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Computer Methods in Biomechanics and Biomedical
Engineering
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Numerical investigations of the mechanical properties
of a braided non-vascular stent design using finite
element method
Xiao-Yu Ni , Chang-Wang Pan & B. Gangadhara Prusty
a
a
b
c
School of Mechanical and Electronic Engineering, Nanjing Forestry University, Nanjing,
Jiangsu Province 210037, P.R. China
b
Jiangsu Key Laboratory for Design and Manufacture of Micro/Nano Biomedical Instruments
Micro-Tech (Nanjing) Co., Ltd, Nanjing, Jiangsu Province 210096, P.R. China
c
School of Mechanical and Manufacturing Engineering, The University of New South Wales,
Sydney, NSW 2052, Australia
Published online: 28 May 2014.
To cite this article:
Xiao-Yu Ni, Chang-Wang Pan & B. Gangadhara Prusty (2014): Numerical investigations of the mechanical
properties of a braided non-vascular stent design using finite element method, Computer Methods in Biomechanics and
Biomedical Engineering, DOI:
10.1080/10255842.2013.873420
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http://dx.doi.org/10.1080/10255842.2013.873420
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Computer Methods in Biomechanics and Biomedical Engineering,
2014
http://dx.doi.org/10.1080/10255842.2013.873420
Numerical investigations of the mechanical properties of a braided non-vascular
stent design using finite element method
Xiao-Yu Ni
a
*,
Chang-Wang Pan
b
and B. Gangadhara Prusty
c
b
School of Mechanical and Electronic Engineering, Nanjing Forestry University, Nanjing, Jiangsu Province 210037, P.R. China;
Jiangsu Key Laboratory for Design and Manufacture of Micro/Nano Biomedical Instruments Micro-Tech (Nanjing) Co., Ltd, Nanjing,
Jiangsu Province 210096, P.R. China;
c
School of Mechanical and Manufacturing Engineering, The University of New South Wales,
Sydney, NSW 2052, Australia
(Received
27 May 2013; accepted 5 December 2013)
This paper discusses various issues relating to the mechanical properties of a braided non-vascular stent made of a Ni – Ti
alloy. The design of the stent is a major factor which determines its reliability after implantation into a stenosed non-vascular
cavity. This paper presents the effect of the main structural parameters on the mechanical properties of braided stents. A
parametric analysis of a commercial stent model is developed using the commercial finite element code ANSYS. As a
consequence of the analytical results that the pitch of wire has a greater effect than other structural parameters, a new design
of a variable pitch stent is presented to improve mechanical properties of these braided stents. The effect of structural
parameters on mechanical properties is compared for both stent models: constant and variable pitches. When the pitches of
the left and right quarters of the stent are 50% larger and 100% larger than that of the central portion, respectively, the radial
stiffness in the central portion increases by 10% and 38.8%, while the radial stiffness at the end portions decreases by 128%
and 164.7%, the axial elongation by 25.6% and 56.6% and the bending deflection by 3.96% and 10.15%. It has been
demonstrated by finite element analysis that the variable pitch stent can better meet the clinical requirements.
Keywords:
braided stent; non-vascular; finite element method; mechanical properties; parametric analysis
a
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1.
Introduction
Interventional treatment is a very effective method for
treating vascular and non-vascular stenosis diseases. At
present, the braided stents have been widely applied in the
gastrointestinal, respiratory and other non-vascular sys-
tems to reopen and scaffold the blocked non-vascular
cavities. The braided stent is made of a Ni –Ti alloy wire
wrapped into a helix and interwoven into the straight
tubular pattern, and the wire –wire crossings are not
welded or bonded, but connected only by friction. Due to
the special characteristics of braiding, the braided stents
can maintain original surface conditions and uniform size
(Ni et al.
2012),
which is the main reason to select the
braided structure for the nonvascular stent. However,
studying the overall mechanical properties of braided
stents is quite a complicated issue because of the
interaction between the two crossing wires.
