Computational modeling of balloon-expandable stent deployment in coronary artery using the finite element method

• Published in: Research reports in clinical cardiology 2019-09, Vol.10, p.43-56
• Main Authors: Umer, Muhammad, Najabat Ali, Murtaza, Mubashar, Aamir, Mir, Mariam
• Format: Article
• Language: English
• Subjects: Angioplasty; Balloon treatment; Biomedical engineering; Cardiovascular disease; Computer applications; Confined-deployment; Coronary artery; Coronary vessels; Engineering; Finite element analysis; Finite Element Method; Foreshortening; Heart attacks; Implants; Manufacturers; Manufacturing; Mathematical models; Medical equipment; Open-deployment; Perfusion; Stent; Stents; Studies; Tri-folded balloon; Velocity
• ISSN: 1179-8475; 1179-8475
• DOI: 10.2147/RRCC.S173086

Introduction and purpose: For the implantation of a small mechanical supporting device such as a stent, angioplasty is a more reliable technique to regain the perfusion along the heart vessel. This research work demonstrates a relative study for two different stent models during implantation in coronary artery. The purpose of this analysis was to explore the clinical efficiency of a balloon expandable stent deployment employing the finite element method. Methods: The two different models included are the Cypher Bx Velocity® (Bx_Velocity; Johnson & Johnson Corporation, New Brunswick, NJ, USA) and Savior (ST Flex Pro; National Engineering and Scientific Commission, Islambad, Pakistan). As the majority of stents are deployed using an angioplasty balloon guided by a catheter-shaft, in this study, the delivery of stents was governed by a sophisticated balloon of a trifolded pattern, attached to the catheter-shaft. This configuration has often been neglected in the past due to the complexity of interaction and the limitation of computational power. Results: The use of a trifolded semi-compliant balloon gives more promising results for quantification with experimental data available from the manufacturer’s compliance charts. This type of relative study allows us not only to improve the design of the available stent model, but also helps in probing the integrity of newly suggested models and reduces certain risks associated with the angioplasty technique. The following factors, such as stent expansion, foreshortening, dog-boning, elastic recoil, and the distribution of equivalent stresses were used to compare and improve the clinical outcome of the available stent models. Conclusion: The validation of numerical study for the Bx_Velocity stent was made with the manufacturer’s compliance chart data and for the Savior Stent with a report of experimental work data from NESCOM. Finally, some suggestions were made for good deliverability and reliability based on the above design criteria.