Shear accumulation as a means for evaluating risk of thromboembolic events in novel endovascular stent graft designs.

Abstract:

OBJECTIVE:This study proposes to establish a simulation-based technique for evaluating shear accumulation in stent grafts and to use the technique to assess the performance of a novel branched stent graft system. METHODS:Computational fluid dynamics models, with transient boundary conditions, particle injection, and rigid walls, simplifying assumptions were developed and used to evaluate the shear accumulation in various stent graft configurations with a healthy aorta as comparison. RESULTS:Shear streamlines are presented for the various configurations. Shear accumulation was also calculated for each configuration. The number of particles with shear accumulations >3.5 Pa-s for each configuration was compared with the shear accumulation values of commercially available mechanical aortic valves from the literature. CONCLUSIONS:The stent graft configuration with the diaphragm does have particles with shear accumulation >3.5 Pa-s. However, the percentage of particles with shear accumulation above 3.5 Pa-s is less than the two commercially available mechanical aortic valves, and more surprisingly, is smaller than in the healthy aorta.

journal_name

J Vasc Surg

authors

Suess T,Anderson J,Sherman A,Remund T,Pohlson K,Mani G,Gent S,Kelly P

doi

10.1016/j.jvs.2016.07.108

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

1813-1819

issue

6

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(16)30883-7

journal_volume

65

pub_type

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