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Modeling of stent implantation in a human stenotic artery

Zervakis Michalis, Francesco Migliavacca, E.G.M. Petrakis, G.S. Karanasiou, Elena Dordoni, A.I. Sakellarios

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URI: http://purl.tuc.gr/dl/dias/B07813CC-2437-46F9-A225-52D92FF1A33B
Year 2013
Type of Item Conference Full Paper
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Bibliographic Citation G. S. Karanasiou, A. I. Sakellarios, E. E. Tripoliti, E. G. M. Petrakis, M. E. Zervakis, F. Migliavacca, G. Dubini, E. Dordoni, L. K. Michalis ,"Modeling of stent implantation in a human stenotic artery ,"in 2013 13th Medit. Conf. on Medical and Biol. Engineering and Comp.,pp. 1045-1048.doi:10.1007/978-3-319-00846-2_259 https://doi.org/10.1007/978-3-319-00846-2_259
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Summary

The aim of this work is to introduce a methodology to study the stent expansion and the subsequent deformation of the arterial wall towards the outside direction in order arterial lesion to be rehabilitated and blood flow to be restored. More specifically, a coronary artery and the plaque are reconstructed using intravascular ultrasound and biplane angiography. The finite element method is used for the modeling of the interaction between the stent, balloon, arterial wall and plaque. Appropriate material properties and boundary conditions are applied in order to represent the realistic behavior of each component. We observe that stresses are increased at the region of the first contact between the stent and the wall, which may be considered crucial for plaque rupture. Furthermore, the average calculated stress on the plaque is higher than the average stress on the arterial wall. Thus, stent positioning and deployment depends on a considerable degree on the plaque properties rather than the general arterial geometry. Results indicate that numerical modeling can provide a prediction of the arterial behavior during stent implantation.

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