et al. Stented artery biomechanics and device design
optimization. Medical and Biological Engineering and Computing,
45:505-513, 2007.
[9] Albertini, C. and M. Montagnani. Dynamic uniaxial and biaxial
stress-strain relationships for austenitic stainless steels. Nuclear
Engineering and Design, 57:107-123, 1980.
[10] MatWeb. Dupont Fusabond E MB100D High Density Polyethylene,
Available at
http://www.matweb.com/search/SpecificMaterial.asp?bassnum=PDUP
M015. MatWeb Material Property Data, 2006.
[11] U. S. Department of Health and Human Services Food and Drug
Administration (2005) Non-Clinical tests and recommended labeling for
intra vascular stents and associated delivery systems.
[12] EN 12006-3 (1998) Non-active surgical implants - Particular
requirements for cardiac and vascular implants - Part 3: Endovascular
devices.
[13] A. Baumel, T. Seeger (1990) Materials Data for cyclic Loading,
Supplement 1, Materials Science Monographs 61, Elsevier, New York.
[14] James M Gere, Stephen P. Timoshenko (1984) Mechanics of Materials.
KITP, pp 414-418.
[15] F. Etave, G. Finet, M. Boivin (2001) Mechanical properties of coronary
stents determined by using finite element analysis. Journal of
Biomechanics 34:1065-1075.
[16] Migliavacca, F., et al. A predictive study of the mechanical behavior of
coronary stents by computer modeling. Medical Engineering and Physics,
27:13-18, 2005.
[17] Migliavacca, F., et al. Mechanical behavior of coronary stents
investigated through the finite element method. Journal of Biomechanics,
35:803-811, 2002.
@article{"International Journal of Medical, Medicine and Health Sciences:62151", author = "Won-Pil Park and Seung-Kwan Cho and Jai-Young Ko and Anders Kristensson and S.T.S. Al-Hassani and Han-Sung Kim and Dohyung Lim", title = "Evaluation of Stent Performances using FEA considering a Realistic Balloon Expansion", abstract = "A number of previous studies were rarely considered
the effects of transient non-uniform balloon expansion on evaluation
of the properties and behaviors of stents during stent expansion, nor
did they determine parameters to maximize the performances driven
by mechanical characteristics. Therefore, in order to fully understand
the mechanical characteristics and behaviors of stent, it is necessary to
consider a realistic modeling of transient non-uniform balloon-stent
expansion. The aim of the study is to propose design parameters
capable of improving the ability of vascular stent through a
comparative study of seven commercial stents using finite element
analyses of a realistic transient non-uniform balloon-stent expansion
process. In this study, seven representative commercialized stents were
evaluated by finite element (FE) analysis in terms of the criteria based
on the itemized list of Food and Drug Administration (FDA) and
European Standards (prEN). The results indicate that using stents
composed of opened unit cells connected by bend-shaped link
structures and controlling the geometrical and morphological features
of the unit cell strut or the link structure at the distal ends of stent may
improve mechanical characteristics of stent. This study provides a
better method at the realistic transient non-uniform balloon-stent
expansion by investigating the characteristics, behaviors, and
parameters capable of improving the ability of vascular stent.", keywords = "Finite Element Analysis, Mechanical Characteristic,Transient Non-uniform Balloon-Stent Expansion, Vascular Stent.", volume = "2", number = "1", pages = "48-6", }