Abstract
Purpose
The aim of this work was to mechanically characterize a specific active guidewire and catheters that are commercially available, for further implementation into numerical simulation of endovascular navigation towards complex targets.
Methods
For the guidewire, 3-point bending tests and bending with added masses were used to obtain the Young moduli of its various components. To study its behavior, the guidewire was activated under “ideal” conditions and its performance was investigated. As for the various catheters, they were measured and 3-point bending tests were conducted to determine their mechanical properties.
Results & Conclusion
The Young moduli of the shaft and the distal tip of the guidewire were determined. We defined a suitable current intensity to activate the guidewire related to an optimal curvature. Then, the time of activation/deactivation was measured at 1.7 s. On the flip side, parts of the catheters were considered either elastic or viscoelastic. In all cases, the rigidity gradients along the various catheters were highlighted. The characterization of the aforementioned surgical tools provides the opportunity to simulate the endovascular nagivation process.
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References
Adharapurapu, R. R., F. Jiang, K. S. Vecchio, and G. T. Gray. Response of NiTi shape memory alloy at high strain rate: a systematic investigation of temperature effects on tension-compression asymmetry. Acta Mater. 54(17):4609–4620, 2006.
Ali, A., T. Szili-Torok, M. Stijnen, P. Breedveld, and D. Dodou. First expert evaluation of a new steerable catheter in an isolated beating heart. Cardiovasc. Eng. Technol. 11(6):769–782, 2020.
Ananthan, V. S., and E. O. Hall. Macroscopic aspects of Lüders band deformation in mild steel. Acta Metall. Mater. 39(12), 3153–3160, 1991.
Bechle, N. J., and S. Kyriakides. Localization in NiTi tubes under bending. Int. J. Solids Struct. 51(5):967–980, 2014.
Benard, N., R. Perrault, and D. Coisne. Blood flow in coronary artery: numerical fluid dynamics analysis. Conf. Proc. IEEE Eng. Med. Biol. Soc. 5:3800–3803, 2004.
Cho, Y., and K. Kensey. Effects of the non-Newtonian viscosity of blood on flows in a diseased arterial vessel. Part 1: steady flows. Biorheology, 28:241–262, 1991.
Couture, T., and J. Szewczyk. Design and Experimental Validation of an Active Catheter for Endovascular Navigation. J. Med. Devices, 1:011003, 2017.
Duerig, T., A. Pelton, and K. Bhattacharya. The measurement and interpretation of transformation temperatures in nitinol. Shape Memory Superelast., 3(4):485–498, 2017.
Fung, Y. C. Biomechanics: Motion, Flow, Stress, and Growth. New York: Springer, 1990.
Ganet, F., M. Q. Le, J. F. Capsal, P. Lermusiaux, L. Petit, A. Millon, and P. J. Cottinet. Development of a smart guide wire using an electrostrictive polymer: option for steerable orientation and force feedback. Sci. Rep. 5(1):18593, 2015.
Geneva, I. I., B. Cuzzo, T. Fazili, and W. Javaid. Normal body temperature: a systematic review. Open Forum Infect. Dis., 6(4):ofz032, 2019.
Gindre, J., A. Bel-Brunon, M. Rochette, A. Lucas, A. Kaladji, P. Haigron, and A. Combescure. Patient-specific finite-element simulation of the insertion of guidewire during an EVAR procedure: guidewire position prediction validation on 28 cases. IEEE. Trans. Biomed. Eng. 64:1, 2016.
Goyal, S. S., M. M. Panditrao, and A. Garg. The accidental loss of guidewire during emergency femoral central venous cannulation: a case report. Adesh Univ. J. Med. Sci. Res., 2(1):61–63, 2020.
Haga, Y., Y. Tanahashi, and M. Esashi. Small diameter active catheter using shape memory alloy. In: Proceedings MEMS 98. IEEE. Eleventh Annual International Workshop on Micro Electro Mechanical Systems. An Investigation of Micro Structures, Sensors, Actuators, Machines and Systems (Cat. No. 98CH36176, pp. 419–424, 1998. ISSN: 1084-6999.
