基于自膨胀支架的机械取血栓装置的模拟

G. Romero, Isabel Moreno, M. L. Martínez, G. Pearce
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引用次数: 1

摘要

最近,我们介绍了一些关于分析、设计和优化英国开发的一种实验装置GPTAD的研究,该装置旨在去除血凝块,而不需要与血凝块本身接触,从而潜在地降低下游栓塞等问题的风险。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支架的模型,如Solitaire TM FR,它与血块本身接触。在这种装置的情况下,支架是可自我膨胀的,并且支架必须在血栓内部,便于血栓的提取。这种支架通常是通过将导丝插入导管而插入到位的。这种类型的模型在展示血块是如何在各种不同的作用力下移动的方面可能是有用的。通过对阻力、顺应性和惯性效应的分析,建立了模型。我们模拟了一个动脉和血凝块来模拟导丝的受力范围。在每种情况下,我们都要确定血凝块、支架和动脉之间的相互作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Simulation of a Mechanical Thrombectomy Device Based in the Use of Self-Expandable Stents for the Blood Clots Extraction
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 Solitaire TM 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 guide wire 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 guide wire. In each case we determine the interaction between blood clot, stent and artery.
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