Aortic endovascular repair modeling using the finite element method.docVIP

J. Biomedical Science and Engineering, 2013, 6, 917-927 JBiSE /10.4236/jbise.2013.69112 Published Online September 2013 (/journal/jbise/) Aortic endovascular repair modeling using the finite element method Ghizlane Mouktadiri, Benyebka Bou-Sa?d, Hélène Walter-Le-Berre Université de Lyon, CNRS INSA-Lyon, LaMCoS, UMR5259, F-69621, Lyon, France Email: ghizlane.mouktadiri@hotmail.fr, benyebka.bou-said@insa-lyon.fr Received 16 July 2013; revised 25 August 2013; accepted 12 September 2013 Copyright ? 2013 Ghizlane Mouktadiri et al. This is an open access article distributed under the Creative Commons Attribution Li- cense, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT tion and its incidence increases with age [1-3]. At least 90% of AAA is affected by atherosclerosis because of high cholesterol, inflammation, infection or tobacco [4]. Most of these aneurysms are located near bifurcation [5]. The rupture of the aneurysm is a dangerous and poten- tially fatal accident whose incidence is increased by arte- rial hypertension [2]. For over 50 years, open surgery was the only treatment of AAA. This is a major procedure with considerable risk of cardiac complications (myocardial infarction), respi- ratory problems, bleeding, renal difficulties, as well as infection and colic (risk of ischemic colitis) [2]. However, since 1991, a new mini-invasive surgical procedure has been introduced. The endovascular procedure involves dragging a stent through a release device of the femoral artery to the level of the aneurysm. This technique has several advantages such as shorter hospital stay, smaller incisions, and faster recovery. However, current clinical results in the long term are not significantly different when compared to conventional surgery [6], and have failed to show that these proce- dures can be performed with lower m