Till sidans topp

Sidansvarig: Webbredaktion
Sidan uppdaterades: 2012-09-11 15:12

Tipsa en vän
Utskriftsversion

Displacement Forces in Il… - Göteborgs universitet Till startsida
Webbkarta
Till innehåll Läs mer om hur kakor används på gu.se

Displacement Forces in Iliac Landing Zones and Stent Graft Interconnections in Endovascular Aortic Repair: An Experimental Study

Artikel i vetenskaplig tidskrift
Författare Håkan Roos
Mostaffa Ghaffari
Mårten Falkenberg
Valery Chernoray
Anders Jeppsson
Håkan Nilsson
Publicerad i European Journal of Vascular and Endovascular Surgery
Volym 47
Nummer/häfte 3
Sidor 262-267
ISSN 1078-5884
Publiceringsår 2014
Publicerad vid Institutionen för medicin, avdelningen för molekylär och klinisk medicin
Sidor 262-267
Språk en
Länkar dx.doi.org/10.1016/j.ejvs.2013.11.0...
Ämnesord Angulation, Aortic aneurysm, Blood flow, Displacement force, EVAR, Stent graft
Ämneskategorier Strömningsmekanik, Medicinsk laboratorie- och mätteknik, Kärlkirurgi, Medicinsk teknik

Sammanfattning

Objectives: Stent graft migration influences the long-term durability of endovascular aortic repair. Flow-induced displacement forces acting on the attachment zones may contribute to migration. Proximal fixation of aortic stent grafts has been improved by using hooks, while distal fixation and stent graft interconnections depend on self-expansion forces only. We hypothesized that flow-induced displacement forces would be significant at the distal end, and would correlate with graft movements. Methods: As part of an experimental study, an iliac limb stent graft was inserted in a pulsatile flow model similar to aortic in vivo conditions, and fixed-mounted at its proximal and distal ends to strain gauge load cells. Peak displacement forces at both ends and pulsatile graft movement were recorded at different graft angulations (0-90°), perfusion pressures (145/80, 170/90, or 195/100 mmHg), and stroke frequencies (60-100 b.p.m.). Results: Flow-induced forces were of the same magnitude at the proximal and distal end of the stent graft (peak 1.8 N). Both the forces and graft movement increased with angulation and perfusion pressure, but not with stroke rate. Graft movement reached a maximum of 0.29 ± 0.01 mm per stroke despite fixed ends. There were strong correlations between proximal and distal displacement forces (r = 0.97, p < .001), and between displacement forces and graft movement (r = 0.98, p < .001). Conclusions: Pulsatile flow through a tubular untapered stent graft causes forces of similar magnitude at both ends and induces pulsatile graft movements in its unsupported mid-section. Peak forces are close to those previously reported to be required to extract a stent graft. The forces and movements increase with increasing graft angulation and perfusion pressure. Improved anchoring of the distal end of stent grafts may be considered. © 2013 European Society for Vascular Surgery.

Sidansvarig: Webbredaktion|Sidan uppdaterades: 2012-09-11
Dela:

På Göteborgs universitet använder vi kakor (cookies) för att webbplatsen ska fungera på ett bra sätt för dig. Genom att surfa vidare godkänner du att vi använder kakor.  Vad är kakor?