Structural Analysis for Wingspan Stent in a Perforator Model

被引:24
作者
Fujimoto, Motoaki [1 ]
Shobayashi, Yasuhiro [1 ]
Takemoto, Koichiro [1 ]
Tateshima, Satoshi [1 ]
Vinuela, Fernando [1 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Div Intervent Neuroradiol, Dept Radiol Sci, Los Angeles, CA 90095 USA
关键词
intracranial atherosclerotic stenosis; intracranial stent; fine element method; perforator; INTRACRANIAL ARTERIAL-STENOSIS; DEPLOYMENT; GEOMETRY; STROKE;
D O I
10.1177/159101991301900302
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Perforator infarction represents a critical problem after intracranial Wingspan stent. To explore the mechanism of perforator infarction, we simulated the stent-artery interaction at an atheromatous plaque with perforator. Structural deformation and biomechanical stress distribution after stenting were analyzed. High radial stress values were located along the stent struts, which surrounded the area with high circumferential stress. Stretched perforator orifice in a circumferential direction after stenting was simulated. These results show that structural deformation could play a role in the mechanism of perforator occlusion after Wingspan stenting.
引用
收藏
页码:271 / 275
页数:5
相关论文
共 20 条
[1]   Incidence and angiographic predictors of side branch occlusion following high-pressure intracoronary stenting [J].
Aliabadi, D ;
Tilli, FV ;
Bowers, TR ;
Benzuly, KH ;
Safian, RD ;
Goldstein, JA ;
Grines, CL ;
ONeill, WW .
AMERICAN JOURNAL OF CARDIOLOGY, 1997, 80 (08) :994-997
[2]   Carotid artery stenting simulation: From patient-specific images to finite element analysis [J].
Auricchio, F. ;
Conti, M. ;
De Beule, M. ;
De Santis, G. ;
Verhegghe, B. .
MEDICAL ENGINEERING & PHYSICS, 2011, 33 (03) :281-289
[3]   Assessment of tissue prolapse after balloon-expandable stenting: Influence of stent cell geometry [J].
Capelli, Claudio ;
Gervaso, Francesca ;
Petrini, Lorenza ;
Dubini, Gabriele ;
Migliavacca, Francesco .
MEDICAL ENGINEERING & PHYSICS, 2009, 31 (04) :441-447
[4]   Mis-sizing of stent promotes intimal hyperplasia: impact of endothelial shear and intramural stress [J].
Chen, Henry Y. ;
Sinha, Anjan K. ;
Choy, Jenny S. ;
Zheng, Hai ;
Sturek, Michael ;
Bigelow, Brian ;
Bhatt, Deepak L. ;
Kassab, Ghassan S. .
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 2011, 301 (06) :H2254-H2263
[5]   Stenting versus Aggressive Medical Therapy for Intracranial Arterial Stenosis [J].
Chimowitz, Marc I. ;
Lynn, Michael J. ;
Derdeyn, Colin P. ;
Turan, Tanya N. ;
Fiorella, David ;
Lane, Bethany F. ;
Janis, L. Scott ;
Lutsep, Helmi L. ;
Barnwell, Stanley L. ;
Waters, Michael F. ;
Hoh, Brian L. ;
Hourihane, J. Maurice ;
Levy, Elad I. ;
Alexandrov, Andrei V. ;
Harrigan, Mark R. ;
Chiu, David ;
Klucznik, Richard P. ;
Clark, Joni M. ;
McDougall, Cameron G. ;
Johnson, Mark D. ;
Pride, G. Lee, Jr. ;
Torbey, Michel T. ;
Zaidat, Osama O. ;
Rumboldt, Zoran ;
Cloft, Harry J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2011, 365 (11) :993-1003
[6]   Comparison of warfarin and aspirin for symptomatic intracranial arterial stenosis [J].
Chimowitz, MI ;
Lynn, MJ ;
Howlett-Smith, H ;
Stern, BJ ;
Hertzberg, VS ;
Frankel, MR ;
Levine, SR ;
Chaturvedi, S ;
Kasner, SE ;
Benesch, CG ;
Sila, CA ;
Jovin, TG ;
Romano, JG .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (13) :1305-1316
[7]   Finite element modelling of diseased carotid bifurcations generated from in vivo computerised tomographic angiography [J].
Creane, Arthur ;
Maher, Eoghan ;
Sultan, Sherif ;
Hynes, Niamh ;
Kelly, Daniel J. ;
Lally, Caitriona .
COMPUTERS IN BIOLOGY AND MEDICINE, 2010, 40 (04) :419-429
[8]   Our capricious vessels: The influence of stent design and vessel geometry on the mechanics of intracranial aneurysm stent deployment [J].
De Bock, S. ;
Iannaccone, F. ;
De Santis, G. ;
De Beule, M. ;
Mortier, P. ;
Verhegghe, B. ;
Segers, P. .
JOURNAL OF BIOMECHANICS, 2012, 45 (08) :1353-1359
[9]   Detailed Analysis of Periprocedural Strokes in Patients Undergoing Intracranial Stenting in Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) [J].
Fiorella, David ;
Derdeyn, Colin P. ;
Lynn, Michael J. ;
Barnwell, Stanley L. ;
Hoh, Brian L. ;
Levy, Elad I. ;
Harrigan, Mark R. ;
Klucznik, Richard P. ;
McDougall, Cameron G. ;
Pride, G. Lee, Jr. ;
Zaidat, Osama O. ;
Lutsep, Helmi L. ;
Waters, Michael F. ;
Hourihane, J. Maurice ;
Alexandrov, Andrei V. ;
Chiu, David ;
Clark, Joni M. ;
Johnson, Mark D. ;
Torbey, Michel T. ;
Rumboldt, Zoran ;
Cloft, Harry J. ;
Turan, Tanya N. ;
Lane, Bethany F. ;
Janis, L. Scott ;
Chimowitz, Marc I. .
STROKE, 2012, 43 (10) :2682-+
[10]   Biomechanical responses after Wingspan Stent deployment in swine ascending pharyngeal artery [J].
Fujimoto, Motoaki ;
Shobayashi, Yasuhiro ;
Tateshima, Satoshi ;
Vinters, Harry V. ;
Vinuela, Fernando .
NEUROLOGICAL RESEARCH, 2013, 35 (01) :90-94