Evidence map›Paper›PMID 38110763›Full record

ArticleCardiovascular engineering and technology2024

Computational Comparison of the Mechanical Behavior of Aortic Stent-Grafts Derived from Auxetic Unit Cells.

Rahul Vellaparambil, Woo-Suck Han, Pierluigi Di Giovanni, Stéphane Avril

Abstract readComparative Study
In one paragraph

Article in Cardiovascular engineering and technology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Rahul VellaparambilMines Saint-Etienne, Université Jean Monnet Saint-Etienne, INSERM, SAINBIOSE U1059, 42023, Saint-Etienne, France.ORCID 0000-0002-2538-5598
Woo-Suck HanMines Saint-Etienne, Université Jean Monnet Saint-Etienne, INSERM, SAINBIOSE U1059, 42023, Saint-Etienne, France.ORCID 0000-0003-3811-3919
Pierluigi Di GiovanniResearch and Development Department, HSL S.R.L, Trento, Italy.ORCID 0000-0002-6854-6865
Stéphane AvrilMines Saint-Etienne, Université Jean Monnet Saint-Etienne, INSERM, SAINBIOSE U1059, 42023, Saint-Etienne, France. avril@emse.fr.ORCID 0000-0002-8604-7736

Funding

H2020 Marie Skłodowska-Curie Actions 859836
6 · The paper itself

Abstract

purposeInappropriate stent-graft (SG) flexibility has been frequently associated with endovascular aortic repair (EVAR) complications such as endoleaks, kinks, and SG migration, especially in tortuous arteries. Stents derived from auxetic unit cells have shown some potential to address these issues as they offer an optimum trade-off between radial stiffness and bending flexibility.

methodsIn this study, we utilized an established finite element (FE)-based approach to replicate the mechanical response of a SG iliac limb derived from auxetic unit cells in a virtual tortuous iliac aneurysm using a combination of a 180° U-bend and intraluminal pressurization. This study aimed to compare the mechanical performance (flexibility and durability) of SG limbs derived from auxetic unit cells and two commercial SG limbs (Z-stented SG and circular-stented SG models) in a virtual tortuous iliac aneurysm. Maximal graft strain and maximum stress in stents were employed as criteria to estimate the durability of SGs, whereas the maximal luminal reduction rate and the bending stiffness were used to assess the flexibility of the SGs.

resultsSG limbs derived from auxetic unit cells demonstrated low luminal reduction (range 4-12%) with no kink, in contrast to Z-stented SG, which had a kink in its central area alongside a high luminal reduction (44%).

conclusionsSG limbs derived from auxetic unit cells show great promise for EVAR applications even at high angulations such as 180°, with acceptable levels of durability and flexibility.

Indexed as

Blood Vessel ProsthesisBlood Vessel Prosthesis ImplantationEndovascular ProceduresFinite Element AnalysisModels, CardiovascularProsthesis DesignStentsStress, MechanicalComputer SimulationHumansIliac AneurysmMaterials TestingPliabilityProsthesis FailureAortic aneurysmAortic stent-graftAuxetic stentCircular stentFinite element analysisMechanical behaviorStent designZ-stent

Identifiers

PMID38110763
PMCPMC11149442

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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.