The endovascular treatment of abdominal aortic aneurysm (EVAR) consists of inserting a delivery system through intravascular pathway and deploying one or several stent-grafts at the aneurysm site in order to exclude it. This procedure has proven to have a high success rate for eligible patient population and benefits in terms of reduced blood loss, intraoperative morbidity and length of hospital stay. As the selection criteria for EVAR extend progressively due to enhancements in the devices and delivery systems, clinicians are confronted with cases becoming increasingly difficult and demanding procedures with steep learning curve (aortic dissection, branched and fenestrated stent-graft, and complex anatomy with high tortuosity or short aortic neck). In this context patient-specific Finite Element Modeling (FEM) could provide a predictive tool to support endovascular device assessment and selection as well as intervention planning. Given the lack of dedicated solutions, the aim of this study was to assess the feasibility of simulating the main steps of EVAR procedure, from guidewire insertion to stent-graft deployment.
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ASME 2013 Conference on Frontiers in Medical Devices: Applications of Computer Modeling and Simulation
September 11–13, 2013
Washington, DC, USA
Conference Sponsors:
- Bioengineering Division
ISBN:
978-0-7918-5600-0
PROCEEDINGS PAPER
Patient-Specific Simulation of Devices-Tissues Interactions for Endovascular Aneurysm Repair
A. Duménil
,
A. Duménil
INSERM, Rennes, France
Université de Rennes 1, Rennes, France
Therenva, Rennes, France
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J. Gindre
,
J. Gindre
INSERM, Rennes, France
Université de Rennes 1, Rennes, France
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A. Kaladji
,
A. Kaladji
INSERM, Rennes, France
Université de Rennes 1, Rennes, France
CIC-IT 804, Rennes, France
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P. Haigron
,
P. Haigron
INSERM, Rennes, France
Université de Rennes 1, Rennes, France
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D. Perrin
,
D. Perrin
Ecole Nationale Supérieure des Mines, Saint-Etienne, France
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P. Badel
,
P. Badel
Ecole Nationale Supérieure des Mines, Saint-Etienne, France
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S. Avril
,
S. Avril
Ecole Nationale Supérieure des Mines, Saint-Etienne, France
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A. Lucas
,
A. Lucas
INSERM, Rennes, France
Université de Rennes 1, Rennes, France
CIC-IT 804, Rennes, France
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M. Rochette
M. Rochette
ANSYS France, Villeurbanne, France
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A. Duménil
INSERM, Rennes, France
Université de Rennes 1, Rennes, France
Therenva, Rennes, France
J. Gindre
INSERM, Rennes, France
Université de Rennes 1, Rennes, France
A. Kaladji
INSERM, Rennes, France
Université de Rennes 1, Rennes, France
CIC-IT 804, Rennes, France
P. Haigron
INSERM, Rennes, France
Université de Rennes 1, Rennes, France
D. Perrin
Ecole Nationale Supérieure des Mines, Saint-Etienne, France
P. Badel
Ecole Nationale Supérieure des Mines, Saint-Etienne, France
S. Avril
Ecole Nationale Supérieure des Mines, Saint-Etienne, France
A. Lucas
INSERM, Rennes, France
Université de Rennes 1, Rennes, France
CIC-IT 804, Rennes, France
C. Goksu
Therenva, Rennes, France
A. Gupta
Medtronic Inc., Santa Rosa, CA
M. Rochette
ANSYS France, Villeurbanne, France
Paper No:
FMD2013-16070, V001T10A013; 2 pages
Published Online:
February 19, 2014
Citation
Duménil, A, Gindre, J, Kaladji, A, Haigron, P, Perrin, D, Badel, P, Avril, S, Lucas, A, Goksu, C, Gupta, A, & Rochette, M. "Patient-Specific Simulation of Devices-Tissues Interactions for Endovascular Aneurysm Repair." Proceedings of the ASME 2013 Conference on Frontiers in Medical Devices: Applications of Computer Modeling and Simulation. ASME 2013 Conference on Frontiers in Medical Devices: Applications of Computer Modeling and Simulation. Washington, DC, USA. September 11–13, 2013. V001T10A013. ASME. https://doi.org/10.1115/FMD2013-16070
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