Analysis of Hemodynamic on Different Stent Strut Configurations in Femoral Popliteal Artery

Authors

  • Nur Farahalya Razhali Faculty of Mechanical and Manufacturing Engineering, Universiti Tun Hussein Onn Malaysia, Parit Raja, 86400 Batu Pahat, Johor, Malaysia
  • Ishkrizat Taib Faculty of Mechanical and Manufacturing Engineering, Universiti Tun Hussein Onn Malaysia, Parit Raja, 86400 Batu Pahat, Johor, Malaysia

DOI:

https://doi.org/10.37934/cfdl.14.3.119128

Keywords:

CFD, hemodynamic, stent, configuration, strut, thrombosis

Abstract

Peripheral arterial disease is a narrowing of the peripheral arteries that might result in blockage if not immediately treated. Normally, an invasive technique called stenting is used at the stenosed arterial region to restore normal blood flow. Furthermore, the impact of physiological stresses on the stented arterial wall may worsen the condition and divert blood away from the main direction of flow. This phenomenon may promote the formation of thrombosis in the stented artery due to the presenting flow recirculation. This study aims to investigate the effect of physiological loads with different hemodynamic factors on the strut configuration in Peripheral arterial. The computational fluid dynamics (CFD) method is governed by continuity and Navier-Stokes equations were implemented. Three-dimensional geometries of the different strut configurations inserted into the peripheral artery are modelled. Each of the struts has different characteristics in terms of strut angle and the number of strut configurations. Due to hemodynamic differences, the pulsatile waveform of the velocity and pressure at the peak systole time were investigated. Hemodynamic factors analysed in this study consist of wall shear stress (WSS), velocity, and pressure. From the result, the prediction of thrombosis formation is around 30% higher for the largest number of strut design. The lowest formation of thrombosis was seen with the fewer strut configurations and the reduction of the strut angle with an overall percentage of 15%.

Author Biographies

Nur Farahalya Razhali, Faculty of Mechanical and Manufacturing Engineering, Universiti Tun Hussein Onn Malaysia, Parit Raja, 86400 Batu Pahat, Johor, Malaysia

nurfarahalyarazhali@gmail.com

Ishkrizat Taib, Faculty of Mechanical and Manufacturing Engineering, Universiti Tun Hussein Onn Malaysia, Parit Raja, 86400 Batu Pahat, Johor, Malaysia

iszat@uthm.edu.my

References

Velde, Lennart. "Computational Fluid Dynamics: a clinician's tool for Femoral Artery Stenosis?." Master's thesis, University of Twente, 2018.

Jamali, Muhammad Sabaruddin Ahmad, Zuhaila Ismail, and Norsarahaida Saidina Amin. "Effect of Different Types of Stenosis on Generalized Power Law Model of Blood Flow in a Bifurcated Artery." Journal of Advanced Research in Fluid Mechanics and Thermal Sciences 87, no. 3 (2021): 172-183. https://doi.org/10.37934/arfmts.87.3.172183

Al-Azawy, Mohammed Ghalib, Saleem Khalefa Kadhim, and Azzam Sabah Hameed. "Newtonian and Non-Newtonian Blood Rheology Inside a Model of Stenosis." CFD Letters 12, no. 11 (2020): 27-36. https://doi.org/10.37934/cfdl.12.11.2736

Biglarian, Mohit, Morsal Momeni Larimi, Hamid Hassanzadeh Afrouzi, Abouzar Moshfegh, Davood Toghraie, Ashkan Javadzadegan, and Sara Rostami. "Computational investigation of stenosis in curvature of coronary artery within both dynamic and static models." Computer methods and programs in biomedicine 185 (2020): 105170. https://doi.org/10.1016/j.cmpb.2019.105170

Catalán-Echeverría, Borja, Michael E. Kelly, Lissa Peeling, Donald Bergstrom, Xiongbiao Chen, and Mauro Malvè. "CFD-based comparison study of a new flow diverting stent and commercially-available ones for the treatment of cerebral aneurysms." Applied Sciences 9, no. 7 (2019): 1341. https://doi.org/10.3390/app9071341

