Adaptation of cardiovascular system stent implants

Biomed Tech (Berl). 2018 Jun 27;63(3):279-290. doi: 10.1515/bmt-2017-0018.

Abstract

Time-consuming design and manufacturing processes are a serious disadvantage when adapting human cardiovascular implants as they cause unacceptable delays after the decision to intervene surgically has been made. An ideal cardiovascular implant should have a broad range of characteristics such as strength, viscoelasticity and blood compatibility. The present research proposes the sequence of the geometrical adaptation procedures and presents their results. The adaptation starts from the identification of a person's current health status while performing abdominal aortic aneurysm (AAA) imaging, which is a point of departure for the mathematical model of a cardiovascular implant. The computerized tomography scan shows the patient-specific geometry parameters of AAA and helps to create a model using COMSOL Multiphysics software. The initial parameters for flow simulation are taken from the results of a patient survey. The simulation results allow choosing the available shape of an implant which ensures a non-turbulent flow. These parameters are essential for the design and manufacturing of an implant prototype which should be tested experimentally for the assurance that the mathematical model is adequate to a physical one. The article gives a focused description of competences and means that are necessary to achieve the shortest possible preparation of the adapted cardiovascular implant for the surgery.

Keywords: blood flow; cardiovascular implant; endoprosthesis; mathematical model; stent-graft; tomography scan.

MeSH terms

  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / nursing*
  • Aortic Aneurysm, Abdominal / physiopathology*
  • Aortic Aneurysm, Abdominal / surgery
  • Blood Vessel Prosthesis / adverse effects*
  • Cardiovascular System
  • Humans
  • Models, Cardiovascular
  • Stents / adverse effects*
  • Tomography, X-Ray Computed