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Simulation of a mechanical thrombectomy device based in the use of self-expandable stents for the blood clots extraction

机译:基于自膨胀支架用于血栓抽取的机械血栓切除术设备的仿真

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摘要

Recently, we have presented some studies concerning the analysis, design and optimization of one experimental device developed in the UK - GPTAD - which has been designed to remove blood clots without the need to make contact with the clot itself, thereby potentially reducing the risk of problems such as downstream embolisation. Based on the idea of a modification of the previous device, in this work, we present a model based in the use of stents like the SolitaireTM FR, which is in contact with the clot itself. In the case of such devices, the stent is self-expandable and the extraction of the blood clot is faciliatated by the stent, which must be inside the clot. Such stents are generally inserted in position by using the guidewire inserted into the catheter. This type of modeling could potentially be useful in showing how the blood clot is moved by the various different forces involved. The modelling has been undertaken by analyzing the resistances, compliances and inertances effects. We model an artery and blood clot for range of forces for the guidewire. In each case we determine the interaction between blood clot, stent and artery.
机译:最近,我们提出了一些有关在英国开发的实验设备GPTAD的分析,设计和优化的研究,该设备旨在去除血块而无需与血块本身接触,从而潜在地降低了血栓形成的风险。下游栓塞等问题。基于对先前设备进行修改的想法,在这项工作中,我们提出了一个基于使用诸如SolitaireTM FR的支架的模型,该支架与血块本身接触。在这种装置的情况下,支架是可自扩张的,并且血凝块的提取通过支架进行,支架必须在血块内部。通常通过使用插入导管中的导丝将这种支架插入就位。这种类型的建模在显示血液凝块如何通过各种不同的作用力移动方面可能很有用。通过分析阻力,顺应性和惯性效应进行了建模。我们为导丝的作用力范围对动脉和血块建模。在每种情况下,我们都确定血块,支架和动脉之间的相互作用。

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