Numerical research on the biomechanical behaviour of braided stents with different end shapes and stent-oesophagus interaction

Investigation on Performance of Hydraulically Expanded Joint of Titanium-Steel Clad Tubesheet

The performance of a hydraulically expanded joint between tubesheet and titanium tube was analyzed using a finite element numerical calculation. The connection strength of Q345R tubesheet and TA2-Q345R clad tubesheet was studied using a tight expansion method. The results proved that the residual contact pressure and pullout force of the tight expansion joint of TA2-Q345R clad tubesheet were greater than those of the Q345R tubesheet. However, the residual contact pressure of the expanded joint without a groove for the TA2-Q345R tubesheet and the pullout force failed to meet the requirement of connection strength. Hence, the groove was employed on the contact surface. The influences of groove position and groove width on the connection strength of the expanded joint with grooves in tubesheet hole were studied. The results show that the residual contact pressure of the clad tubesheet of grooving in the cladding layer was higher than that of grooving in the base layer. The effect of the position of groove in the cladding layer and base layer on the residual contact pressure could be neglected. A wider groove led to a higher residual contact pressure, which increased significantly when the groove width was 4 mm.

Computational modeling of braided-stent deployment for interpreting the mechanism of stent flattening

This study develops a computational model of the braided stent for interpreting the mechanism of stent flattening during deployment into curved arteries. Stent wires are expressed using Kirchhoff's rod theory and their mechanical behavior is treated using a corotational beam formulation. The equation of motion of the braided stent is solved in a step-by-step manner using the resultant elastic force and mechanical interactions of wires with friction. Examples of braided-stent deployment into idealized arteries with various curvatures are numerically simulated. In cases of low curvature, the braided stent expands from a catheter by releasing the bending energy stored in stent wires, while incomplete expansion is found at both stent ends (ie, the fish-mouth phenomenon), where relatively little bending energy is stored. In cases of high curvature, much torsional energy is stored in stent wires locally in the midsection of the curvature and the bending energy for stent self-expansion is not fully released even after deployment, leading to stent flattening. These findings suggest that the mechanical state of the braided stent and its transition during deployment play an important role in the underlying mechanism of stent flattening. NOVELTY STATEMENT: This study developed a computational mechanical model of the braided stent for interpreting stent flattening, which is a critical issue observed during deployment into highly curved arteries. Mechanical behaviors of the stent wires are appropriately treated by corotational beam element formulation with considering multiple contacts. We conducted numerical examples of the stent deployment into curved arteries and found that the mechanical state of the braided stent during deployment associated with occurrences of the stent flattening. We believe this finding gives new insight into the mechanism of stent flattening and would advance the design of the stent and its deployment protocol.

Fatigue behavior of stent in tapered arteries: The role of arterial tapering and stent material

Stenting has achieved great success in treating cardiovascular diseases due to its high efficiency and minimal invasiveness. However, fatigue of stents severely limits its long-term outcome. In this article, finite element method was adopted to study the effects of arterial tapering and stent material on the fatigue performance of stents. A series of tapered vessels with different taper levels and two sets of stents with different materials were modeled. The Goodman diagram was used to evaluate the fatigue resistance of stents. Results showed that the fatigue resistance of stents can be extremely improved by simply changing stent material. In addition, the taper of the arteries had an important influence on the fatigue resistance of the stent. The fatigue life of the stent will be shortened with the increase of the arterial taper. The method that predicted stent fatigue life in tapered vessels can help clinicians select stents that are more suitable for tapered vessels and help stent engineers design stents that are more resistant to fatigue.

Multi-Objective Optimization Design of Balloon-Expandable Coronary Stent

PURPOSE

Recent studies suggested that suboptimal delivery and longitudinal stent deformation can result in in-stent restenosis. Therefore, the purpose of this paper was to study the effect of stent geometry on stent flexibility and longitudinal stiffness (LS) and optimize the two metrics simultaneously. Then, the reliable and accurate relationships between metrics and design variables were established.

METHODS

A multi-objective optimization method based on finite element analysis was proposed for the investigation and improvement of stent flexibility and LS. The relative influences of design variables on the two metrics were evaluated on the basis of the main effects. Three surrogate models, namely, the response surface model (RSM), radial basis function neural network (RBF), and Kriging were employed and compared.

RESULTS

The accuracies of the three models in fitting flexibility were nearly similar, although Kriging made more accurate prediction in LS. The link width played important roles in flexibility and LS. Although the flexibility of the optimal stent decreased by 13%, the LS increased by 48.3%.

CONCLUSIONS

The obtained results showed that the multi-objective optimization method is efficient in predicting an optimal stent design. The method presented in this paper can be useful in optimizing stent design and improving the comprehensive mechanical properties of stents.