A review of the in vivo and in vitro biomechanical behavior and performance of postoperative abdominal aortic aneurysms and implanted stent-grafts

Journal of Endovascular Therapy

Volumn 15, Issue 4, 2008, Pages 468-484

  Corbett, Timothy J ^a   Callanan, Anthony ^a   Morris, Liam G ^b   Doyle, Barry J ^a   Grace, Pierce A ^c   Kavanagh, Eamon G ^c   McGloughlin, Tim M ^a  

^a UNIVERSITY OF LIMERICK   (Ireland)

^b Atlantic Technological University Sligo   (Ireland)

^c UNIVERSITY HOSPITAL LIMERICK   (Ireland)

Author keywords

Abdominal aortic aneurysm; Endovascular aneurysm repair; Stent graft postoperative performance

Indexed keywords

ABDOMINAL AORTA ANEURYSM; BLOOD VESSEL GRAFT; ENDOLEAK; ENDOTENSION; GRAFT FAILURE; GRAFT MIGRATION; HUMAN; MATHEMATICAL MODEL; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; REVIEW; STENT; THROMBOSIS; VASCULAR DISEASE;

AORTIC ANEURYSM, ABDOMINAL; BIOMECHANICS; BLOOD VESSEL PROSTHESIS; BLOOD VESSEL PROSTHESIS IMPLANTATION; HUMANS; STENTS;

EID: 49449108619     PISSN: 15266028     EISSN: None     Source Type: Journal    
DOI: 10.1583/08-2370.1     Document Type: Review

References (148)

