Development of an In Vitro Porcine Aorta Model to Study the Stability of Stent Grafts in Motor Vehicle Accidents

Author:

Darvish Kurosh1,Shafieian Mehdi1,Romanov Vasily1,Rotella Vittorio2,Salvatore Michael D.2,Blebea John2

Affiliation:

1. Department of Mechanical Engineering, Temple University, 1947 North 12th Street, Philadelphia, PA 19122

2. Section of Vascular Surgery, Temple University, 1947 North 12th Street, Philadelphia, PA 19122

Abstract

Endovascular stent grafts for the treatment of thoracic aortic aneurysms have become increasingly utilized and yet their locational stability in moderate chest trauma is unknown. A high speed impact system was developed to study the stability of aortic endovascular stent grafts in vitro. A straight segment of porcine descending aorta with stent graft was constrained in a custom-made transparent urethane casing. The specimen was tested in a novel impact system at an anterior inclination of 45deg and an average deceleration of 55G, which represented a frontal automobile crash. Due to the shock of the impact, which was shown to be below the threshold of aortic injury, the stent graft moved 0.6mm longitudinally. This result was repeatable. The presented experimental model may be helpful in developing future grafts to withstand moderate shocks experienced in motor vehicle accidents or other dynamic loadings of the chest.

Publisher

ASME International

Subject

Physiology (medical),Biomedical Engineering

Reference13 articles.

1. Improving Aneurysm-Related Outcomes: Nationwide Benefits of Endovascular Repair;Dillavou;J. Vasc. Surg.

2. Stent-Graft Repair for Thoracic Aortic Disease: Results of an Independent Nationwide Study in France From 1999 to 2001;Ricco;J. Thorac. Cardiovasc. Surg.

3. Endovascular Stent-Graft Placement for the Treatment of Acute Aortic Dissection;Dake;N. Engl. J. Med.

4. Twenty Consecutive Cases of Endograft Repair of Traumatic Aortic Disruption: Lessons Learned;Neschis;J. Vasc. Surg.

5. U. S. Census Bureau, 2007, “Statistical Abstract,” http://www.census.gov/compendia/statab/transportation/motor_vehicle_accidents_and_fatalities

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