The mechanical properties of some braided stents have
been investigated by some researchers using different
approaches. Jedwab and Clerc (1993) developed a
mathematical model based on the spring theory to describe
the radial and longitudinal stiffness of the stent, but the
model was developed with many assumptions such as the
wires inside the stent structure acted as a number of
independent open-coiled helical springs with ends fixed
against rotation, and that the springs undergo elastic
deformations only. Wang and Ravi-Chandar (2004)
presented a mathematical model to explain the relationship
between the pressure and diameter of the stent based on the
´
slender road theory. Zahora et al. (2007) derived the
equations of the physical model for the spiral stent to
describe the mutual transformation between the axial force
and the radial pressure. Moon et al. (2009) developed some
mathematical models to predict expansive pressure of three
types of braided stents (bare type, coated type and covered
type). But the interaction between the two crossing wires
due to the characteristic of braiding was not taken into
account in their research. Wang et al. (2011) presented a
method to calculate the radial force of a braided oesophagus
stent based on the finite element method (FEM). Kim et al.
(2008) developed a mechanical model for designing self-
expandable stents fabricated using braiding technology.
The parameterised analysis is a necessary means for
understanding the influence of different parameters on
mechanical properties. Zhang et al. (2004) investigated the
effect of structural parameters on the radial compression
performance of braided stents by hanging various weights.
The parametric analysis on the fatigue lives of oesophagus
stents was carried out by Ni et al. (2009).
In addition, several studies have been recently devel-
oped, De Beule et al. (2009), Kim et al. (2010) and Masoumi
et al. (2012) among others performed some experimental and
*Corresponding author. Email:
xyni_luck@163.com
q
2014 Taylor & Francis
2
X.-Y. Ni
et al.
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computational simulations or shape optimisations in order to
improve the behaviour and design of braided non-vascular
stents. Indeed, their research results provided very useful and
valuable information that enables to understand the
mechanical properties of the braided stent. However, some
complications still occur in clinical application of these
braided stents, such as tissues hyperplasia (Song et al.
2003;
Shin et al.
2005),
which can foster restenosis or stent
blockage (Orons et al.
2000;
Conti
2007),
ulceration or tissue
necrosis at the end of stents (Acunas et al.
1996;
Dai et al.
¸
1998)
and perforation (Canon et al.
1997;
Khot et al.
2002;
Stewart et al.
2013)
mainly due to the high-contact stress of
the cavity wall caused by over radial stiffness of stents and
the friction between stent and cavity wall caused by over
axial elongation of stents. Reducing the complications is the
main motive to promote the improvement of stents.
Therefore, approaches on the synthesis of optimised
mechanical properties and the relationship between the
structural parameters and the mechanical properties of
braided stents are worthy of more attention.
Taking into account the circumstances described
above, the objective of this research is to propose a
design strategy for a braided stent with a variable pitch.
One reason is to obtain a reasonable radial stiffness to
reduce some complications, such as hyperblastosis or
tissue necrosis caused by over contact stress in the healthy
areas of a cavity. Another reason is to decrease the axial
elongation to facilitate precise positioning (Hussain et al.
2004;
De Beule et al.
2009)
and to reduce friction between
the stent and cavity wall, which also causes hyperblastosis
(Zhang et al.
2004).
With these purposes, the paper is
organised as follows. In Section 2, the model geometry and
the FEM are described. In Section 3, parametric stent
models are analysed under uniform pressure to understand
the effect of structural parameters on the radial stiffness,
axial elongation and flexibility of the stent. The braided
stent with variable pitch is compared with the commercial
constant pitch in Section 4. Finally, a discussion of the
results and some limitations are presented in Section 5.
Figure 1. A photograph of a bare cystic braided stent (a) and
details of structural parameters (b).
According to the clinical requirements, the structural
parameters (see
Figure 1(b))
are various. For example, the
diameter of the stent varies from 6 mm (for biliary) to
20 mm or larger (for oesophagus). In order to study the
influence of the main structural parameters on the radial
stiffness, axial elongation and flexibility of the stent, the
crown number
n,
the wire diameter
d
and the pitch of wire (a
space spiral curve)
P
were various, respectively, see
Table 1.
Therefore, three groups of models were used for the
parametric analysis for a constant stent with the same stent
diameter
D
and stent length
L.
2.2
The FEM and boundary conditions
2.