1. Sakalihasan N, Limet R, Defawe OD. Abdominal aortic aneurysm. Lancet. 2005;365:1577-1589.
2. Li Z, Kleinstreuer C. Fluid-structure interaction effects on sac-blood pressure and wall stress in a stented aneurysm. J Biomech. 2005;127:662-671.
3. Office of Population Censuses and Surveys. Mortality Statistics, England and Wales. London HMSO, 1989.
4. Gouëffic Y, Becquemin JP, Desgranges P, et al. Midterm survival after endovascular versus open repair of infrarenal aortic aneurysms. J Endovasc Ther. 2005;12:47-57.
5. Garcia-Madrid C, Josa M, Riambau V, et al. Endovascular versus open surgical of abdominal aortic aneurysm: a comparison of early and intermediate results in patients suitable for both techniques. Eur J Vasc Endovasc Surg. 2004;28:365-372.
6. Vogel TR, Nackman GB, Crowley JG, et al. Factors impacting functional health and resource utilization following abdominal aortic aneurysm repair by open and endovascular techniques. Ann Vasc Surg. 2005;19:641-647.
7. Volodos NL, Karpovich IP, Troyan Vl, et al. Clinical experience of the use of self-fixing synthetic prostheses for remote endoprostheses of the thoracic and the abdominal aorta and iliac arteries through the femoral artery and as intraoperative endoprosthesis for aorta reconstruction. Vasa Suppl. 1991;33:93-95.
8. Carpenter JP, Endologix Investigators. Mid-term results of the multicenter trial of the Powerlink bifurcated system for endovascular aortic aneurysm repair. J Vasc Surg. 2004;40:849-859.
9. Aarts F, van Sterkenburg S, Blankensteijn JD. Endovascular aneurysm repair versus open aneurysm repair: comparison of treatment outcome and procedure-related re intervention rate. Ann Vasc Surg. 2005;19:699-704.
10. Mehta M, Roddy SP, Darling RC, et al. Infrarenal abdominal aortic aneurysm repair via endovascular versus open retroperitoneal approach. Ann Vasc Surg. 2005;19:374-378.
11. Drury D, Michaels JA, Jones L, et al. Systematic review of recent evidence for the safety and efficacy of elective endovascular repair in the management of infrarenal abdominal aortic aneurysm. Br J Surg. 2005;92:937-946.
12. Zarins CK, White RA, Moll FL, et al. The AneuRx stent graft: four-year results and worldwide experience 2000. J Vasc Surg. 2001;33:S135-145.
13. Chahwan S, Comerota AJ, Pigott JP, et al. Elective treatment of abdominal aortic aneurysm with endovascular or open repair: the first decade. J Vasc Surg. 2007;45:258-262.
14. Lederle FA, Kane RL, MacDonald R, et al. Systematic review: repair of unruptured abdominal aortic aneurysm. Ann Intern Med. 2007;146:735-741.
15. Greenhalgh RM, Brown LC, Kwong GP, et al. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet. 2004;364:843-848.
16. EVAR trial participants. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet. 2005; 365:2179-2186.
17. EVAR trial participants. Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled trial. Lancet. 2005;365(9478):2187-2192.
18. Sampram ES, Karafa MT, Mascha EJ, et al. Nature, frequency, and predictors of secondary procedures after endovascular repair of abdominal aortic aneurysm. J Vasc Surg. 2003;37:930-937.
19. Hobo R, Buth J. Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report. J Vasc Surg. 2006;43:896-902.
20. Walschot LHB, Laheij RJF, Verbeek ALM. Outcome after endovascular abdominal aortic aneurysm repair: a meta-analysis. J Endovasc Ther. 2002;9:82-89.
21. Verhoeven EL, Tielliu IF, Prins TR, et al. Frequency and outcome of re-interventions after endovascular repair for abdominal aortic aneurysm: a prospective cohort study. Eur J Vasc Endovasc Surg. 2004;28:357-364.
22. Thomas SM, Beard JD, Ireland M, et al. Results from the prospective registry of endovascular treatment of abdominal aortic aneurysms (RETA): midterm results to 5 years. Eur J Vasc Endovasc Surg. 2005;29:563-570.
23. Franks SC, Sutton AJ, Bown MJ, et al. Systematic review and meta-analysis of 12 years of endovascular abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2007;33:154-171.
24. Veith FJ, Baum RA, Ohki T, et al. Nature and significance of endoleaks and endotension: summary of opinions expressed at an international conference. J Vasc Surg. 2002;35:1029-1038.
