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Thoracic endovascular aortic repair (TEVAR) for cardiovascular diseases often encounters complications that are closely linked to the mechanical properties of stent-grafts. Both the design and material properties influence device performance, but the specific impacts of material properties remain underexplored and poorly understood. This study aims to fill this gap by systematically investigating how material science can modulate stent-graft mechanics. Four types of bare nitinol stents combined with expanded polytetrafluoroethylene (e-PTFE) or polyethylene terephthalate (PET) grafts were modeled via finite element analysis, creating eight stent-graft configurations. Key mechanical properties-flexibility, crimpability, and fatigue performance-were evaluated to dissect material effects. The results revealed that nitinol's properties significantly influenced all performance metrics, while PET grafts notably enhanced flexibility and fatigue life. No significant differences in equivalent stress were found between PET and e-PTFE grafts, and both had minimal impacts on radial force. This work underscores the potential of material science-driven optimization to enhance stent-graft performance for improved clinical outcomes.
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http://dx.doi.org/10.3390/ma18153592 | DOI Listing |
J Vasc Access
September 2025
Department of Nephrology, West China Hospital/West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
Central venous occlusive disease (CVOD) is a common complication in hemodialysis patients, often necessitating endovascular interventions such as angioplasty and stenting. However, stent occlusion remains a significant challenge, with conventional recanalization techniques frequently failing. This case report describes the successful application of a direct stent puncture (DSP)-assisted bidirectional approach to revascularize a refractory occlusion of a central venous stent graft in a 70-year-old hemodialysis patient.
View Article and Find Full Text PDFJ Vasc Surg
August 2025
the Department of Surgery, University of Iowa, Iowa City.
Objective: Report on the long-term safety and effectiveness of the TREO stent graft in endovascular repair of AAA from a US investigational device clinical study.
Methods: Data from a multicenter, nonrandomized, prospective, US investigational device exemption pivotal study (NCT02009644) were used. From November 2013 to February 2016, 150 patients were enrolled at 29 US centers.
J Pers Med
August 2025
CNRS, Centrale Marseille, Institut de Recherche sur les Phénomènes Hors Equilibre, Aix Marseille University, 13013 Marseille, France.
: Long-term follow-up after endovascular aortic repair (TEVAR) is crucial to detect adverse aortic remodeling, even with modern stent grafts offering enhanced flexibility and durability. Conventional imaging, based on diameter measurements, may fail to identify complications such as endograft migration. : We conducted a longitudinal 3D geometric analysis of thoracic aortic and stent-graft evolution over 10 years in a patient treated for descending thoracic aortic aneurysm (DTAA) by endovascular treatment.
View Article and Find Full Text PDFCureus
July 2025
Division of Vascular Surgery, 1st Surgical Department, School of Medicine, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, GRC.
Background And Aims: This study reports on the perioperative and mid-term outcomes of a novel thoracic stent graft in aortic arch pathologies.
Methods: From January 2017 to May 2023, all patients treated with Ankura (Lifetech Scientific, Shenzhen, China) thoracic endograft combined with extra-anatomic and/or endovascular perfusion of supra-aortic branches at two university vascular centers were retrospectively reviewed. Indications for treatment included aneurysm, dissection, penetrating ulcer, intramural hematoma, traumatic rupture of the aortic arch and endoleak type Ia (Ia EL) of previous endovascular repair of the descending thoracic aorta.
Indian J Thorac Cardiovasc Surg
September 2025
Department of Cardiac and Thoracic Vascular Surgery, The First People'S Hospital of Jiashan, the Second Affiliated Hospital of Zhejiang University, Jiashan Branch, Jiaxing, 314100 Zhejiang China.
Decisions pertaining to the management of an abdominal aortic aneurysm in combination with bilateral internal iliac aneurysms present quandaries during endovascular intervention. This report outlines an endovascular aortic repair method for endovascular aortic repair involving an abdominal aortic aneurysm with bilateral iliac aneurysms. The patient exhibited aneurysmal dilatation of the abdominal aorta, bilateral common iliac arteries, and bilateral internal iliac arteries.
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