1) The document presents a numerical analysis of a stented aorta using finite element modeling. It summarizes the anatomy of the aorta, mechanical testing of the endothelium layer using atomic force microscopy, and the materials and methods used in the finite element model.
2) The results show that with a stent, the aorta diameter increases by 25% at systole compared to 10% without a stent. The top endothelium layer experiences the greatest deformation and stress. The peak wall stress with a stent is around 40% of the failure strength, while without a stent it is around 12% of the failure strength.
3) The analysis provides insights into the stress and deformation characteristics of the aorta layers with
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Numerical Analysis of Stented Aorta FEM
1. 1
ASME 2012,HOUSTON,TEXAS
Numerical Analysis of Stented Aorta
Aman Agarwal(a),Bou-Said Benyebka(b), G. C. Mohan Kumar(a)
Mélusine Bouchet(b)
(a)National Institute of Technology Karnataka Surathkal,
INDIA,
(b)INSA-Lyon, LaMCoS, CNRS UMR 5259, FRANCE
3. 3
ASME 2012,HOUSTON,TEXAS
Purpose/Introduction
Aortic Aneurysms Atherosclerosis
More than 50% of patients who experience a rupture of artery die
before reaching hospital
Rest experience excessive expansion of stent during deployment
may cause extensive wall damage
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
4. 4
ASME 2012,HOUSTON,TEXAS
Purpose/Introduction
Image:-NHLBI MD USA, Huntervascular Sydney
Coronary heart disease(CHD) caused by alteration in arterial wall
properties cause destruction of human body.
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
5. 5
ASME 2012,HOUSTON,TEXAS
Anatomy of Aorta
Muscular
tissues
Elastin fibers
Collagen
fibers
Purpose/Intro
Anatomy of
Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
6. 6
ASME 2012,HOUSTON,TEXAS
Innermost layer, endothelium layer is under direct influence with
all external forces i.e blood pressure, shear force and force due to
stent.
Atomic Force Microscopic(AFM) experiment was carried out to
find the mechanical properties of endothelium layer
3Ei=Em=3Ea (Fisher et al,2002)
Ei ti+Emtm+Eata=Et
ti:tm:ta=13:56:31 (Schuleze et al)
Mechanical Properties
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
7. 7
ASME 2012,HOUSTON,TEXAS
Used to study micro to nano scale living structure.
Atomic Force Microscope Experiment
AFM
Elastic properties of
cells
Tissue topography
Interaction between
surface and tip gives
topography
Force acting on tip
cause indentation gives
elastic properties
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
8. 8
ASME 2012,HOUSTON,TEXAS
20µm
k = 0.15 N/m ; 0.2 N/m
R ~ 20 µm
k = 0.1 N/m
h ~ 15 µm ; R ~ 6
nm
AFM : 2 types of geometry Topography 100 µm x 100
µm
Indentation Distance 1-2 µm
Variable speed ~ 1 ; 5 ; 12
µm/s
Hydration
Medium
Lever AFM
Specimen
AFM:-To find elastic property of endothelium
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
9. 9
ASME 2012,HOUSTON,TEXAS
T
B
L R
Friction(nN)
Distance X (µm)Scanning along X-axis
Friction Distance X ~ 20µm
Constant normal force : ~ 0,4 µN
Velocity ~ 4 µm/s
AFM lever k tors ~ 150 N/m
20µm
AFM:-To find topography of endothelium
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
10. 10
ASME 2012,HOUSTON,TEXAS
• E=0.668KPa
• Force Limit 3.32-9.23nN
• σt max : 1.39 – 3.02 Pa
(a) Elastic Property
(b) Topography
• Thickness 3.33 ± 0.5 µm
• Length 32.1 ±6.6 µm
AFM:- ResultsPurpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
11. FEM analysis is performed on ANSYS 11 APDL, on 4 layers artery
wall.
Tetrahedral mesh with 67000 elements.
2-D 4 node structural plane element (PLANE 182) is used in
complete model.
