Respiration-induced Kidney Motion on Cobalt-Chromium Stent Fatigue Resistance
Resource
Journal of Biomedical Materials Research: Part B - Applied Biomaterials,91B(2),508-516
Journal
Journal of Biomedical Materials Research Part B Applied Biomaterials
Pages
508-516
Date Issued
2009-11
Date
2009-11
Author(s)
Abstract
During normal breathing, the kidneys move up and down due to the diaphragm motion and the renal artery subsequently experiences bending at or close to its point of fixation to the aorta. The impact of this kidney motion on implanted stent fatigue performance was not well understood in the past. Previous study from the authors on an 18-mm long single cobalt-chromium stent showed that the change in bending angle was minor during simulated respiration-induced kidney motion on cadavers. Finite Element Analysis revealed excellent fatigue resistance of the studied cobalt-chromium stent under simulated respiratory motion for the single stent configuration. In this article, the study was extended further to the overlapped stent configuration where a physician deploys two stents overlapping at the stent ends to fully cover a long lesion. Fluoroscopic images showed that the change in bending angle during simulated respiration-induced kidney motion on cadavers was more significant when two cobalt-chromium stents were overlapped. Calculated data of the Goodman analysis for the overlapped stents migrated toward the Goodman diagram failure line, indicating lower fatigue resistance during respiration when compared to a single stent.
Type
journal article
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HMHsiao JBMR_B Paper 2009.pdf
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