Evidence map›Paper›PMID 37374585›Full record

ArticleMaterials (Basel, Switzerland)2023

Bioabsorbable Polymeric Stent for the Treatment of Coarctation of the Aorta (CoA) in Children: A Methodology to Evaluate the Design and Mechanical Properties of PLA Polymer.

Flávio José Dos Santos, Bruno Agostinho Hernandez, Rosana Santos, Marcel Machado, Mateus Souza, Edson A Capello Sousa, Aron Andrade

Open access · goldAbstract read
In one paragraph

Article in Materials (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Flávio José Dos SantosDepartment of Mechanical Engineering, Centre for Simulation in Bioengineering, Biomechanics and Biomaterials, School of Engineering (CS3B), Campus of Bauru, UNESP-São Paulo State University, São Paulo 17033-360, Brazil.ORCID 0000-0001-7425-3690
Bruno Agostinho HernandezDepartment of Mechanical Engineering, Centre for Simulation in Bioengineering, Biomechanics and Biomaterials, School of Engineering (CS3B), Campus of Bauru, UNESP-São Paulo State University, São Paulo 17033-360, Brazil.ORCID 0000-0002-2716-4262
Rosana SantosDepartment of Engineering, PUC-Pontifical Catholic University of São Paulo, São Paulo 05014-901, Brazil.ORCID 0000-0002-0540-7956
Marcel MachadoDepartment of Mechanical Engineering, Centre for Simulation in Bioengineering, Biomechanics and Biomaterials, School of Engineering (CS3B), Campus of Bauru, UNESP-São Paulo State University, São Paulo 17033-360, Brazil.ORCID 0000-0002-4452-9497
Mateus SouzaDepartment of Mechanical Engineering, Centre for Simulation in Bioengineering, Biomechanics and Biomaterials, School of Engineering (CS3B), Campus of Bauru, UNESP-São Paulo State University, São Paulo 17033-360, Brazil.ORCID 0000-0003-4749-6659
Edson A Capello SousaDepartment of Mechanical Engineering, Centre for Simulation in Bioengineering, Biomechanics and Biomaterials, School of Engineering (CS3B), Campus of Bauru, UNESP-São Paulo State University, São Paulo 17033-360, Brazil.ORCID 0000-0003-0613-1151
Aron AndradeCEAC-Centre for Engineering in Circulatory Assistance, Dante Pazzanese Institute of Cardiology, São Paulo 04012-909, Brazil.ORCID 0000-0002-4859-5897
Universidade Estadual Paulista (Unesp) · BRInstituto Dante Pazzanese de Cardiologia · BRPontifícia Universidade Católica de São Paulo · BR

Funding

São Paulo Research Foundation Process 2020/15735-0
6 · The paper itself

Abstract

This study presents a methodology that combines experimental tests and the finite element method, which is able to analyse the influence of the geometry on the mechanical behaviour of stents made of bioabsorbable polymer PLA (PolyLactic Acid) during their expansion in the treatment of coarctation of the aorta (CoA). Tensile tests with standardized specimen samples were conducted to determine the properties of a 3D-printed PLA. A finite element model of a new stent prototype was generated from CAD files. A rigid cylinder simulating the expansion balloon was also created to simulate the stent opening performance. A tensile test with 3D-printed customized stent specimens was performed to validate the FE stent model. Stent performance was evaluated in terms of elastic return, recoil, and stress levels. The 3D-printed PLA presented an elastic modulus of 1.5 GPa and a yield strength of 30.6 MPa, lower than non-3D-printed PLA. It can also be inferred that crimping had little effect on stent circular recoil performance, as the difference between the two scenarios was on average 1.81%. For an expansion of diameters ranging from 12 mm to 15 mm, as the maximum opening diameter increases, the recoil levels decrease, ranging from 10 to 16.75% within the reported range. These results point out the importance of testing the 3D-printed PLA under the conditions of using it to access its material properties; the results also indicate that the crimping process could be disregarded in simulations to obtain fast results with lower computational cost and that new proposed stent geometry made of PLA might be suitable for use in CoA treatments-the approach that has not been applied before. The next steps will be to simulate the opening of an aorta vessel using this geometry.

Indexed as

bioabsorbable stentcoarctation of the aortafinite element analysis

Identifiers

PMID37374585
PMCPMC10301593
OpenAlexW4380877951

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.