A novel vascular stent and insert concept to improve hemodynamics and support vascular health

Abstract Obstruction of vessels is one of the most common health issues in the world and various methods of treatments have been offered, including medication therapy, stenting, and bypass surgery. However, recurrence of blockage is a major issue facing patients. The present work assesses the perfor...

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Main Authors: Bahram Vaziri, Saadat Zirak, Mohammad Azadi, Amir Keshmiri, Nima Shokri
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-09613-8
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author Bahram Vaziri
Saadat Zirak
Mohammad Azadi
Amir Keshmiri
Nima Shokri
author_facet Bahram Vaziri
Saadat Zirak
Mohammad Azadi
Amir Keshmiri
Nima Shokri
author_sort Bahram Vaziri
collection DOAJ
description Abstract Obstruction of vessels is one of the most common health issues in the world and various methods of treatments have been offered, including medication therapy, stenting, and bypass surgery. However, recurrence of blockage is a major issue facing patients. The present work assesses the performance of a new innovative design of stents featuring two spirals, called ‘inserts’, which will create a rotating flow inside the vessel. Three different cases of artery and bypass configurations were studied and the results showed that the stent and inserts increased the axial and secondary velocity significantly. At a plane located 1 mm after anastomosis and at t = 0.25 s, the axial velocity was 23% higher for a case with stent and insert compared to the baseline configuration i.e., without stent/insert. In addition, it was found that the presence of the insert increases the wall shear stress (WSS). The maximum WSS among the three cases reached 113 Pa, which was 94% higher than the baseline case. The findings highlight the potential of the proposed stent/insert design in improving the hemodynamic parameters in the graft, anastomosis region, and the host artery, which in turn, could enhance the patency and longevity of the bypass graft.
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spelling doaj-art-6570df3e71f249d4a1bebfae9c47fd582025-08-20T03:04:38ZengNature PortfolioScientific Reports2045-23222025-07-0115111710.1038/s41598-025-09613-8A novel vascular stent and insert concept to improve hemodynamics and support vascular healthBahram Vaziri0Saadat Zirak1Mohammad Azadi2Amir Keshmiri3Nima Shokri4Faculty of Mechanical Engineering, Semnan UniversityFaculty of Mechanical Engineering, Semnan UniversityFaculty of Mechanical Engineering, Semnan UniversitySchool of Engineering, The University of ManchesterInstitute of Geo-Hydroinformatics, Hamburg University of TechnologyAbstract Obstruction of vessels is one of the most common health issues in the world and various methods of treatments have been offered, including medication therapy, stenting, and bypass surgery. However, recurrence of blockage is a major issue facing patients. The present work assesses the performance of a new innovative design of stents featuring two spirals, called ‘inserts’, which will create a rotating flow inside the vessel. Three different cases of artery and bypass configurations were studied and the results showed that the stent and inserts increased the axial and secondary velocity significantly. At a plane located 1 mm after anastomosis and at t = 0.25 s, the axial velocity was 23% higher for a case with stent and insert compared to the baseline configuration i.e., without stent/insert. In addition, it was found that the presence of the insert increases the wall shear stress (WSS). The maximum WSS among the three cases reached 113 Pa, which was 94% higher than the baseline case. The findings highlight the potential of the proposed stent/insert design in improving the hemodynamic parameters in the graft, anastomosis region, and the host artery, which in turn, could enhance the patency and longevity of the bypass graft.https://doi.org/10.1038/s41598-025-09613-8StentInsertHemodynamicPulsatileBlood flowComputational fluid dynamics
spellingShingle Bahram Vaziri
Saadat Zirak
Mohammad Azadi
Amir Keshmiri
Nima Shokri
A novel vascular stent and insert concept to improve hemodynamics and support vascular health
Scientific Reports
Stent
Insert
Hemodynamic
Pulsatile
Blood flow
Computational fluid dynamics
title A novel vascular stent and insert concept to improve hemodynamics and support vascular health
title_full A novel vascular stent and insert concept to improve hemodynamics and support vascular health
title_fullStr A novel vascular stent and insert concept to improve hemodynamics and support vascular health
title_full_unstemmed A novel vascular stent and insert concept to improve hemodynamics and support vascular health
title_short A novel vascular stent and insert concept to improve hemodynamics and support vascular health
title_sort novel vascular stent and insert concept to improve hemodynamics and support vascular health
topic Stent
Insert
Hemodynamic
Pulsatile
Blood flow
Computational fluid dynamics
url https://doi.org/10.1038/s41598-025-09613-8
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