Effect of Vessel Tortuosity on Stress Concentration at the Distal Stent–Vessel Interface: Possible Link With New Entry Formation Through Biomechanical Simulation
A computational approach is used to investigate potential risk factors for distal stent graft-induced new entry (dSINE) in aortic dissection (AD) patients. Patient-specific simulations were performed based on computed tomography images acquired from six AD patients (three dSINE and three non-dSINE)...
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| Format: | Article |
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The American Society of Mechanical Engineers
2021
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| _version_ | 1825814278093930496 |
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| author | Wei, Ting Tan Yih, Miin Liew Mohd Jamil Mohamed, Mokhtarudin Pirola, Selene Wan Naimah, Wan Ab Naim Shahrul Amry, Hashim Xiao, Yun Xu Einly, Lim |
| author_facet | Wei, Ting Tan Yih, Miin Liew Mohd Jamil Mohamed, Mokhtarudin Pirola, Selene Wan Naimah, Wan Ab Naim Shahrul Amry, Hashim Xiao, Yun Xu Einly, Lim |
| author_sort | Wei, Ting Tan |
| collection | UMP |
| description | A computational approach is used to investigate potential risk factors for distal stent graft-induced new entry (dSINE) in aortic dissection (AD) patients. Patient-specific simulations were performed based on computed tomography images acquired from six AD patients (three dSINE and three non-dSINE) to analyze the correlation between anatomical characteristics and stress/strain distributions. Sensitivity analysis was carried out using idealized models to independently assess the effect of stent graft length, stent tortuosity and wedge apposition angle at the landing zone on key biomechanical variables. Mismatch of biomechanical properties between the stented and nonstented regions led to high stress at the distal stent graft–vessel interface in all patients, as well as shear strain in the neighboring region, which coincides with the location of tear formation. Stress was observed to increase with the increase of stent tortuosity (from 263 kPa at a tortuosity angle of 50 deg to 313 kPa at 30 deg). It was further amplified by stent graft landing at the inflection point of a curve. Malapposition of the stent graft led to an asymmetrical segment within the aorta, therefore changing the location and magnitude of the maximum von Mises stress substantially (up to +25.9% with a +25 deg change in the distal wedge apposition angle). In conclusion, stent tortuosity and wedge apposition angle serve as important risk predictors for dSINE formation in AD patients. |
| first_indexed | 2024-03-06T12:56:23Z |
| format | Article |
| id | UMPir33804 |
| institution | Universiti Malaysia Pahang |
| last_indexed | 2024-03-06T12:56:23Z |
| publishDate | 2021 |
| publisher | The American Society of Mechanical Engineers |
| record_format | dspace |
| spelling | UMPir338042022-04-20T07:42:34Z http://umpir.ump.edu.my/id/eprint/33804/ Effect of Vessel Tortuosity on Stress Concentration at the Distal Stent–Vessel Interface: Possible Link With New Entry Formation Through Biomechanical Simulation Wei, Ting Tan Yih, Miin Liew Mohd Jamil Mohamed, Mokhtarudin Pirola, Selene Wan Naimah, Wan Ab Naim Shahrul Amry, Hashim Xiao, Yun Xu Einly, Lim TJ Mechanical engineering and machinery A computational approach is used to investigate potential risk factors for distal stent graft-induced new entry (dSINE) in aortic dissection (AD) patients. Patient-specific simulations were performed based on computed tomography images acquired from six AD patients (three dSINE and three non-dSINE) to analyze the correlation between anatomical characteristics and stress/strain distributions. Sensitivity analysis was carried out using idealized models to independently assess the effect of stent graft length, stent tortuosity and wedge apposition angle at the landing zone on key biomechanical variables. Mismatch of biomechanical properties between the stented and nonstented regions led to high stress at the distal stent graft–vessel interface in all patients, as well as shear strain in the neighboring region, which coincides with the location of tear formation. Stress was observed to increase with the increase of stent tortuosity (from 263 kPa at a tortuosity angle of 50 deg to 313 kPa at 30 deg). It was further amplified by stent graft landing at the inflection point of a curve. Malapposition of the stent graft led to an asymmetrical segment within the aorta, therefore changing the location and magnitude of the maximum von Mises stress substantially (up to +25.9% with a +25 deg change in the distal wedge apposition angle). In conclusion, stent tortuosity and wedge apposition angle serve as important risk predictors for dSINE formation in AD patients. The American Society of Mechanical Engineers 2021 Article PeerReviewed Wei, Ting Tan and Yih, Miin Liew and Mohd Jamil Mohamed, Mokhtarudin and Pirola, Selene and Wan Naimah, Wan Ab Naim and Shahrul Amry, Hashim and Xiao, Yun Xu and Einly, Lim (2021) Effect of Vessel Tortuosity on Stress Concentration at the Distal Stent–Vessel Interface: Possible Link With New Entry Formation Through Biomechanical Simulation. Journal of Biomechanical Engineering, 143 (8). pp. 1-9. ISSN 0148-0731. (Published) https://doi.org/10.1115/1.4050642 https://doi.org/10.1115/1.4050642 |
| spellingShingle | TJ Mechanical engineering and machinery Wei, Ting Tan Yih, Miin Liew Mohd Jamil Mohamed, Mokhtarudin Pirola, Selene Wan Naimah, Wan Ab Naim Shahrul Amry, Hashim Xiao, Yun Xu Einly, Lim Effect of Vessel Tortuosity on Stress Concentration at the Distal Stent–Vessel Interface: Possible Link With New Entry Formation Through Biomechanical Simulation |
| title | Effect of Vessel Tortuosity on Stress Concentration at the Distal Stent–Vessel Interface: Possible Link With New Entry Formation Through Biomechanical Simulation |
| title_full | Effect of Vessel Tortuosity on Stress Concentration at the Distal Stent–Vessel Interface: Possible Link With New Entry Formation Through Biomechanical Simulation |
| title_fullStr | Effect of Vessel Tortuosity on Stress Concentration at the Distal Stent–Vessel Interface: Possible Link With New Entry Formation Through Biomechanical Simulation |
| title_full_unstemmed | Effect of Vessel Tortuosity on Stress Concentration at the Distal Stent–Vessel Interface: Possible Link With New Entry Formation Through Biomechanical Simulation |
| title_short | Effect of Vessel Tortuosity on Stress Concentration at the Distal Stent–Vessel Interface: Possible Link With New Entry Formation Through Biomechanical Simulation |
| title_sort | effect of vessel tortuosity on stress concentration at the distal stent vessel interface possible link with new entry formation through biomechanical simulation |
| topic | TJ Mechanical engineering and machinery |
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