scholarly journals Evaluation of a modified Cheatham-Platinum stent for the treatment of aortic coarctation by finite element modelling

2018 ◽  
Vol 7 ◽  
pp. 204800401877395 ◽  
Author(s):  
Barbara EU Burkhardt ◽  
Nicholas Byrne ◽  
Marí Nieves Velasco Forte ◽  
Francesco Iannaccone ◽  
Matthieu De Beule ◽  
...  

Objectives Stent implantation for the treatment of aortic coarctation has become a standard approach for the management of older children and adults. Criteria for optimal stent design and construction remain undefined. This study used computational modelling to compare the performance of two generations of the Cheatham-Platinum stent (NuMED, Hopkinton, NY, USA) deployed in aortic coarctation using finite element analysis. Design Three-dimensional models of both stents, reverse engineered from microCT scans, were implanted in the aortic model of one representative patient. They were virtually expanded in the vessel with a 16 mm balloon and a pressure of 2 atm. Results The conventional stent foreshortened to 96.5% of its initial length, whereas the new stent to 99.2% of its initial length. Diameters in 15 slices across the conventional stent were 11.6–15 mm (median 14.2 mm) and slightly higher across the new stent: 10.7–15.3 mm (median 14.5 mm) (p= 0.021). Apposition to the vessel wall was similar: conventional stent 31.1% and new stent 28.6% of total stent area. Conclusions The new design Cheatham-Platinum stent showed similar deployment results compared to the conventional design. The new stent design showed slightly higher expansion, using the same delivery balloon. Patient-specific computational models can be used for virtual implantation of new aortic stents and promise to inform subsequent in vivo trials.

Author(s):  
Elizabeth S. Doughty ◽  
Nesrin Sarigul-Klijn

There are no full three-dimensional computational models of the pediatric spine to study the many diseases and disorders that afflict the immature spine using finite element analysis. To fully characterize the pediatric spine, we created a pediatric specific computational model of C1-L5 using noninvasive in vivo techniques to incorporate the differences between the adult and pediatric spines: un-fused vertebrae, lax ligaments, and higher water content in the intervertebral discs. Muscle follower loads were included in the model to simulate muscle activation for five muscles involved in spine stabilization. This paper is the first pediatric three-dimensional model developed to date. Due to a lack of experimental pediatric spinal studies, this 3-D computational model has the potential to become a surgical tool to ensure that the most appropriate technique is chosen for treating pediatric spinal dysfunctions such as congenital abnormalities, idiopathic scoliosis, and vertebral fractures.


Author(s):  
P M Cattaneo ◽  
M Dalstra ◽  
L H Frich

Three-dimensional finite element analysis is one of the best ways to assess stress and strain distributions in complex bone structures. However, accuracy in the results may be achieved only when accurate input information is given. A semi-automated method to generate a finite element (FE) model using data retrieved from computed tomography (CT) was developed. Due to its complex and irregular shape, the glenoid part of a left embalmed scapula bone was chosen as working material. CT data were retrieved using a standard clinical CT scanner (Siemens Somatom Plus 2, Siemens AG, Germany). This was done to produce a method that could later be utilized to generate a patient-specific FE model. Different methods of converting Hounsfield unit (HU) values to apparent densities and subsequently to Young's moduli were tested. All the models obtained were loaded using three-dimensional loading conditions taken from literature, corresponding to an arm abduction of 90°. Additional models with different amounts of elements were generated to verify convergence. Direct comparison between the models showed that the best method to convert HU values directly to apparent densities was to use different equations for cancellous and cortical bone. In this study, a reliable method of determining both geometrical data and bone properties from patient CT scans for the semi-automated generation of an FE model is presented.


2008 ◽  
Vol 130 (6) ◽  
Author(s):  
Matthew C. Paul ◽  
Liam P. Glennon ◽  
Thomas E. Baer ◽  
Thomas D. Brown

Scratches on the metal bearing surface of metal-on-polyethylene total joint replacements have been found to appreciably accelerate abrasive/adhesive wear of polyethylene, and constitute a source of the considerable variability of wear rate seen within clinical cohorts. Scratch orientation with respect to the local direction of relative surface sliding is presumably a factor affecting instantaneous debris liberation during articulation. A three-dimensional local finite element model was developed, of orientation-specific polyethylene articulation with a scratched metal counterface, to explore continuum-level stress/strain parameters potentially correlating with the orientation dependence of scratch wear in a corresponding physical experiment. Computed maximum stress values exceeded the yield strength of ultra-high molecular weight polyethylene (UHMWPE) for all scratch orientations but did not vary appreciably among scratch orientations. Two continuum-level parameters judged most consistent overall with the direction dependence of experimental wear were (1) cumulative compressive total normal strain in the direction of loading, and (2) maximum instantaneous compressive total normal strain transverse to the sliding direction. Such stress/strain metrics could be useful in global computational models of wear acceleration, as surrogates to incorporate anisotropy of local metal surface roughening.