Paisal, Muhammad Sufyan Amir, Syed Fadhil Syed Adnan, Ishkrizat Taib, Mohammad Kamil Abdullah, Normayati Nordin, Suzairin Md Seri, and Nofrizalidris Darlis. "Flow Characteristics Near to Stent Strut Configurations on Femoropopliteal Artery." In IOP Conference Series: Materials Science and Engineering, vol. 226, no. 1, p. 012147. IOP Publishing, 2017. https://doi.org/10.1088/1757-899X/226/1/012147

Lim, Sheh Hong, Mohd Azrul Hisham Mohd Adib, Mohd Shafie Abdullah, Nur Hartini Mohd Taib, Radhiana Hassan, and Azian Abd Aziz. "Study of Extracted Geometry Effect on Patient-Specific Cerebral Aneurysm Model with Different Threshold Coefficient (Cthres)." CFD Letters 12, no. 10 (2020): 1-14. https://doi.org/10.37934/cfdl.12.10.114

Himburg, Heather A., Deborah M. Grzybowski, Andrew L. Hazel, Jeffrey A. LaMack, Xue-Mei Li, and Morton H. Friedman. "Spatial comparison between wall shear stress measures and porcine arterial endothelial permeability." American Journal of Physiology-Heart and Circulatory Physiology 286, no. 5 (2004): H1916-H1922. https://doi.org/10.1152/ajpheart.00897.2003

LaDisa, John F., Lars E. Olson, Douglas A. Hettrick, David C. Warltier, Judy R. Kersten, and Paul S. Pagel. "Axial stent strut angle influences wall shear stress after stent implantation: analysis using 3D computational fluid dynamics models of stent foreshortening." Biomedical engineering online 4, no. 1 (2005): 1-10. https://doi.org/10.1186/1475-925X-4-59

Johnston, Barbara M., Peter R. Johnston, Stuart Corney, and David Kilpatrick. "Non-Newtonian blood flow in human right coronary arteries: steady state simulations." Journal of biomechanics 37, no. 5 (2004): 709-720. https://doi.org/10.1016/j.jbiomech.2003.09.016

Abd Rahman, Muhammad Faqhrurrazi, Norzelawati Asmuin, Nurul Fitriah Nasir, Ishkrizat Taib, Mohamad Nur Hidayat Mat, and Riyadhthusollehan Khairulfuaad. "Effect of Different Orifice Diameter on The Flow Characteristic in Pressurized Metered Dose Inhaler by Using CFD." CFD Letters 12, no. 3 (2020): 39-49. https://doi.org/10.37934/cfdl.12.3.3949

Chandra, Santanu, Nalini M. Rajamannan, and Philippe Sucosky. "Computational assessment of bicuspid aortic valve wall-shear stress: implications for calcific aortic valve disease." Biomechanics and modeling in mechanobiology 11, no. 7 (2012): 1085-1096. https://doi.org/10.1007/s10237-012-0375-x

Paisal, Muhammad Sufyan Amir, Syed Fadhil Syed Adnan, Ishkrizat Taib, Mohammad Kamil Abdullah, Normayati Nordin, Suzairin Md Seri, and Nofrizalidris Darlis. "Flow Characteristics Near to Stent Strut Configurations on Femoropopliteal Artery." In IOP Conference Series: Materials Science and Engineering, vol. 226, no. 1, p. 012147. IOP Publishing, 2017. https://doi.org/10.1088/1757-899X/226/1/012147

Delis, Konstantinos T., Andrew N. Nicolaides, and Gerard Stansby. "Effect of posture on popliteal artery hemodynamics." Archives of Surgery 135, no. 3 (2000): 265-269. https://doi.org/10.1001/archsurg.135.3.265

Seman, Che Mohammad Hafizal Muzammil Che, Nur Ayuni Marzuki, Nofrizalidris Darlis, Noraini Marsi, Zuliazura Mohd Salleh, Izuan Amin Ishak, Ishkrizat Taib, and Safra Liyana Sukiman. "Comparison of Hemodynamic Performances Between Commercial Available Stents Design on Stenosed Femoropopliteal Artery." CFD Letters 12, no. 7 (2020): 17-25. https://doi.org/10.37934/cfdl.12.7.1725