2.1
Geometry and FEM
Stent geometry
The straight cylindrical tubular braided stent was taken as
the geometrical basis (see
Figure 1(a)
commercial cystic
stent made by Micro-Tech (Nanjing) Co. Ltd, China).
Table 1.
Group
A
B
C
Three groups with different structural parameters.
Pitch of wire
P(mm)
28,30,35,40,45,50,55,60
28
28
Diameter of wire
d
(mm)
0.18
0.16,0.18,0.20,0.22
0.18
The specialised algorithm was coded using ANSYS
Parameter Design Language and implemented in ANSYS
to generate the geometries and FEMs for the cylindrical
tubular braided stents fast and efficiently. A space spiral
curve is determined using
Equation (1)
first, and then the
geometric model of the stent can be achieved through
copying and reflecting the space spiral curve in a cylindrical
coordinate system.
Z-axis, X-axis
and
Y-axis
are set in the
longitudinal direction, the stent radial direction and the
stent circumferential direction, respectively.
8
D
>
x
¼
2
cos
u
;
>
<
y
¼
D
sin
u
;
ð1Þ
2
>
>
:
z
¼
P
u
;
where
D
is the stent diameter,
P
is the pitch of the wire and
u
is the central angle of the spiral.
Crown number
n
10
10
6,8,10,12
Stent diameter
D
(mm)
10
10
10
Stent length
L
(mm)
60
60
60
Computer Methods in Biomechanics and Biomedical Engineering
3
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model. The material parameters of the Ni– Ti alloy are
taken from Zheng and Zhao (2004) and are presented as:
Young’s modulus
¼
83,000 MPa; density
¼
6450 kg/m
3
;
yield strength
¼
207 MPa; Poisson’s ratio
¼
0.33.
In general, to ensure that a stent has not any migration
in the body cavity, the diameter of a stent is bigger than
that of the cavity; therefore, the stent will be under short-
term or long-term external loads from the cavity wall.
Radial compression from the cavity wall is the main load
acting on the stent, which can be assumed as a uniform
radial compressive pressure, when the real pressure from
the cavity wall has not been fully known. Furthermore, the
stent may bend because of the natural curve of the body
cavity. Therefore, in order to study the structural
behaviour of the braided stent, including radial stiffness,
axial elongation and flexibility, two kinds of loading
conditions are to be set according to the real working status
of the stent in the body cavity. One is compression
(Figure
3(a))
and the other is bending (Figure
3(b)).
The
radial stiffness and axial elongation of the braided stent
can be examined by uniform compressive pressure, while
the flexibility of the stent can be evaluated by bending.
Figure 2. FEM of a braided stent (a) and contact model of
crossing beams (b).
2.3 Numerical simulation
2.3.1 Radial compression
Radial stiffness characterises the ability of the stent to
resist collapse under short-term or long-term external
loads from the cavity wall. It is one of the most important
properties of the stent. Radial stiffness
k
r
defined in Huang
et al. (2008) is expressed in
Equation (3):
k
r
¼
p
;
DD
ð3Þ
The geometric models were meshed with 3D 2-node
(beam188 element) (see
Figure 2(a))
because the beam
element has shear-deformation effects and it is suitable for
analysing slender beam structures. A flexible – flexible and
symmetric contact model was created by using contact
elements (CONTA176 and TARGET170 are contact
elements defined in ANSYS) for the contacts between the
crossing wires. Contact status is detected when two
circular beams touch or overlap each other. The non-
penetration condition for beams with a circular cross
section can be defined as:
g
¼
d
m
2
ðr
c
þ
r
t
Þ
#
0;
ð2Þ
where
p
is the radial pressure (N/mm
2
) and
DD
is the radial
deformation of the stent (mm).
where
r
t
and
r
c
are the radii of the cross sections of the
beams on the contact and target sides, respectively, and
d
m
is the minimal distance between the two beams, which also
determines the contact normal direction. Contact occurs
for negative values of
g.
The contact element real constants
are used to define the target radius
r
t
and the contact radius
r
c
on the basis of the wire diameter, see
Figure 2(b).
