Evidence map›Paper›PMID 42322385›Full record

ArticleBiomechanics and modeling in mechanobiology2026

Computational modeling of stent failure during crimping and deployment in coronary arteries.

Alexandros Tragoudas, Gerhard A Holzapfel, Fadi Aldakheel

Abstract read
In one paragraph

Article in Biomechanics and modeling in mechanobiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Alexandros TragoudasInstitute of Mechanics and Computational Mechanics, Leibniz Universität Hannover, Hannover, Germany.
Gerhard A HolzapfelInstitute of Biomechanics, Graz University of Technology, Graz, Austria.
Fadi AldakheelInstitute of Mechanics and Computational Mechanics, Leibniz Universität Hannover, Hannover, Germany. fadi.aldakheel@ibnm.uni-hannover.de.ORCID https://orcid.org/0000-0003-4074-4576

Funding

Deutsche Forschungsgemeinschaft SFB/TRR-298-SIIRI - Project-ID 426335750
6 · The paper itself

Abstract

Crimping and deployment of coronary stents involve severe finite deformations, multibody contact, and complex loading-unloading sequences that critically influence their structural integrity and long-term performance. This study presents a 3D phase-field fracture framework for simulating the onset and evolution of metal stent failure during crimping and balloon-assisted deployment in coronary arteries modeled as an anisotropic, hyperelastic material. The proposed framework combines finite-strain elastoplasticity with a phase-field description of ductile fracture, implemented as a dedicated user element (UEL) in Abaqus and validated against experimental stress-strain data for stainless steel stents to accurately capture plastic deformation, damage initiation, and softening. In parallel, a second UEL is developed for the arterial wall, incorporating anisotropic hyperelasticity to represent the layered mechanical response of intima, media, and adventitia. Fully coupled simulations of the stent-balloon-artery system reproduce the complete crimp-hold-release and expansion sequence, explicitly capturing contact interactions, stress localization at crowns and connectors, and progressive damage accumulation under realistic physiological conditions. The simulations reveal that fracture is initiated already during the crimping phase and continues to evolve during balloon expansion, resulting in localized damage zones, residual stresses, and elastic recoil after balloon deflation. Comparative analyses of representative stent designs (e.g., open-cell and closed-cell configurations with varying strut thickness and geometry) demonstrate how design features, loading paths, and arterial anisotropy govern damage evolution, failure progression, and post-deployment mechanical performance. The proposed model establishes a robust computational framework for failure-aware evaluation of coronary stents under finite strains, providing new insights for optimizing stent design and deployment strategies. The corresponding source code in this study is openly available at https://doi.org/10.25835/666phabc to support further research.

Indexed as

Computer SimulationCoronary VesselsModels, CardiovascularProsthesis FailureStentsFinite Element AnalysisHumansStress, MechanicalAnisotropyCardiovascular disorderCoronary arteryCrimping and deploymentFailure mechanismLarge-deformationOpen-access codesPhase-fieldStent

Identifiers

PMID42322385
PMCPMC13283204

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.