An aortic model for the physiological assessment of endovascular stent-grafts.

BACKGROUND: The aim of this study was to manufacture a new aortic model with physiological properties, which could be used for long-term durability testing of endovascular stent-grafts, as per the recommendations of the Food and Drug Administration. METHODS: Porcine abdominal aortas were acquired t...

Celý popis

Podrobná bibliografie
Hlavní autoři: Desai, M, Ahmed, M, Darbyshire, A, You, Z, Hamilton, G, Seifalian, A
Médium: Journal article
Jazyk:English
Vydáno: 2011
_version_ 1826288817038950400
author Desai, M
Ahmed, M
Darbyshire, A
You, Z
Hamilton, G
Seifalian, A
author_facet Desai, M
Ahmed, M
Darbyshire, A
You, Z
Hamilton, G
Seifalian, A
author_sort Desai, M
collection OXFORD
description BACKGROUND: The aim of this study was to manufacture a new aortic model with physiological properties, which could be used for long-term durability testing of endovascular stent-grafts, as per the recommendations of the Food and Drug Administration. METHODS: Porcine abdominal aortas were acquired to establish values for compliance. The aortic model was manufactured using a nanocomposite polymer. Latex mock aorta was used for comparison. A pulsatile flow phantom perfused the aortas and synthetic tubes at physiological pulse pressure and flow. Diametrical compliance and stiffness index were calculated over mean pressures from 30 to 120 mm Hg. Data were analyzed using one-way analysis of variance and Bonferroni's test. RESULTS: Flow circuit hemodynamic values were similar for porcine aorta and synthetic tubes. Compliance of aorta ranged from 2.97 ± 0.72 (mean ± SD) to 1.42 ± 0.37%/mm Hg × 10⁻². The polymer model showed significantly better compliance (range, 3.66 ± 1.05-2.72 ± 0.28%/mm Hg × 10⁻²; p < 0.05), with no significant difference in elastic stiffness index (range, 101.6 ± 28.9-51.3 ± 10.7 for aorta and 39.8 ± 8.5-34.2 ± 3.8 for polymer model; p > 0.05). It also showed anisotropic behavior similar to the aorta. Latex tubes showed compliance that was lower than that in aorta (range, 0.87 ± 0.24-0.86 ± 0.2%/mm Hg × 10⁻²) and failed by a significant distension on increase in pressure from mean of 90 mm Hg. CONCLUSIONS: We have developed physiologically relevant aortic model showing compatible anatomy, compliance, and viscoelasticity, which could be used for long-term fatigue analysis of vascular stents and grafts. The latex mock aortas can fail at physiological pressures.
first_indexed 2024-03-07T02:19:26Z
format Journal article
id oxford-uuid:a3668a98-34bd-4e79-baa0-42e82941c2c5
institution University of Oxford
language English
last_indexed 2024-03-07T02:19:26Z
publishDate 2011
record_format dspace
spelling oxford-uuid:a3668a98-34bd-4e79-baa0-42e82941c2c52022-03-27T02:26:40ZAn aortic model for the physiological assessment of endovascular stent-grafts.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a3668a98-34bd-4e79-baa0-42e82941c2c5EnglishSymplectic Elements at Oxford2011Desai, MAhmed, MDarbyshire, AYou, ZHamilton, GSeifalian, A BACKGROUND: The aim of this study was to manufacture a new aortic model with physiological properties, which could be used for long-term durability testing of endovascular stent-grafts, as per the recommendations of the Food and Drug Administration. METHODS: Porcine abdominal aortas were acquired to establish values for compliance. The aortic model was manufactured using a nanocomposite polymer. Latex mock aorta was used for comparison. A pulsatile flow phantom perfused the aortas and synthetic tubes at physiological pulse pressure and flow. Diametrical compliance and stiffness index were calculated over mean pressures from 30 to 120 mm Hg. Data were analyzed using one-way analysis of variance and Bonferroni's test. RESULTS: Flow circuit hemodynamic values were similar for porcine aorta and synthetic tubes. Compliance of aorta ranged from 2.97 ± 0.72 (mean ± SD) to 1.42 ± 0.37%/mm Hg × 10⁻². The polymer model showed significantly better compliance (range, 3.66 ± 1.05-2.72 ± 0.28%/mm Hg × 10⁻²; p < 0.05), with no significant difference in elastic stiffness index (range, 101.6 ± 28.9-51.3 ± 10.7 for aorta and 39.8 ± 8.5-34.2 ± 3.8 for polymer model; p > 0.05). It also showed anisotropic behavior similar to the aorta. Latex tubes showed compliance that was lower than that in aorta (range, 0.87 ± 0.24-0.86 ± 0.2%/mm Hg × 10⁻²) and failed by a significant distension on increase in pressure from mean of 90 mm Hg. CONCLUSIONS: We have developed physiologically relevant aortic model showing compatible anatomy, compliance, and viscoelasticity, which could be used for long-term fatigue analysis of vascular stents and grafts. The latex mock aortas can fail at physiological pressures.
spellingShingle Desai, M
Ahmed, M
Darbyshire, A
You, Z
Hamilton, G
Seifalian, A
An aortic model for the physiological assessment of endovascular stent-grafts.
title An aortic model for the physiological assessment of endovascular stent-grafts.
title_full An aortic model for the physiological assessment of endovascular stent-grafts.
title_fullStr An aortic model for the physiological assessment of endovascular stent-grafts.
title_full_unstemmed An aortic model for the physiological assessment of endovascular stent-grafts.
title_short An aortic model for the physiological assessment of endovascular stent-grafts.
title_sort aortic model for the physiological assessment of endovascular stent grafts
work_keys_str_mv AT desaim anaorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT ahmedm anaorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT darbyshirea anaorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT youz anaorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT hamiltong anaorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT seifaliana anaorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT desaim aorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT ahmedm aorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT darbyshirea aorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT youz aorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT hamiltong aorticmodelforthephysiologicalassessmentofendovascularstentgrafts
AT seifaliana aorticmodelforthephysiologicalassessmentofendovascularstentgrafts