The Ni –Ti alloy wire of the braided stent undergoes
very little change in its cross-section shape and size; the
total length of the wire remains unchanged. Accordingly,
the strain of the Ni –Ti alloy wires of braided stents should
be in the linear elastic range of the material, and the
mechanical behaviour of the braided stent is modelled
using a linear elastic and isotropic constitutive material
Figure 3. Boundary conditions, uniform pressure (a) and
bending (b).
4
X.-Y. Ni
et al.
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Figure 4. The deformation of the braided stent under uniform compressive pressure (n
¼
10,
d
¼
0.18 mm,
D
¼
10 mm,
L
¼
60 mm,
f
c
¼
0.3,
P
¼
35 mm) (a) and the experimental phenomenon (b).
As in
Equation (3),
the radial stiffness is inversely
proportional to the radial deformation, hence under the
same
p,
the larger the radial deformation, the stronger the
radial stiffness of the stent. To estimate the sensitivity of
the radial and axial deformation to the structural
parameters of stents, the parametric analysis was carried
out. In this investigation
n, d, P
and the friction coefficient
f
c
between two crossing wires were parameterised, while
the stent diameter
D
and the stent length
L
are constants.
Because the real radial pressure from the wall of the
cavity is unknown, in order to observe the deformation of
the stent clearly and to avoid the stent collapse due to
overload, the radial compressive pressure was set as 5 kPa.
Figure 4(a)
illustrates the deformation of the braided stent
under uniform radial compressive pressure. Under the same
uniform radial pressure, the braided stents with various
structural parameters have deformation diagrams similar to
that shown in
Figure 4.
It shows that the radial deformation
is non-uniform along the longitudinal direction of the stent.
Obviously, the maximum radial deformation occurs in the
middle of the stent, while the minimum radial deformation
occurs at both ends of the stent, which is consistent with the
experimental phenomenon (see
Figure 4(b)).
This phenom-
enon is also similar to the dogboning phenomenon of the
vascular stent with ball expansion (Wang et al.
2006).
Therefore, the radial stiffness of the stent is non-
uniform along the longitudinal direction of the stent.
Obviously, in the middle of the stent, the radial stiffness is
the weakest, while the radial stiffness is the strongest at
both ends of the stent. The sensibility of deformations,
including the maximum radial deformation, the minimum
radial deformation and the elongation deformation, to
P, d
and
n
can be understood by comparing the analytical
results. The results of the radial deformation and the axial
elongation of stents obtained from parametric analyses are
presented in
Figures 5
and
6,
respectively.
Although the friction coefficient
f
c
between two
crossing wires is not a structural parameter, it may
influence the overall properties of the stent when the
relative sliding occurs at every contact point. In order to
estimate the sensitivity of deformation to the friction
coefficient
f
c
, the parameters of the stent were set as
n
¼
10,
d
¼
0.18 mm,
P
¼
28 mm,
D
¼
10 mm and
L
¼
60 mm, and
f
c
varies from 0.3 to 0.9. According to
Figure 5(a),
under uniform radial pressure, with
f
c
changing, the two deformation (the maximum radial and
the minimum radial) curves of the stent are close to
horizontal straight lines, i.e. that the radial and axial
deformations of the stent cannot be influenced by
f
c
, which
means that the relative rotation but no relative slippage
occurs at the contact points of two crossing wires.
Therefore, the friction coefficient can be set as a constant
f
c
¼
0.3 in all subsequent parametric analyses.
Finite element analyses (FEAs) were performed for
several models (Group A) with various
P.
The variation of
radial deformations versus
P
is shown in
Figure 5(b).
When
P
is varied from 30 to 45 mm, the maximum radial
deformation increases quickly; while when
P
$
50 mm,
the maximum radial deformation increases relatively
slowly. There is a nonlinear relationship between
P
and the
maximum radial deformation of the stent. When
P
¼
30 mm, the axial elongation is 10.522 mm and the
maximum radial deformation is 1.429 mm, which are
288.7% and 197.1%, respectively for the case of
P
¼
60 mm. When
P
doubles, the maximum radial
deformation increases nearly twice, while the axial
elongation of the stent does not have the same tendency
with the maximum radial deformation and it increases
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