Author(s):  
Oliver Grimaldo-Ruiz ◽  
Mariana Rodríguez-Reinoso ◽  
Cecilia Surace

The present study aims to create a patient-specific hand model to simulate the passive rehabilitation on the index finger, quantifying the flexor digitorum profundus (FDP) tendon excursion and the stress experienced during simulated flexion. The computational model used in this analysis was created from an unknown patient dataset available in the Embodi3d online library. The segmentation, three-dimensional reconstruction, and modeling of the structures involved were performed using Materialise Mimics and Rhino3D. The FDP tendon excursion and stress values present in the model were calculated in the ANSYS environment. Based on the finite-element simulation, the FDP tendon presents an excursion of 10.1 mm during passive postoperative flexion. The highest-stress values were observed between the pulleys-FDP tendon contact surfaces. In particular, the pulley A1 exhibited the maximum principal stress of the model with a 58.7 MPa.  The pulley A3 showed the same stress distribution pattern that A1 Pulley, but with the lowest values. The FDP Tendon excursion obtained is consistent with the results reported in the literature, which vary from 8 to 11 mm. The stress values found in the model explain the importance of the pulley mechanism keeping the FDP tendon attached to the finger bone during the range of motion experienced. The silico model proposed may potentially be used in the assessment of new medical device proposals in the field of hand reconstructive surgery.


Author(s):  
Emiliano Votta ◽  
Enrico Caiani ◽  
Federico Veronesi ◽  
Monica Soncini ◽  
Franco Maria Montevecchi ◽  
...  

In the current scientific literature, particular attention is dedicated to the study of the mitral valve and to comprehension of the mechanisms that lead to its normal function, as well as those that trigger possible pathological conditions. One of the adopted approaches consists of computational modelling, which allows quantitative analysis of the mechanical behaviour of the valve by means of continuum mechanics theory and numerical techniques. However, none of the currently available models realistically accounts for all of the aspects that characterize the function of the mitral valve. Here, a new computational model of the mitral valve has been developed from in vivo data, as a first step towards the development of patient-specific models for the evaluation of annuloplasty procedures. A structural finite-element model of the mitral valve has been developed to account for all of the main valvular substructures. In particular, it includes the real geometry and the movement of the annulus and papillary muscles, reconstructed from four-dimensional ultrasound data from a healthy human subject, and a realistic description of the complex mechanical properties of mitral tissues. Preliminary simulations allowed mitral valve closure to be realistically mimicked and the role of annulus and papillary muscle dynamics to be quantified.


Author(s):  
Silvia Pianigiani ◽  
Friedl De Groote ◽  
Lennart Scheys ◽  
Pierre Gillen ◽  
Luc Labey ◽  
...  

In this study, we present an innovative methodology (Figure 1) to calculate patient specific tibio-femoral (TF) contact forces by integrating medical image data, 3D skin-mounted marker trajectories, ground reaction forces, electromyography (EMG) data and finite element analysis (FEA). The muscle redundancy problem is solved through an EMG-constrained optimization approach. Calculated muscle forces are input to a FEA to calculate TF contact forces. Kinematics of the degrees of freedom (DOFs) of the knee that cannot be accurately assessed from the trajectories of skin-mounted markers, are estimated using a novel iterative procedure which combines muscle force calculation with dynamic FEA. The presented methodology is applied to analyze TF contact forces of a walking trial performed on an instrumented treadmill of which the speed was sequentially ramped up and down. The results presented in this abstract will be validated against the in-vivo measured TF contact forces.


2015 ◽  
Vol 2015 ◽  
pp. 1-9
Author(s):  
Dong Wu ◽  
Kebin Tian ◽  
Jiang Chen ◽  
Hua Jin ◽  
Wenxiu Huang ◽  
...  

To systematically measure and compare the stress distribution on the bone around an implant in the anterior maxilla using angled abutments by means of finite element analysis, three-dimensional finite element simplified patient-specific models and simplified models were created and analyzed. Systematically varied angled abutments were simulated, with angulation ranging from 0° to 60°. The materials in the current study were assumed to be homogenous, linearly elastic, and isotropic. Force of 100 N was applied to the central node on the top surface of the abutments to simulate the occlusal force. To simulate axial and oblique loading, the angle of loading was 0°, 15°, and 20° to the long axis of implant, respectively. There was the strong resemblance between the response curves for simplified patient-specific models and simplified models. Response curves under oblique loading were similar in both models. With abutments angulation increased, maximum von Mises stress firstly decreased to minimum point and then gradually increased to higher level. From a biomechanical point of view, favorable peri-implant stress levels could be induced by angled abutments under oblique loading if suitable angulation of abutments was selected.


Author(s):  
D. Liu ◽  
S. Koric ◽  
A. Kontsos

Direct numerical simulations (DNS) of knitted textile mechanical behavior are for the first time conducted on high performance computing (HPC) using both the explicit and implicit finite element analysis (FEA) to directly assess effective ways to model the behavior of such complex material systems. Yarn-level models including interyarn interactions are used as a benchmark computational problem to enable direct comparison in terms of computational efficiency between explicit and implicit methods. The need for such comparison stems from both a significant increase in the degrees-of-freedom (DOFs) with increasing size of the computational models considered as well as from memory and numerical stability issues due to the highly complex three-dimensional (3D) mechanical behavior of such 3D architectured materials. Mesh and size dependency, as well as parallelization in an HPC environment are investigated. The results demonstrate a satisfying accuracy combined with higher computational efficiency and much less memory requirements for the explicit method, which could be leveraged in modeling and design of such novel materials.


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