Document Detail


Patient-specific modeling of biomechanical interaction in transcatheter aortic valve deployment.
MedLine Citation:
PMID:  22698832     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to develop a patient-specific computational model to quantify the biomechanical interaction between the transcatheter aortic valve (TAV) stent and the stenotic aortic valve during TAV intervention. Finite element models of a patient-specific stenotic aortic valve were reconstructed from multi-slice computed tomography (MSCT) scans, and TAV stent deployment into the aortic root was simulated. Three initial aortic root geometries of this patient were analyzed: (a) aortic root geometry directly reconstructed from MSCT scans, (b) aortic root geometry at the rapid right ventricle pacing phase, and (c) aortic root geometry with surrounding myocardial tissue. The simulation results demonstrated that stress, strain, and contact forces of the aortic root model directly reconstructed from MSCT scans were significantly lower than those of the model at the rapid ventricular pacing phase. Moreover, the presence of surrounding myocardium slightly increased the mechanical responses. Peak stresses and strains were observed around the calcified regions in the leaflets, suggesting the calcified leaflets helped secure the stent in position. In addition, these elevated stresses induced during TAV stent deployment indicated a possibility of tissue tearing and breakdown of calcium deposits, which might lead to an increased risk of stroke. The potential of paravalvular leak and occlusion of coronary ostia can be evaluated from simulated post-deployment aortic root geometries. The developed computational models could be a valuable tool for pre-operative planning of TAV intervention and facilitate next generation TAV device design.
Authors:
Qian Wang; Eric Sirois; Wei Sun
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2012-06-13
Journal Detail:
Title:  Journal of biomechanics     Volume:  45     ISSN:  1873-2380     ISO Abbreviation:  J Biomech     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-07-09     Completed Date:  2012-11-16     Revised Date:  2013-07-31    
Medline Journal Info:
Nlm Unique ID:  0157375     Medline TA:  J Biomech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1965-71     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Affiliation:
Tissue Mechanics Lab, Biomedical Engineering Program and Mechanical Engineering Department, 207 Bronwell Building, University of Connecticut, Storrs, CT 06269-3139, United States.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aortic Valve / physiopathology*,  surgery*
Aortic Valve Stenosis / physiopathology*,  surgery*
Catheterization / instrumentation,  methods
Computer Simulation
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / methods*
Humans
Models, Cardiovascular*
Stents
Stress, Mechanical
Surgery, Computer-Assisted / methods*
Treatment Outcome
Grant Support
ID/Acronym/Agency:
1R01HL104080/HL/NHLBI NIH HHS; 1R21HL108239/HL/NHLBI NIH HHS; R01 HL104080/HL/NHLBI NIH HHS; R21 HL108239/HL/NHLBI NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Accurate internal-external rotation measurement in total knee prostheses: A magnetic solution.
Next Document:  Temperature affects transport of polysaccharides and proteins in articular cartilage explants.