Harada, K., and J. Morioka. Initial experience with an extremely soft bare platinum coil, ED coil-10 Extra Soft, for endovascular treatment of cerebral aneurysms. J. Neurointerv. Surg. 5, 2012.
Henderson, E., D. H. Nash, and W. M. Dempster. On the experimental testing of fine Nitinol wires for medical devices. J. Mech. Behav. Biomed. Mater. 4(3):261–268, 2011.
Herrmann, L. R., and F. E. Peterson. A numerical procedure for viscoelastic stress analysis. In: Seventh Meeting of ICRPG Mechanical Behavior Working Group, Orlando, FL, 1968.
Hoskins, P. R., T. Loupas, and W. N. McDicken. A comparison of the doppler spectra from human blood and artificial blood used in a flow phantom. Ultrasound Med. Biol. 16(2):141–147, 1990.
Ianucci, L., P. Robinson, and W. Wan A Hamid. The Development of a User Defined Material Model for NiTi SMA Wires, 2017.
Jayender, J., R. V. Patel, and S. Nikumb. Robot-assisted Active Catheter Insertion: Algorithms and Experiments. Int. J. Robot. Res. 28(9):1101–1117, 2009. https://doi.org/10.1177/0278364909103785.
Jiang, D., C. M. Landis, and S. Kyriakides. Effects of tension/compression asymmetry on the buckling and recovery of NiTi tubes under axial compression. Int. J. Solids Struct. 100–101:41–53, 2016.
Kim, S., B. Prasad, and J. Kim. Alignment of microbeads using spinning helical minichannel cartridge. J. Korean Soc. Vis. 14:38–45, 2016.
Lagoudas, D. C. Shape Memory Alloys. Boston: Springer, 2008.
Lam, R. C., S. C. Lin, B. DeRubertis, R. Hynecek, K. C. Kent, and P. L. Faries. The impact of increasing age on anatomic factors affecting carotid angioplasty and stenting. J. Vasc. Surg. 45(5):875–880, 2007.
Liang, B., P. Chaudet, and P. Boisse. Curvature determination in the bending test of continuous fibre reinforcements: curvature determination in the bending of fibre reinforcements. Strain, 53:e12213, 2016.
Liang, B., J. Colmars, and P. Boisse. A shell formulation for fibrous reinforcement forming simulations. Composites Part A 100:81–96, 2017.
Liang, B., N. Hamila, M. Peillon, and P. Boisse. Analysis of thermoplastic prepreg bending stiffness during manufacturing and of its influence on wrinkling simulations. Composites Part A 67:111–122, 2014.
Lu, S.-H., and Y.-T. Dai. Normal body temperature and the effects of age, sex, ambient temperature and body mass index on normal oral temperature: a prospective, comparative study. Int. J. Nurs. Stud. 46(5):661–668, 2009.
Macdonald, S., R. Lee, R. Williams, and G. Stansby. Towards safer carotid artery stenting. Stroke 40(5):1698–1703, 2009.
Madhwal, S., V. Rajagopal, D. Bhatt, C. Bajzer, P. Whitlow, and S. Kapadia. Predictors of difficult carotid stenting as determined by aortic arch angiography. J. Invasive. Cardiol. 20:200–204, 2008.
Maynadier, A., D. Depriester, K. Lavernhe-Taillard, and O. Hubert. Thermo-mechanical description of phase transformation in Ni-Ti Shape Memory Alloy. Procedia Eng. 10:2208–2213, 2011.
McKelvey, A., and R. Ritchie. Fatigue-crack propagation in Nitinol, a shape-memory and superelastic endovascular stent material. J. Biomed. Mater. Res. 47:301–308, 2000.
McKelvey, A. L., and R. O. Ritchie. Fatigue-crack growth behavior in the superelastic and shape-memory alloy nitinol. Metall. Mater. Trans. A 32(13):731–743, 2001.
Menut, M. Chirurgie endovasculaire virtuelle pour patient-spécifique: application au traitement de l’anévrisme de l’aorte thoracique. PhD Thesis, 2017.
Mohammadi, H., S. Lessard, E. Therasse, R. Mongrain, and G. Soulez. A numerical preoperative planning model to predict arterial deformations in endovascular aortic aneurysm repair. Ann. Biomed. Eng. 46(12):2148–2161, 2018.
