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Truestress (MPa)

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(1)

Identification of the elastic properties of human arteries

from full-field measurements

Stéphane Avril, Jean-Noël Albertini, Ambroise Duprey, Jean-Pierre Favre, Katia Genovese,

Jean-Pierre Vassal

(2)

Cardiovascular surgery and

mechanical engineering

(3)

Issue of thoracic aortic aneurysms

(4)

Treatments: state of the art

(5)

Design of treatments: to be improved

• Elastic biocompatibility

• Durability and risk

prediction using FE

(6)

Fundamental requirement

• Accurate and personalized identification of the elastic properties of the thoracic aorta

Truestress (MPa)

diastole systole

Physiological modulus

Multi-layered anisotropic Kroon & Holzapfel, 2008

(7)

On-going research at Saint-Etienne

• Uniaxial tensile tests on strips

• Biaxial tests on whole segments

• In vivo measurements

(8)

ESVB, 13th May 2009

Ambroise Duprey, Khalil Khanafer, Marty Schlicht, Stephane Avril, David Williams, Jean-Noel Albertini,

Xavier Barral, Jean-Pierre Favre, Ramon Berguer

(9)

• > 30 studies dealing with mechanical testing of aorta published since the 60s

• Well-established properties : – Viscoelasticity

– Non-linearity of stress-strain relationship

• Still under debate : – Anisotropy

– Values of elastic modulus

• Important limitation for computational analysis

(10)

• Measurement of Maximum Elastic Modulus of aortic tissue from ATAA using uniaxial tensile testing

• Assessment of the influence of several parameters :

– Valve type tricuspid

(11)

• Measurement of Maximum Elastic Modulus of aortic tissue from ATAA using uniaxial tensile testing

• Assessment of the influence of several parameters :

– Stretch orientation

longitudinal

circumferential

(12)

• Measurement of Maximum Elastic Modulus of aortic tissue from ATAA using uniaxial tensile testing

• Assessment of the influence of several parameters : – Location of the tissue

Greater curvature Lesser curvature

(13)

Tensile testing machine used for uniaxial mechanical testing

Crosshead moving upward

Pneumatic grips Computer

station

(14)

• Tissue freshly excised

• 86 specimens from 13 patients

• 7 bicuspid aortic valve

• Custom-designed tissue cutters

• Tested within 48h

• Preconditioning

• Cross head speed: 10mm/min

(15)

Adipose and loose

connective tissue on the adventitial side of each specimen is removed

(16)

Tissue is cut along one chosen direction

(longitudinal or

circumferential) into strips of nearly equal width

(17)
(18)

Truestress (MPa)

(19)

• Influence of valve type and tissue location

(20)

• Strong influence of the stretch orientation

(21)

• Evidence of strong anisotropy

• But lots of testing issues…

(22)

Current and future work

Digital image correlation

Inverse approach

(23)

On-going research at Saint-Etienne

• Uniaxial tensile tests on strips

• Biaxial tests on whole segments

• In vivo measurements

(24)

New testing system developed by

Dr. Katia Genovese

(25)

Testing:

Applying axial pre-stretching

λZ = 1.1

Applying pressure

pressure 0 mmHg 130 mmHg

Preconditioning

8 pressure cycles 0 120 mmHg 8 axial cycles

λ

Z = 1.1

λ

Z = 1.4

Deformation of the whole segment

(26)

Analysis of the global response

(27)

Circumferential stretch - Constant thickness

- Homogeneous behaviour - Isotropic hyperelasticity:

I c F

F F I F

F I F

I I

t t

t +

Ψ





Ψ +

Ψ

= 2 2 . 2 . . .

2 2

1 1

ρ σ

Deformation gradient

Incompressibility condition

(28)
(29)
(30)
(31)
(32)
(33)
(34)
(35)
(36)

Results and comparison with the global response

C10 = 7.8×10-4 MPa k = 13.8

(37)
(38)

• Validation and identifiability verification

• Identification of spatial variations of the

mechanical properties with longer segments

• Application of the procedure to multi-layer

Current and future work

(39)

2 4 6 8 10 12 14 15 18

20 150

15 30 45 60 75 90 120 135

105

Pressure [mm Hg]

Pressure [kPa]

Experimental data Neo Hookean

«Yeoh »

Fung exponential

Physiological behaviour ?

Unsolved issue: where is the

physiological behaviour?

(40)

On-going research at Saint-Etienne

• Uniaxial tensile tests on strips

• Biaxial tests on whole segments

• In vivo measurements

(41)

Measurement of the motions

of arterial walls with CT scans

(42)

Image segmentation Cross sectional area

(43)

σ = p R /e = 50×0.13×5/0.6 = 54.2 kPa

Measurement of diastolic and systolic

pressures

(44)

• Update of pressure measurements

• 3D geometry reconstruction and deformation analysis

• Application to patients who need an excision

Current and future work

(45)

Unsolved issue: behaviour outside

the physiological range

(46)

CONCLUSION

• Complementarity of in vivo et ex vivo approaches for characterizing the

elastic properties of arteries

• What about viscoelasticity?

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