Al-allaq, Ali Amer. "The Computational Fluid Dynamic Simulations for Gangrene Disease in Diabetic Foot." Al-Khwarizmi Engineering Journal 13, no. 4 (2017): 111-123. https://doi.org/10.22153/kej.2017.05.003

Paisal, Muhammad Sufyan Amir, Ishkrizat Taib, Ahmad Mubarak Tajul Arifin, and Nofrizalidris Darlis. "An analysis of blood pressure waveform using windkessel model for normotensive and hypertensive conditions in carotid artery." Journal of Advanced Research in Fluid Mechanics and Thermal Sciences 57, no. 1 (2019): 69-85.

Paraskevas, Kosmas I., and Frank J. Veith. "Techniques and innovations to improve carotid artery stenting outcomes." International Journal of Cardiology 222 (2016): 986-987. https://doi.org/10.1016/j.ijcard.2016.08.148

Schernthaner, R., A. Stadler, F. Lomoschitz, M. Weber, D. Fleischmann, J. Lammer, and Ch Loewe. "Multidetector CT angiography in the assessment of peripheral arterial occlusive disease: accuracy in detecting the severity, number, and length of stenoses." European radiology 18, no. 4 (2008): 665-671. https://doi.org/10.1007/s00330-007-0822-8

Krumenauer, F. Z., C. T. Matayoshi, I. B. da Silva, and G. F. Batalha. "Concurrent engineering and DFMA approaches on the development of automotive panels and doors." Journal of Achievements in Materials and Manufacturing Engineering 31, no. 2 (2008): 690-698.

Basri, Adi Azriff, SM Abdul Khader, Cherian Johny, Raghuvir Pai, Mohammed Zuber, Zainuldin Ahmad, and Kamarul Arifin Ahmad. "Effect of single and double stenosed on renal arteries of abdominal aorta: A computational fluid dynamics." CFD Letters 12, no. 1 (2020): 87-97.

Sciences, T. (2020). Effect of Hemodynamic Parameters on Physiological Blood Flow through Cardiovascular Disease (CVD) – The Perspective Review. 1(1), 19–34.

Cohen, Barbara J., and Ann DePetris. Medical terminology: An illustrated guide. Lippincott Williams & Wilkins, 2013.

Mongrain, Rosaire, and Josep Rodés-Cabau. "Role of shear stress in atherosclerosis and restenosis after coronary stent implantation." Revista espanola de cardiologia 59, no. 1 (2006): 1-4. https://doi.org/10.1016/s1885-5857(06)60040-6

Slager, C. J., J. J. Wentzel, F. J. H. Gijsen, Attila Thury, A. C. Van der Wal, J. A. Schaar, and P. W. Serruys. "The role of shear stress in the destabilization of vulnerable plaques and related therapeutic implications." Nature clinical practice cardiovascular medicine 2, no. 9 (2005): 456-464. https://doi.org/10.1038/ncpcardio0298

Zhang, Bo, Junyi Gu, Ming Qian, Lili Niu, and Dhanjoo Ghista. "Study of correlation between wall shear stress and elasticity in atherosclerotic carotid arteries." Biomedical engineering online 17, no. 1 (2018): 1-11. https://doi.org/10.1186/s12938-017-0431-y

Suess, Taylor, Joseph Anderson, Laura Danielson, Katie Pohlson, Tyler Remund, Elizabeth Blears, Stephen Gent, and Patrick Kelly. "Examination of near-wall hemodynamic parameters in the renal bridging stent of various stent graft configurations for repairing visceral branched aortic aneurysms." Journal of vascular surgery 64, no. 3 (2016): 788-796. https://doi.org/10.1016/j.jvs.2015.04.421

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Published

2022-04-05

How to Cite

Nur Farahalya Razhali, & Ishkrizat Taib. (2022). Analysis of Hemodynamic on Different Stent Strut Configurations in Femoral Popliteal Artery. CFD Letters, 14(3), 119–128. https://doi.org/10.37934/cfdl.14.3.119128

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