Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair

Tim J. Mandigers; Anna Ramella; Daniele Bissacco; Maurizio Domanin; Joost A. van Herwaarden; Giulia Luraghi; Francesco Migliavacca; Santi Trimarchi

doi:10.1016/j.jvscit.2023.101269

Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair

Tim J. Mandigers^*, Anna Ramella, Daniele Bissacco, Maurizio Domanin, Joost A. van Herwaarden, Giulia Luraghi, Francesco Migliavacca, Santi Trimarchi

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Numerical simulations of thoracic endovascular aortic repair (TEVAR) may be implemented in the preoperative workflow if credible and reliable. We present the application of a TEVAR simulation methodology to an 82-year-old woman with a penetrating atherosclerotic ulcer in the left hemiarch, that underwent a left common carotid artery to left subclavian artery bypass and consequent TEVAR in zone 2. During the intervention, kinking of the distal thoracic stent graft occurred and the simulation was able to reproduce this event. This report highlights the potential and reliability of TEVAR simulations to predict perioperative adverse events and short-term postoperative technical results.

Original language	English
Article number	101269
Number of pages	4
Journal	Journal of Vascular Surgery Cases, Innovations and Techniques
Volume	9
Issue number	3
DOIs	https://doi.org/10.1016/j.jvscit.2023.101269
Publication status	Published - Sept 2023

Keywords

Computational modeling
Finite element analysis
Patient-specific in silico model
TEVAR
Thoracic endovascular aortic repair

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10.1016/j.jvscit.2023.101269Licence: CC BY

PIIS2468428723001788Final published version, 1.22 MBLicence: CC BY

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Mandigers, T. J., Ramella, A., Bissacco, D., Domanin, M., van Herwaarden, J. A., Luraghi, G., Migliavacca, F., & Trimarchi, S. (2023). Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair. Journal of Vascular Surgery Cases, Innovations and Techniques, 9(3), Article 101269. https://doi.org/10.1016/j.jvscit.2023.101269

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title = "Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair",

abstract = "Numerical simulations of thoracic endovascular aortic repair (TEVAR) may be implemented in the preoperative workflow if credible and reliable. We present the application of a TEVAR simulation methodology to an 82-year-old woman with a penetrating atherosclerotic ulcer in the left hemiarch, that underwent a left common carotid artery to left subclavian artery bypass and consequent TEVAR in zone 2. During the intervention, kinking of the distal thoracic stent graft occurred and the simulation was able to reproduce this event. This report highlights the potential and reliability of TEVAR simulations to predict perioperative adverse events and short-term postoperative technical results.",

keywords = "Computational modeling, Finite element analysis, Patient-specific in silico model, TEVAR, Thoracic endovascular aortic repair",

author = "Mandigers, {Tim J.} and Anna Ramella and Daniele Bissacco and Maurizio Domanin and {van Herwaarden}, {Joost A.} and Giulia Luraghi and Francesco Migliavacca and Santi Trimarchi",

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year = "2023",

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doi = "10.1016/j.jvscit.2023.101269",

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AU - Mandigers, Tim J.

AU - Ramella, Anna

AU - Bissacco, Daniele

AU - Domanin, Maurizio

AU - van Herwaarden, Joost A.

AU - Luraghi, Giulia

AU - Migliavacca, Francesco

AU - Trimarchi, Santi

PY - 2023/9

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N2 - Numerical simulations of thoracic endovascular aortic repair (TEVAR) may be implemented in the preoperative workflow if credible and reliable. We present the application of a TEVAR simulation methodology to an 82-year-old woman with a penetrating atherosclerotic ulcer in the left hemiarch, that underwent a left common carotid artery to left subclavian artery bypass and consequent TEVAR in zone 2. During the intervention, kinking of the distal thoracic stent graft occurred and the simulation was able to reproduce this event. This report highlights the potential and reliability of TEVAR simulations to predict perioperative adverse events and short-term postoperative technical results.

AB - Numerical simulations of thoracic endovascular aortic repair (TEVAR) may be implemented in the preoperative workflow if credible and reliable. We present the application of a TEVAR simulation methodology to an 82-year-old woman with a penetrating atherosclerotic ulcer in the left hemiarch, that underwent a left common carotid artery to left subclavian artery bypass and consequent TEVAR in zone 2. During the intervention, kinking of the distal thoracic stent graft occurred and the simulation was able to reproduce this event. This report highlights the potential and reliability of TEVAR simulations to predict perioperative adverse events and short-term postoperative technical results.

KW - Computational modeling

KW - Finite element analysis

KW - Patient-specific in silico model

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Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair

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