Numerical simulation to evaluate guidewire and catheter behavior during catheter introduction

A national questionnaire survey on guidewire penetration accidents by the Japanese Society for Neuroendovascular Therapy reported examples of perforation accidents occurring “during catheter introduction” (75.2% of accidents). In this study, we evaluated the behavior of a guidewire and a catheter du...

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Main Authors: Kazuto TAKASHIMA, Akinori NAMBA, Hiroto OTA, Yoichi HAGA, Makoto OHTA, Koji MORI, Naoki TOMA, Masaaki SHOJIMA
Format: Article
Language:English
Published: The Japan Society of Mechanical Engineers 2022-12-01
Series:Journal of Biomechanical Science and Engineering
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jbse/18/1/18_22-00276/_pdf/-char/en
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author Kazuto TAKASHIMA
Akinori NAMBA
Hiroto OTA
Yoichi HAGA
Makoto OHTA
Koji MORI
Naoki TOMA
Masaaki SHOJIMA
author_facet Kazuto TAKASHIMA
Akinori NAMBA
Hiroto OTA
Yoichi HAGA
Makoto OHTA
Koji MORI
Naoki TOMA
Masaaki SHOJIMA
author_sort Kazuto TAKASHIMA
collection DOAJ
description A national questionnaire survey on guidewire penetration accidents by the Japanese Society for Neuroendovascular Therapy reported examples of perforation accidents occurring “during catheter introduction” (75.2% of accidents). In this study, we evaluated the behavior of a guidewire and a catheter during catheter introduction by numerical simulations, based on the results of the national survey. Using the contact force between the medical devices and the vessel wall, and the medical device position as criteria, we investigated the mechanism and the risk of penetration by the device tip during device introduction. We also evaluated the effects of the insertion velocity of the guidewire and the catheter. The contact force gradually increased during insertion of the guidewire, and the maximum contact force was observed after the guidewire passed through a bend in the blood vessel. After that, when introducing a catheter along the guidewire at the bend in the blood vessel, the guidewire imparted a greater load on the vessel wall than when the guidewire itself was introduced. This is the same tendency seen in our previous study and the national survey. One reason for the force increase during catheter introduction is a decrease in the contact area, which concentrates the contact force. Another reason for the force increase is that the bending stiffness of the guidewire covered by the catheter is the sum of the stiffnesses of the two devices, which is larger than that of only the guidewire. Different from guidewire introduction, as the insertion velocity of the catheter increased, the maximum contact force decreased under the influence of the bend shape and the contact force distribution. Moreover, the guidewire oscillated considerably when the catheter was introduced, and this oscillation increased as the insertion velocity increased, leading to a risk of mistakenly straying into a perforating branch.
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spelling doaj.art-b29c2d0f52664229a1c26c66c67910962023-01-27T02:52:06ZengThe Japan Society of Mechanical EngineersJournal of Biomechanical Science and Engineering1880-98632022-12-0118122-0027622-0027610.1299/jbse.22-00276jbseNumerical simulation to evaluate guidewire and catheter behavior during catheter introductionKazuto TAKASHIMA0Akinori NAMBA1Hiroto OTA2Yoichi HAGA3Makoto OHTA4Koji MORI5Naoki TOMA6Masaaki SHOJIMA7Graduate School of Life Science and Systems Engineering, Kyushu Institute of TechnologyGraduate School of Life Science and Systems Engineering, Kyushu Institute of TechnologyGraduate School of Life Science and Systems Engineering, Kyushu Institute of TechnologyGraduate School of Biomedical Engineering, Tohoku UniversityInstitute of Fluid Science, Tohoku UniversityGraduate School of Sciences and Technology for Innovation, Yamaguchi UniversityGraduate School of Medicine, Mie UniversityGraduate School of Medicine, Teikyo UniversityA national questionnaire survey on guidewire penetration accidents by the Japanese Society for Neuroendovascular Therapy reported examples of perforation accidents occurring “during catheter introduction” (75.2% of accidents). In this study, we evaluated the behavior of a guidewire and a catheter during catheter introduction by numerical simulations, based on the results of the national survey. Using the contact force between the medical devices and the vessel wall, and the medical device position as criteria, we investigated the mechanism and the risk of penetration by the device tip during device introduction. We also evaluated the effects of the insertion velocity of the guidewire and the catheter. The contact force gradually increased during insertion of the guidewire, and the maximum contact force was observed after the guidewire passed through a bend in the blood vessel. After that, when introducing a catheter along the guidewire at the bend in the blood vessel, the guidewire imparted a greater load on the vessel wall than when the guidewire itself was introduced. This is the same tendency seen in our previous study and the national survey. One reason for the force increase during catheter introduction is a decrease in the contact area, which concentrates the contact force. Another reason for the force increase is that the bending stiffness of the guidewire covered by the catheter is the sum of the stiffnesses of the two devices, which is larger than that of only the guidewire. Different from guidewire introduction, as the insertion velocity of the catheter increased, the maximum contact force decreased under the influence of the bend shape and the contact force distribution. Moreover, the guidewire oscillated considerably when the catheter was introduced, and this oscillation increased as the insertion velocity increased, leading to a risk of mistakenly straying into a perforating branch.https://www.jstage.jst.go.jp/article/jbse/18/1/18_22-00276/_pdf/-char/enmedical equipmentnumerical analysisflexible structureendovascular treatmentguidewirecathetermultibody dynamics
spellingShingle Kazuto TAKASHIMA
Akinori NAMBA
Hiroto OTA
Yoichi HAGA
Makoto OHTA
Koji MORI
Naoki TOMA
Masaaki SHOJIMA
Numerical simulation to evaluate guidewire and catheter behavior during catheter introduction
Journal of Biomechanical Science and Engineering
medical equipment
numerical analysis
flexible structure
endovascular treatment
guidewire
catheter
multibody dynamics
title Numerical simulation to evaluate guidewire and catheter behavior during catheter introduction
title_full Numerical simulation to evaluate guidewire and catheter behavior during catheter introduction
title_fullStr Numerical simulation to evaluate guidewire and catheter behavior during catheter introduction
title_full_unstemmed Numerical simulation to evaluate guidewire and catheter behavior during catheter introduction
title_short Numerical simulation to evaluate guidewire and catheter behavior during catheter introduction
title_sort numerical simulation to evaluate guidewire and catheter behavior during catheter introduction
topic medical equipment
numerical analysis
flexible structure
endovascular treatment
guidewire
catheter
multibody dynamics
url https://www.jstage.jst.go.jp/article/jbse/18/1/18_22-00276/_pdf/-char/en
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AT akinorinamba numericalsimulationtoevaluateguidewireandcatheterbehaviorduringcatheterintroduction
AT hirotoota numericalsimulationtoevaluateguidewireandcatheterbehaviorduringcatheterintroduction
AT yoichihaga numericalsimulationtoevaluateguidewireandcatheterbehaviorduringcatheterintroduction
AT makotoohta numericalsimulationtoevaluateguidewireandcatheterbehaviorduringcatheterintroduction
AT kojimori numericalsimulationtoevaluateguidewireandcatheterbehaviorduringcatheterintroduction
AT naokitoma numericalsimulationtoevaluateguidewireandcatheterbehaviorduringcatheterintroduction
AT masaakishojima numericalsimulationtoevaluateguidewireandcatheterbehaviorduringcatheterintroduction