Moran, D. S., and L. Mendal. Core temperature measurement. Sports Med. 32(14):879–885, 2002.
Moravia, A., W. Pan, H. W. Berre, M. Menut, B. B. Said, M. E. Hajem, X. Escriva, P. Kulisa, S. Simoëns, P. Lermusiaux, A. Millon, and I. Naudin. In vitro assessment of abdominal aorta non-newtonian hemodynamics based on particle image velocimetry, 2019.
Mouktadiri, G., B. Bou-Saïd, and H. Walter-Le-Berre. Aortic endovascular repair modeling using the finite element method. J. Biomed. Eng., 2013.
Pušnik, I., and A. Miklavec. Dilemmas in measurement of human body temperature. Instrum. Sci. Tech., 37(5):516–530, 2009.
Qasim, Z., M. Brenner, J. Menaker, and T. Scalea. Resuscitative endovascular balloon occlusion of the aorta. Resuscitation 96:275–279, 2015.
Qi, L., W. Zhu, W. Qian, L. Xu, Y. He, and F. Zhao. The performance of a spherical-tip catheter for stent post-dilation: finite element analysis and experiments. Front. Physiol. 12:1305, 2021.
Rhee, R., B. Peterson, E. Moore, M. Lepore, and G. Oderich. Initial human experience with the GORE EXCLUDER conformable AAA endoprosthesis. J. Vasc. Surg. Cases Innov. Tech. 5:319–322, 2019.
Runciman, A., D. Xu, A. R. Pelton, and R. O. Ritchie. An equivalent strain/Coffin-Manson approach to multiaxial fatigue and life prediction in superelastic Nitinol medical devices. Biomaterials 32(22), 4987–4993, 2011.
Segur, J. B., and H. E. Oberstar. Viscosity of glycerol and its aqueous solutions. Ind. Eng. Chem. 43(9):2117–2120, 1951.
Shaw, J. A., and S. Kyriakides. Thermomechanical aspects of NiTi. J. Mech. Phys. Solids 43(8):1243–1281, 1995.
Sochi, T. Non-newtonian rheology in blood circulation, 2013.
Spiotta, A. M., M. S. Hussain, T. Sivapatham, M. Bain, R. Gupta, S. I. Moskowitz, and F. K. Hui. The versatile distal access catheter: the cleveland clinic experience. Neurosurgery, 68(6):1677–1686, 2011.
Szewczyk, J. Process for manufacturing a flexible elongate structure having an orientable end, 2011.
Szewczyk, J., E. Marchandise, P. Flaud, L. Royon, and R. Blanc. Active catheters for neuroradiology. J. Robotics Mechatronics 23:105–115, 2011.
Tanaka, K., S. Kobayashi, and Y. Sato. Thermomechanics of transformation pseudoelasticity and shape memory effect in alloys. Int. J. Plast. 2(1):59–72, 1986.
Tobushi, H., Y. Shimeno, T. Hachisuka, and K. Tanaka. Influence of strain rate on superelastic properties of TiNi shape memory alloy. Mech. Mater. 30(2):141–150, 1998.
Wayman, C. M., and T. W. Duerig. An introduction to martensite and shape memory. In: Engineering Aspects of Shape Memory Alloys, edited by T. W. Duerig, K. N. Melton, D. Stöckel, and C. M. Wayman, Oxford: Butterworth-Heinemann, pp. 3–20, 1990.
Wilbring, M., M. Rehm, T. Ghazy, M. Amler, K. Matschke, and U. Kappert. Aortic arch mapping by computed tomography for actual anatomic studies in times of emerging endovascular therapies. Ann. Vasc. Surg. 30, 2015.
Funding
The French National Research Agency (ANR) partially supported this work through the DEEP project: Devices for augmEnted Endovascular navigation in complex Pathways (Grant n°ANR-18-CE19-0027-01).
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Badrou, A., Tardif, N., Even, A. et al. Characterization of Surgical Tools for Specific Endovascular Navigation. Cardiovasc Eng Tech 13, 751–763 (2022). https://doi.org/10.1007/s13239-022-00612-8
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DOI: https://doi.org/10.1007/s13239-022-00612-8