新型球扩式锥形血管支架的径向支撑力学行为
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江苏省自然科学基金项目(BK20130525);中国博士后基金项目(2011M500858),江苏省普通高校研究生科研创新计划项目( SJCX21_1700)


Mechanical Behavior of Radial Support of a Novel BalloonExpandable Tapered Stent
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    摘要:

    目的 探求支架锥度和连接筋形式对支架支撑性能的影响规律,为锥形支架的结构设计和临床选择提供重要的科学依据。方法 通过构建新型球囊扩张式锥形血管支架径向支撑性能的非线性有限元模型,采用平面压缩法分析血管支架在不同支架锥度(0°、0.565°、1.13°)和支架连接体结构形式(V、I、C、S、M型)下的支架径向刚度和应力分布规律,研究血管支架结构设计和其径向支撑性能之间的关系。结果 0°、0.565°、1.13°支架径向刚度分别为2.51、1.61、0.85 N/mm,0.565°、1.13°支架分别比 0°支架(原直支架)下降了35.86%和66.14%;除了C型连接体支架径向刚度为1.48 N/mm外,I、M、S、V型连接体支架的径向刚度相差不大,分别为2.51、2.61、2.41、2.52 N/mm,表明此4种连接体支架在径向抗压缩性能上几乎相同。结论 相比于传统的圆直支架,锥形支架的径向刚度会减小,且随着锥度增加,支架的径向刚度会逐渐降低;在研究的所有支架类型中,除了C型连接体支架的径向刚度较差外,其余连接体形状对支架的径向刚度影响甚微。在不改变支架连接筋形式的情况下,通过降低锥形支架锥度可以提高支架的径向支撑性能。

    Abstract:

    Objective To explore influences of the taper and connecting rib form on supporting performance of the stent, and provide an important scientific basis for structural design and clinical selection of the tapered stent. Methods A nonlinear finite element model for radial support performance of a novel balloon-expandable tapered stent was constructed, and the radial stiffness (RS) and stress distributions of the stent at different tapers (0°, 0.565°and 1.13°) and with different structural forms of stent linker (V-shape, I-shape, C-shape, S-shape, M-shape) were analyzed by plane compression. The relationship between structural design of the vascular stent and its radial support performance was studied. Results The RS of 0°stent, 0.565°stent, 1.13° stent was 2.51, 1.61, 0.85 N/mm, respectively. The RS of 0.565°stent and 1.13° stent was 35.86% and 66.14% lower than that of 0°stent (round straight stent), respectively. Except that the RS of C-shape linker stent was 1.48 N/mm, the RS of I, M, S and V-shape linker stents was not significantly different, which was 2.51, 2.61, 2.41, 2.52 N/mm, respectively, indicating that radial compression resistance of these four linker stents was almost the same. Conclusions Compared with traditional round straight stents, the RS of tapered stents will decrease, and the RS of stents will gradually decrease with the the taper increasing. Among all stent types in this study, except C-shape linker stents, the RS of other linker shapes has little effect on the RS of stents. The radial support performance of the stent can be improved by reducing the taper of the tapered stent, without changing the form of stent connecting ribs.

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申 祥,王 炎,孙 鹏,王 磊,朱洪飞.新型球扩式锥形血管支架的径向支撑力学行为[J].医用生物力学,2023,38(3):487-492

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  • 收稿日期:2022-09-05
  • 最后修改日期:2022-10-06
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  • 在线发布日期: 2023-06-27
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