25. Bargellini I, Cioni R, Petruzzi P, et al. Endovascular repair of abdominal aortic aneurysms: analysis of aneurysm volumetric changes at mid-term follow up. Cardiovasc Intervent Radiol. 2005;28:426-433.
26. White RA, Donayre CE, Walot I, et al. Computed tomography assessment of abdominal aortic aneurysm morphology after endograft exclusion. J Vasc Surg. 2001;33:S1-10.
27. Sternbergh WC, Carter G, York JW, et al. Aortic neck angulation predicts adverse outcome with endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2002;35:482-486.
28. White GH, May J, Petrasek P, et al. Endotension: an explanation for continued AAA growth after successful endoluminal repair. J Endovasc Surg. 1999;6:308-315.
29. Singh-Ranger R, Adiseshiah M. Differing morphological changes following endovascular AAA repair using balloon-expandable or self-expanding endografts. J Endovasc Ther. 2000;7:479-485.
30. Resch T, Ivancev J, Brunkwall J, et al. Midterm changes in aortic aneurysm morphology after endovascular repair. J Endovasc Ther. 2000;7:279-285.
31. Krämer SC, Seifarth H, Pamler R, et al. Geometric changes in aortic endografts over a 2-year observation period. J Endovasc Ther. 2001;8:34-38.
32. Vos AW, Wisselink W, Marcus JT, et al. Cine MRI assessment of aortic aneurysm dynamics before and after endovascular repair. J Endovasc Ther. 2003;10:433-439.
33. Chuter TA. Stent-graft design: the good, the bad, and the ugly. Cardiovasc Surg. 2002;10:7-13.
34. Prinssen M, Wever JJ, Mali WP, et al. Concerns for the durability of the proximal abdominal aortic aneurysm endograft fixation from a 2-year and 3-year longitudinal computed tomography angiography study. J Vasc Surg. 2001;33:S64-69.
35. Palombo D, Valenti D, Ferri M, et al. Changes in the proximal neck of abdominal aortic aneurysms early after endovascular treatment. Ann Vasc Surg. 2003;17:408-410.
36. Prinssen M, Buskens E, Blankensteijn JD. Quality of life after endovascular and open AAA repair. Results of a randomized trial. Eur J Vasc Endovasc Surg. 2004;27:121-127.
37. Schlensak C, Doenst T, Hauer M, et al. Serious complications that require surgical interventions after endoluminal stent-graft placement for the treatment of infrarenal aortic aneurysms. J Vasc Surg. 2001;34:198-203.
38. Waasdorp EV, Vries JP, Hobo R, et al. Aneurysm diameter and proximal aortic neck diameter influence clinical outcome of endovascular abdominal aortic repair: a 4-year EUROSTAR experience. Ann Vasc Surg. 2005;19:755-761.
39. Conners MS, Sternbergh WC, Carter G, et al. Endograft migration one to four years after endovascular abdominal aortic aneurysm repair with the AneuRx device: a cautionary note. J Vasc Surg. 2002;36:476-484.
40. Tonnessen BH, Sternbergh WC, Money SR. Mid- and long-term device migration after endovascular abdominal aortic aneurysm repair: a comparison of AneuRx and Zenith endografts. J Vasc Surg. 2005;42:392-401.
41. Zarins CK, Bloch DA, Crabtree T, et al. Stent graft migration after endovascular aneurysm repair: importance of proximal fixation. J Vasc Surg. 2003;38:1264-1272.
42. Cao P, Verzini F, Zannetti S, et al. Device migration after endoluminal abdominal aortic aneurysm repair: analysis of 113 cases with a minimum follow-up period of 2 years. J Vasc Surg. 2002;35:229-235.
43. van Herwaarden JA, van de Pavoordt ED, Waasdorp EJ, et al. Long-term single-center results with AneuRx endografts for endovascular abdominal aortic aneurysm repair. J Endovasc Ther. 2007;14:307-317.
44. Sternbergh WC, Money SR, Greenberg RK, et al. Influence of endograft oversizing on device migration, endoleak, aneurysm shrinkage, and aortic neck dilation: results from the Zenith Multicenter Trial. J Vasc Surg. 2004;39:20-26.
45. Ouriel K, Clair DG, Greenberg RK, et al. Endovascular repair of abdominal aortic aneurysms: device-specific outcome. J Vasc Surg. 2003;37:991-998.
46. Greenberg RK, Chuter TA, Sternbergh WC, et al. Zenith AAA endovascular graft: intermediate-term results of the US multicenter trial. J Vasc Surg. 2004;39:1209-1218.
47. Parent FN, Meier GH, Godziachville V, et al. The incidence and natural history of type I and II endoleak: a 5-year follow-up assessment with color duplex ultrasound scan. J Vasc Surg. 2002;35:474-481.
