Abstract
Objective: Biodegradable stents (BDSs) represent a new technological development in the field of cardiovascular angioplasty; good flexibility helps stents pass through tortuous vessels during delivery and reduces the amount of damage caused to blood vessels. This study investigates the relationship between flexibility and the geometry of BDS struts. Methods: Four stent struts with different geometry (circular, triangular, hexagonal, and spline curved) and the same links were modeled to evaluate their flexibility via a three-point bending experimental method and a numerical method. Results: The bending state of the four stents was well-balanced. The bending effect of the four stents was different. Under the same conditions, the circular and spline curved stents showed the best bending effects while the hexagonal stent was the worst. However, these differences were not significant. Conclusion: The flexibility of BDSs is related to the geometry of the struts and links; however, the geometry of the struts has less effect on flexibility than the links. The greater the area enclosed by the strut centerline, the better flexibility of the stent.
Highlights
Coronary stents are widely used to treat atherosclerotic vessel diseases
Flexibility is the ability to bend in order to accommodate an angle; this is important for stent delivery so they will conform to the vessel after implantation [1]
Good flexibility can ensure the stent goes considered to be an important characteristic of stent design
Summary
Coronary stents are widely used to treat atherosclerotic vessel diseases. Their biomechanical properties are believed to have an important effect on acute and long-term clinical results after the implant procedure. Biodegradable stents (BDSs) have attracted attention over the last decade, following the recognition that stents are only needed temporarily in the body, since they can be fully absorbed. Stent properties include radial force and bulking, flexibility, and foreshortening. Flexibility is the ability to bend in order to accommodate an angle; this is important for stent delivery so they will conform to the vessel after implantation [1]. Good flexibility helps stents pass through tortuous blood vessels during delivery and reduces the stress between expanded stents and the surrounding tissue [2]
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