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Numerical Simulation of the Effect of Geometric Parameters on Silicone Airway Stent Migration Publisher



Farahani MM1 ; Bakhtiyari A2 ; Beshkoofe S2 ; Kajbafzadeh A3 ; Kiani A4 ; Eskandari AH5 ; Baniassadi M2 ; Baghani M2
Authors
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Authors Affiliations
  1. 1. Department of Pulmonary Medicine, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. School of Mechanical Engineering, College of Engineering, University of Tehran, Tehran, Iran
  3. 3. Pediatric Urology and Regenerative Medicine Research Center, Children’s Medical Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Tracheal Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Institut de Recherche Robert Sauve en Sante et en Securite du Travail, Montreal, QC, Canada

Source: Frontiers in Mechanical Engineering Published:2023


Abstract

Recently, endotracheal stenting has become critical in treating respiratory diseases. Due to the COVID-19 pandemic in recent years, many patients had stenosis because of long-term intubation, and silicone stents can be used to treat tracheal stenosis in these patients. Standard airway stents are silicone tubes that provide immediate relief but are prone to migration. In this work, we design different silicone stents and analyze them in the trachea to evaluate silicone airway stents’ performance to overcome undesired migration. A finite-element model of the trachea was employed to evaluate anti-migration forces in each stent. The geometry of the trachea is brought from a computerized tomography scan of the chest of a 68-year-old healthy man. The results are shown based on the least migration of stents based on anti-migration forces. Also, the conditions of stent placement have been considered based on two different assumed friction factors, and the importance of choosing the type of silicone for stent construction has been analyzed. The results show that increasing the diameter of the stent reduces the displacement and migration of it in the trachea. Furthermore, the 23 mm stent with a 45° angle revealed the best implementation against compression under the impact of respiratory pressure differences. Copyright © 2023 Farahani, Bakhtiyari, Beshkoofe, Kajbafzadeh, Kiani, Eskandari, Baniassadi and Baghani.
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