11
ASME 2012,HOUSTON,TEXAS
Materials and Method
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
12. • 121212
12
ASME 2012,HOUSTON,TEXAS
Endothelium
Connective tissue
Elastic membrane
Media
100 µm
60 µm
1200 µm
Elastic Linear
E = 0.668 KPa
ν = 0.49
Viscoelastic non-linear
E = 3 MPa
ν = 0.40
Prony shear
response table
Elastic Linear
E = 5 MPa
ν = 0.40
Viscoelastic non-linear
E = 8.95 MPa
ν = 0.40
Prony shear
response table
α1 τ1
0.2 0.166
0.2 0.02
0.6 0.06
α1 τ1
0.2 0.166
0.2 0.02
0.3 0.03
30 µm 1 µm
Length of model 300 µm
Intima-Media model
E of Media is 8.95Mpa and Intima ~3Mpa,Mosora’s experiment , Shear and volumetric response.
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
13. Blood Viscosity= 0.0035Pas Density 1050Kgm-3.
13
ASME 2012,HOUSTON,TEXAS
Non-Newtonian Flows by R.Shankar Subramanian from Clarkson University
Blood :-What type of fluid?Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
14. ASME 2012,HOUSTON,TEXAS
Boundary conditions
10 Cell model
14
30X10=300 µmLength of model
Blood Shear force
d i
Endothelium
Connective
tissue
Elastic
membrane
Media
X
Y
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
Force due to stent
Blood Pressure
15. 15
ASME 2012,HOUSTON,TEXAS
Rigid Vessels
No Slip btw
layers
Systolic=120mm Hg
Residual=9mm Hg
72 Beats Per Min
Inner dia ~0.8cm
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
17. 17
ASME 2012,HOUSTON,TEXAS
Time[s] Flow rate[ml/s]
0.0 1
0.1 360
0.2 440
0.3 200
0.4 5
0.5 40
0.6 7
0.7 4
0.8 1
Study by Umberto Morbiducci “Blood flow in human Aorta”
Steady state Hagen-Poiseuille equation
τ(mean):- is temporal and spatial
shear stress
µ :- dynamic viscosity of blood
Q:-total volume flow
R:-lumen radius
LS No Time[s] Wall Shear
Stress[N/m2]]
1 0.1 0.93852
2 0.2 1.14708
3 0.3 0.5214
4 0.4 0.013035
5 0.5 0.10428
6 0.6 0.018249
7 0.7 0.010428
8 0.8 0.002607
Calculation of shear stress
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
18. 18
ASME 2012,HOUSTON,TEXAS
Port angle 45o
Stent DIA 16mm
Wire DIA 0.5mm
9mm
Design of stent depends on
stent length ,stent dia., number
of struts, struts dia, port angle
Material Name Stainless Steel
Young’s Modulus 201GPa
Poisson's ratio 0.3
Yield Stress 170MPa
Diameter of Aorta become 1.2
times the original
Stent Structural analysis
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
19. 19
ASME 2012,HOUSTON,TEXAS
Structural analysis of stent model was performed with twice
the maximum pressure i.e 32KPa
The model was constraint cylindrically so that stent can expand
radially. A contact patch of 100 micrometer was applied to FEM
model of 2-D aorta.
The stress generated were much
below the safe point of the material
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
25. ASME 2012,HOUSTON,TEXAS
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations
Discussion
• At systolic diameter
increases by
10%(without Stent)
25%( with Stent).
• Topmost layer get
maximum
deformation and has
highest possibilities
of getting ruptured.
• The peak wall stress
with stent is around
40% of failure
strength ,whereas
the peak wall stress
without is around
12% of failure
strength.
Conclusion
• Characteristics/Mech
anical Behavior of
Aorta
• Quantify time
varying stress
• Provides
deformation on
layers of Aorta –with
and without stent
• The topmost layer-
endothelium suffer
maximum
deformation highest
possibilities of
getting ruptured
Impact
• Help Clinicians to
specific balloon size
and inflation
pressure
• Substantial pulsating
stress on
endothelium layer
cause damage ,result
in atheroma.
• Mechanical fatigue
depends on max and
min stress ratio,
which explain
restenosis occurring
in 20% of stent
deploitation.
26. ASME 2012,HOUSTON,TEXAS
Limitations
• Blood is assumed to be
incompressible ,
Newtonian fluid.
• Simulation require further
refinement with exact
mechanical properties of
aortic layers
• Additional shock waves
generated from heart is
not accounted
Future work
• Stress comparison ,
deformation comparison
between healthy and non
healthy stented
aorta.(properties)
• Similar simulations can be
performed on iliac arteries
and carotid arteries
• Study of waves generated
by heart which affect shear
stress
Purpose/Intro
Anatomy of Aorta
Mechanical
Properties
AFM
Materials and
method
Boundary
condition
Results
Conclusions
Limitations