48. Zarins CK, White RA, Fogarty TJ. Aneurysm rupture after endovascular repair using the AneuRx stent graft. J Vasc Surg. 2000;31:960-970.
49. Chuter TA, Parodi JC, Lawrence-Brown M. Management of abdominal aortic aneurysm: a decade of progress. J Endovasc Ther. 2004;11(Suppl II):II-82-II-95.
50. Carpenter JP, Endologix Investigators. Multicenter trial of the PowerLink bifurcated system for endovascular aortic aneurysm repair. J Vasc Surg. 2002;36:1129-1137.
51. Katzen BT. Update on devices for endovascular therapy of AAA's. Endovasc Today. January 2004:42-46.
52. van Marrewijk CJ, Leurs LJ, Vallabhaneni SR, et al. Risk-adjusted outcome analysis of endovascular abdominal aortic aneurysm repair in a large population: how do stent-grafts compare? J Endovasc Ther. 2005;12:417-429.
53. Major A, Guidoin R, Soulez G, et al. Implant degradation and poor healing after endovascular repair of abdominal aortic aneurysms: an analysis of explanted stent-grafts. J Endovasc Ther. 2006;13:457-467.
54. Malas MB, Ohki T, Veith FJ, et al. Absence of proximal neck dilatation and graft migration after endovascular aneurysm repair with balloon-expandable stent-based endografts. J Vasc Surg. 2005;42:639-644.
55. Gross NR. Workshop on preclinical testing for endovascular grafts. Session 1, animal studies: a retrospective and prospective evaluation. Food and Drug Administration. July 28, 2004.
56. Guidoin R, Marois Y, Douville Y, et al. First-generation aortic endografts: analysis of explanted Stentor devices from the EUROSTAR registry. J Endovasc Ther. 2000;7:105-122.
57. Resch T, Malina M, Lindblad B, et al. The impact of stent design on proximal stent-graft fixation in the abdominal aorta: an experimental study. Eur J Vasc Endovasc Surg. 2000;20:190-195.
58. Malina M, Lindblad B, Ivancev K, et al. Endovascular AAA exclusion: will stents with hooks and barbs prevent stent-graft migration? J Endovasc Surg. 1998;5:310-317.
59. Veerapen R, Dorandeu A, Serre I, et al. Improvement in proximal aortic endograft fixation: an experimental study using different stent-grafts in human cadaveric aortas. J Endovasc Ther. 2003;10:1101-1109.
60. Morris L, Delassus P, Walsh M, et al. A mathematical model to predict the in vivo pulsatile drag forces acting on bifurcated stent grafts used in endovascular treatment of abdominal aortic aneurysm (AAA). J Biomech. 2004;37:1087-1095.
61. Benharash P, Lee JT, Abilez OJ, et al. Iliac fixation inhibits migration of both suprarenal and infrarenal aortic endografts. J Vasc Surg. 2007;45:250-257.
62. Heikkinen MA, Alsac JM, Arko FR, et al. The importance of iliac fixation in prevention of stent graft migration. J Vasc Surg. 2006;43:1130-1137.
63. Murphy EH, Johnson ED, Arko FR. Device-specific resistance to in vivo displacement of stent-grafts implanted with maximum iliac fixation. J Endovasc Ther. 2007;14:585-592.
64. Dalainas I, Nano G, Casana R, et al. Mid-term results after endovascular repair of abdominal aortic aneurysms: a four-year experience. Eur J Vasc Endovasc Surg. 2004;27:319-323.
65. Li Z, Kleinstreuer C, Farber M. Computational analysis of biomechanical contributors to possible endovascular graft failure. Biomech Model Mechanobiol. 2005;4:221-234.
66. Semmens JB, Lawrence-Brown MM, Hartley DE, et al. Outcomes of fenestrated endografts in the treatment of abdominal aortic aneurysm in Western Australia (1997-2004). J Endovasc Ther. 2006;13:320-329.
67. Zhou SS, How TV, Vallabhaneni SR, et al. Comparison of the fixation strength of standard and fenestrated stent-grafts for endovascular abdominal aortic aneurysm repair. J Endovasc Ther. 2007;14:168-175.
68. Greenberg RK, West K, Pfaff K, et al. Beyond the aortic bifurcation: branched endovascular grafts for thoracoabdominal and aortoiliac aneurysms. J Vasc Surg. 2006;43:879-887.
69. Sanfelippo P. Abdominal aortic aneurysm - 2003: what we know, what we don't know - a review. Int J Angiol. 2003;12:145-152.
70. Rose J. Stent-grafts for unruptured abdominal aortic aneurysms: current status. Cardiovasc Intervent Radiol. 2006;29:332-343.
