Numerical simulation of the functionality of a stent structure for venous valve prostheses

Chronic venous insufficiency (CVI) is a common disease characterized by impaired venous drainage leading to congestion in the lower limbs. Currently, there are no artificial or biological venous valve prostheses commercially available. Previous minimally invasive design concepts failed to achieve su...

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Main Authors: Schubert Julia, Schümann Kerstin, Kischkel Sabine, Schmidt Wolfram, Grabow Niels, Stiehm Michael, Pfensig Sylvia, Schmitz Klaus-Peter, Keiler Jonas, Wree Andreas
Format: Article
Language:English
Published: De Gruyter 2019-09-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2019-0120
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author Schubert Julia
Schümann Kerstin
Kischkel Sabine
Schmidt Wolfram
Grabow Niels
Stiehm Michael
Pfensig Sylvia
Schmitz Klaus-Peter
Keiler Jonas
Wree Andreas
author_facet Schubert Julia
Schümann Kerstin
Kischkel Sabine
Schmidt Wolfram
Grabow Niels
Stiehm Michael
Pfensig Sylvia
Schmitz Klaus-Peter
Keiler Jonas
Wree Andreas
author_sort Schubert Julia
collection DOAJ
description Chronic venous insufficiency (CVI) is a common disease characterized by impaired venous drainage leading to congestion in the lower limbs. Currently, there are no artificial or biological venous valve prostheses commercially available. Previous minimally invasive design concepts failed to achieve sufficient long term results in animal or in vitro studies. The aim was to implement structural numerical simulation of clinically relevant loading cases for minimally invasive implantable venous valve prostheses. A bicuspid valve design was chosen as it showed superior results compared to tricuspid valves in previous studies. The selfexpanding support structure was developed by using diamond-shaped elements. Using finite-element analysis (FEA), various loading cases, including expansion and crimping of the stent structure and the release into a venous vessel, were simulated. A hyperelastic constitutive law for the vascular model was generated from uniaxial tensile test data of unfixated human vein walls. This study also compared numerical and experimental results regarding compliance and tensile tests to validate the vein material model. The calculated performance concerning expansion and crimping, as well as the release of the stent into a venous vessel, demonstrated the suitability of the stent design for minimally invasive application.
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spelling doaj.art-e0d719e9a1d84fdf82436cf8aa48adbd2022-12-22T03:28:06ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042019-09-015147747910.1515/cdbme-2019-0120cdbme-2019-0120Numerical simulation of the functionality of a stent structure for venous valve prosthesesSchubert Julia0Schümann Kerstin1Kischkel Sabine2Schmidt Wolfram3Grabow Niels4Stiehm Michael5Pfensig Sylvia6Schmitz Klaus-Peter7Keiler Jonas8Wree Andreas9Institute for Biomedical Engineering, Rostock University Medical Center, Friedrich- Barnewitz-Str. 4, Rostock-Warnemünde, GermanyInstitute for Biomedical Engineering, Rostock University Medical Center, Friedrich-Barnewitz-Str. 4, 18119 Rostock-Warnemünde, GermanyInstitute for Biomedical Engineering, Rostock University Medical Center, Friedrich-Barnewitz-Str. 4, 18119 Rostock-Warnemünde, GermanyInstitute for Biomedical Engineering, Rostock University Medical Center, Friedrich-Barnewitz-Str. 4, 18119 Rostock-Warnemünde, GermanyInstitute for Biomedical Engineering, Rostock University Medical Center, Friedrich-Barnewitz-Str. 4, 18119 Rostock-Warnemünde, GermanyInstitute for ImplantTechnology and Biomaterials – IIB e.V. and Institute for Biomedical Engineering, Rostock University Medical Center, Friedrich-Barnewitz-Str. 4, RostockWarnemünde, GermanyInstitute for ImplantTechnology and Biomaterials - IIB e.V. and Institute for Biomedical Engineering, Rostock University Medical Center, Friedrich-Barnewitz-Str. 4, RostockWarnemünde, GermanyInstitute for ImplantTechnology and Biomaterials - IIB e.V. and Institute for Biomedical Engineering, Rostock University Medical Center, Friedrich-Barnewitz-Str. 4, RostockWarnemünde, GermanyDepartment of Anatomy, Rostock University Medical Center, Gertrudenstr. 9,Rostock, GermanyDepartment of Anatomy, Rostock University Medical Center, Gertrudenstr. 9,Rostock, GermanyChronic venous insufficiency (CVI) is a common disease characterized by impaired venous drainage leading to congestion in the lower limbs. Currently, there are no artificial or biological venous valve prostheses commercially available. Previous minimally invasive design concepts failed to achieve sufficient long term results in animal or in vitro studies. The aim was to implement structural numerical simulation of clinically relevant loading cases for minimally invasive implantable venous valve prostheses. A bicuspid valve design was chosen as it showed superior results compared to tricuspid valves in previous studies. The selfexpanding support structure was developed by using diamond-shaped elements. Using finite-element analysis (FEA), various loading cases, including expansion and crimping of the stent structure and the release into a venous vessel, were simulated. A hyperelastic constitutive law for the vascular model was generated from uniaxial tensile test data of unfixated human vein walls. This study also compared numerical and experimental results regarding compliance and tensile tests to validate the vein material model. The calculated performance concerning expansion and crimping, as well as the release of the stent into a venous vessel, demonstrated the suitability of the stent design for minimally invasive application.https://doi.org/10.1515/cdbme-2019-0120finite-element analysisvenous valve prosthesisvenous material model
spellingShingle Schubert Julia
Schümann Kerstin
Kischkel Sabine
Schmidt Wolfram
Grabow Niels
Stiehm Michael
Pfensig Sylvia
Schmitz Klaus-Peter
Keiler Jonas
Wree Andreas
Numerical simulation of the functionality of a stent structure for venous valve prostheses
Current Directions in Biomedical Engineering
finite-element analysis
venous valve prosthesis
venous material model
title Numerical simulation of the functionality of a stent structure for venous valve prostheses
title_full Numerical simulation of the functionality of a stent structure for venous valve prostheses
title_fullStr Numerical simulation of the functionality of a stent structure for venous valve prostheses
title_full_unstemmed Numerical simulation of the functionality of a stent structure for venous valve prostheses
title_short Numerical simulation of the functionality of a stent structure for venous valve prostheses
title_sort numerical simulation of the functionality of a stent structure for venous valve prostheses
topic finite-element analysis
venous valve prosthesis
venous material model
url https://doi.org/10.1515/cdbme-2019-0120
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