Model reduction methodology for computational simulations of endovascular repair

Comput Methods Biomech Biomed Engin. 2018 Feb;21(2):139-148. doi: 10.1080/10255842.2018.1427740. Epub 2018 Jan 30.

Abstract

Endovascular aneurysm repair (EVAR) is a current alternative treatment for thoracic and abdominal aortic aneurysms, but is still sometimes compromised by possible complications such as device migration or endoleaks. In order to assist clinicians in preventing these complications, finite element analysis (FEA) is a promising tool. However, the strong material and geometrical nonlinearities added to the complex multiple contacts result in costly finite-element models. To reduce this computational cost, we establish here an alternative and systematic methodology to simplify the computational simulations of stent-grafts (SG) based on FEA. The model reduction methodology relies on equivalent shell models with appropriate geometrical and mechanical parameters. It simplifies significantly the contact interactions but still shows very good agreement with a complete reference finite-element model. Finally, the computational time for EVAR simulations is reduced of a factor 6-10. An application is shown for the deployment of a SG during thoracic endovascular repair, showing that the developed methodology is both effective and accurate to determine the final position of the deployed SG inside the aneurysm.

Keywords: EVAR; Robust Design Method; finite element analysis; model reduction; stent-graft deployment.

MeSH terms

  • Aorta / diagnostic imaging
  • Aorta / pathology
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / pathology
  • Aortic Aneurysm, Thoracic / therapy
  • Blood Vessel Prosthesis
  • Compressive Strength
  • Computer Simulation*
  • Elasticity
  • Endovascular Procedures*
  • Finite Element Analysis
  • Humans
  • Image Processing, Computer-Assisted
  • Male
  • Reproducibility of Results
  • Stents
  • Tomography, X-Ray Computed
  • Treatment Outcome