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Numerical Methodology to Evaluate Trackability and Pushability of PTCA Balloon Catheter

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Abstract

Purpose

During percutaneous coronary intervention (PCI), the ability to navigate a catheter without causing injury to the vessel and damage to the device is crucial outcome of the procedure. This study aimed to develop a numerical model to analyse the percutaneous transluminal coronary angioplasty (PTCA) catheter navigation in coronary vessels.

Methods

Trackability and pushability are two major parameters used to characterize the navigation of PTCA balloon catheters, and they are influenced by vessel tortuosity, contact interactions and catheter design. In the current study, finite element analysis model is presented to evaluate trackability and pushability considering two different vessel geometries. Impact of contact interactions among catheter, guidewire, and vessel were studied to validate the numerical model with in vitro test data. Further, a parametric study was conducted to understand the influence of distal shaft, and proximal shaft outer diameter.

Results

Obtained results suggest that contact interaction and co-efficient of friction between guidewire and catheter are critical parameters to obtain numerical results comparable to experimental data. Results from the parametric study predicted strong positive correlation of distal shaft diameter on pushability, and weak correlation on trackability force. Furthermore, parametric variation in proximal shaft diameter has strong positive correlation on trackability force and strong negative correlation on pushability.

Conclusion

Numerical methodology presented in this study is a preliminary attempt to simulate the behavior of PTCA balloon catheter navigation. This methodology will be helpful in the design and optimization of PTCA balloon catheter and similar devices with improved deliverability.

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Acknowledgments

The authors express their sincere gratitude to the management of Sahajanand Medical Technologies Ltd. for providing motivation and support to carry out the research work.

Author Contributions

Study conception and design: MLS, MVS and LR. Acquisition of data: MLS, GBR, MVS and HSC. Analysis and interpretation of data: MLS, MVS, GBR and HSC. Drafting of manuscript: MLS. Critical revision: All authors reviewed the manuscript critically.

Funding

Not applicable.

Data Availability

Due to its proprietary nature, supporting data cannot be made publicly available and are available from the corresponding author upon reasonable request.

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Not applicable.

Conflict of interest

All authors are employees of Sahajanand Medical Technologies Ltd. and report no other conflicts of interest in this work.

Ethical Approval

Not applicable.

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Authors and Affiliations

  1. Research and Development Department, Sahajanand Medical Technologies (SMT) Ltd., Surat, India

    Martin L. Sirivella, Ganesh B. Rahinj, Harshit S. Chauhan, Menta V. Satyanarayana & Laxminarayanan Ramanan

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  1. Martin L. Sirivella
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Correspondence to Martin L. Sirivella.

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Sirivella, M.L., Rahinj, G.B., Chauhan, H.S. et al. Numerical Methodology to Evaluate Trackability and Pushability of PTCA Balloon Catheter. Cardiovasc Eng Tech 14, 315–330 (2023). https://doi.org/10.1007/s13239-022-00653-z

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