71. Fransen GA, Vallabhaneni SR, van Marrewijk CJ, et al. Rupture of infrarenal aortic aneurysm after endovascular repair: a series from EUROSTAR registry. Eur J Vasc Endovasc Surg. 2003;26:487-493.
72. Dias NV, Ivancev K, Malina M, et al. Intraaneurysm sac pressure measurements after endovascular aneurysm repair: differences between shrinking, unchanged, and expanding aneurysms with and without endoleaks. J Vasc Surg. 2004;39:1229-1235.
73. Abraham CZ, Chuter TA, Reilly LM, et al. Abdominal aortic aneurysm repair with the Zenith stent graft: short to midterm results. J Vasc Surg. 2002;36:217-225.
74. Carpenter JP, Anderson WN, Brewster C, et al. Multicenter pivotal trial results of the Lifepath system for endovascular aortic aneurysm repair. J Vasc Surg. 2004;39:34-43.
75. Silverberg D, Baril DT, Ellozy SH, et al. An 8-year experience with type II endoleaks: natural history suggests selective intervention is a safe approach. J Vasc Surg. 2006;44:453-459.
76. Faries PL, Brener BJ, Connelly TL, et al. A multicenter experience with the Talent endovascular graft for the treatment of abdominal aortic aneurysms. J Vasc Surg. 2002;35:1123-1128.
77. Uflacker R, Robison J. Endovascular treatment of abdominal aortic aneurysms: a review. Eur Radiol. 2001;11:739-753.
78. Jacobs TS, Won J, Gravereaux RC, et al. Mechanical failure of prosthetic human implants: a 10-year experience with aortic stent graft devices. J Vasc Surg. 2003;37:16-26.
79. Beebe HG, Cronenwett JL, Katzen BT, et al. Results of an aortic endograft trial: impact of device failure beyond 12 months. J Vasc Surg. 2001;33:S55-63.
80. Najibi S, Steinberg J, Katzen BT, et al. Detection of isolated hook fractures 36 months after implantation of the Ancure endograft: a cautionary note. J Vasc Surg. 2001;34:353-356.
81. Heintz C, Riepe G, Birken L, et al. Corroded nitinol wires in explanted aortic endografts: an important mechanism of failure? J Endovasc Ther. 2001;8:248-253.
82. Zarins CK, Arko FR, Crabtree T, et al. Explant analysis of AneuRx stent grafts: relationship between structural findings and clinical outcome. J Vasc Surg. 2004;40:1-11.
83. Cosin O, Rousseau H, Otal P, et al. Late perforation of a thoracic aortic Dacron graft by a metallic stent-graft component. J Endovasc Ther. 2006;13:676-680.
84. Rumball-Smith A, Wright IA, Buckenham TM. Strut failure in the body of the Zenith abdominal endoprosthesis. Eur J Vasc Endovasc Surg. 2006;32:136-139.
85. Matsumura JS, Brewster DC, Makaroun MS, et al. A multicenter controlled clinical trial of open versus endovascular treatment of abdominal aortic aneurysm. J Vasc Surg. 2003;37:262-271.
86. Ghanim K, Mwipatayi BP, Abbas M, et al. Late stent-graft migration secondary to separation of the uncovered segment from the main body of a Zenith endoluminal graft. J Endovasc Ther. 2006;13:346-349.
87. Fransen GA, Desgranges P, Harris PL, et al. Frequency, predictive factors, and consequences of stent-graft kink following endovascular AAA repair. J Endovasc Ther. 2003;10:913-918.
88. Hobo R, Laheij RJ, Buth J, et al. The influence of aortic cuffs and iliac limb extensions on the outcome of endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2007;45:79-85.
89. Imamura A, Koike Y, Iwaki R, et al. Infrarenal abdominal aortic aneurysm complicated by persistent endotension after endovascular repair: report of a case. Surg Today. 2005;35:879-882.
90. Lin PH, Bush RL, Katzman JB, et al. Delayed aortic aneurysm enlargement due to endotension after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2003;38:840-842.
91. Risberg B, DeIIe M, Eriksson E, et al. Aneurysm sac hygroma: a cause of endotension. J Endovasc Ther. 2001;8:447-453.
92. Tricciola SM, Dayal R, Chaer RA, et al. The development of endotension is associated with increased transmission of pressure and serous components in porous polytetrafluoroethylene stent-grafts: characterization using a canine model. J Vasc Surg. 2006;43:109-116.
93. Sonesson B, Dias N, Malina M, et al. Intraaneurysm pressure measurements in successfully excluded abdominal aortic aneurysm after endovascular repair. J Vasc Surg. 2003;37:733-738.
94. Dias NV, Ivancev K, Malina M, et al. Direct intra-aneurysm sac pressure measurement using tip-pressure sensors: in vivo and in vitro evaluation. J Vasc Surg. 2004;40:711-716.
