PALMAZ-SCHATZ STENT-OPENING MECHANICS USING A SIMPLE APPROACH INVOLVING THE BALLOON-STENT AND STENT-ARTERY CONTACT PROBLEM: APPLICATION TO BIOPOLYMER STENTS

摘要

We used the finite element method-based toolbox COMSOL Multiphysics to address the important question of biopolymer coronary stent mechanics. We evaluated the diameter of the stent, the immediate elastic recoil, the dogboning and the foreshortening during deployment while using an idealized model that took into account the presence of the balloon and the coronary artery wall (equivalent pressure hypothesis). We validated our model using the wellknown mechanics of the Palmaz-Schatz metal stent and acquired new data concerning a polyL-lactic acid (PLLA) stent and some other biodegradable co-polymer-based stents. The elastic recoil was relatively high (26.1% to 31.1% depending on the biopolymer used) when taking into account the presence of both the balloon and artery. The dogboning varied from 31% to 46% for the polymer stents and was 62% for the metal stent, suggesting that less arterial damage could be expected with biopolymer stents. Various strut thicknesses were tested for the PLLA stent (114, 180 and 250 mu m) and no significant improvement in elastic recoil was observed. We concluded that the stent geometry has a greater impact on the scaffolding role of the structure than the strut thickness, or even the mechanical properties of the stent.