95. Ohki T, Ouriel K, Galvagni Silveira P, et al. Initial results of wireless pressure sensing for endovascular aneurysm repair: the APEX Trial (Acute Pressure Measurement to Confirm Aneurysm Sac Exclusion). J Vasc Surg. 2007;45:236-242.
96. Vallabhaneni SR, Gilling-Smith GL, Brennan JA, et al. Can intrasac pressure monitoring reliably predict failure of endovascular aneurysm repair? J Endovasc Ther. 2003;10:524-530.
97. Morris L, O'Donnell P, Delassus P, et al. Experimental assessment of stress patterns in abdominal aortic aneurysms using the photoelastic method. Strain. 2004;40:165-172.
98. Morris LG. Numerical and experimental investigation of mechanical factors in the treatment of abdominal aortic aneurysms. University of Limerick, Doctoral Thesis; 2004.
99. O'Brien T, Morris L, O'Donnell M, et al. Injection-moulded models of major and minor arteries: the variability of model wall thickness owing to casting technique. Proc Inst Mech Eng [H]. 2005;219:381-386.
100. Chong CK, How TV, Black RA, et al. Development of a simulator for endovascular repair of abdominal aortic aneurysms. Ann Biomed Eng. 1998;26:798-802.
101. Chong CK, How TV, Gilling-Smith GL, et al. Modeling endoleaks and collateral reperfusion following endovascular AAA exclusion. J Endovasc Ther. 2003;10:424-432.
102. Chong CK, How TV. Flow patterns in an endovascular stent-graft for abdominal aortic aneurysm repair. J Biomech. 2004;37:89-97.
103. Chong CK, How TV, Harris PL. Flow visualization in a model of a bifurcated stent-graft. J Endovasc Ther. 2005;12:435-445.
104. Mehta M, Veith FJ, Ohki T, et al. Significance of endotension, endoleak, and aneurysm pulsatility after endovascular repair. J Vasc Surg. 2003;37:842-846.
105. Gawenda M, Jaschke G, Winter S, et al. Endotension as a result of pressure transmission over the graft following endovascular aneurysm repair - an in vitro study. Eur J Vasc Endovasc Surg. 2003;26:501-505.
106. Gawenda M, Knez P, Winter S, et al. Endotension is influenced by wall compliance in a latex aneurysm model. Eur J Vasc Endovasc Surg. 2004;27:45-50.
107. Skillern CS, Stevens SL, Piercy KT, et al. Endotension in an experimental aneurysm model. J Vasc Surg. 2002;36:814-817.
108. Pacanowski JP, Stevens SL, Freeman MB, et al. Endotension distribution and the role of thrombus following endovascular AAA exclusion. J Endovasc Ther. 2002;9:639-651.
109. Albertini JN, Macierewicz JA, Yusuf SW, et al. Pathophysiology of proximal perigraft endoleak following endovascular repair of abdominal aortic aneurysms: a study using a flow model. Eur J Vasc Endovasc Surg. 2001;22:53-56.
110. Goergen CJ, Johnson BL, Greve JM, et al. Increased anterior abdominal aortic wall motion: possible role in aneurysm pathogenesis and design of endovascular devices. J Endovasc Ther. 2007;14:574-584.
111. Liffman K, Sutalo ID, Lawrence-Brown MM, et al. Movement and dislocation of modular stent-grafts due to pulsatile flow and the pressure difference between the stent-graft and the aneurysm sac. J Endovasc Ther. 2006;13:51-61.
112. Volodos SM, Sayers RD, Gostelow JP, et al. Factors affecting the displacement force exerted on a stent graft after AAA repair-an in vitro study. Eur J Vasc Endovasc Surg. 2003;26:596-601.
113. Volodos SM, Sayers RD, Gostelow JP, et al. An investigation into the cause of distal endoleaks: role of displacement force on the distal end of a stent-graft. J Endovasc Ther. 2005;12:115-120.
114. Arko FR, Heikkinen MA, Lee ES, et al. Iliac fixation length and resistance to in-vivo stent graft displacement. J Vasc Surg. 2005;41:664-671.
115. Chaudhuri A, Ansdell LE, Grass AJ, et al. Intrasac pressure waveforms after endovascular aneurysm repair (EVAR) are a reliable marker of type I endoleaks, but not type II or combined types: an experimental study. Eur J Vasc Endovasc Surg. 2004;28:373-378.
116. Hinnen JW, Rixen DJ, Koning OH, et al. Development of fibrinous thrombus analogue for in vitro abdominal aortic aneurysm studies. J Biomech. 2007;40:289-295.
117. Di Martino E, Mantero S, Inzoli F, et al. Biomechanics of abdominal aortic aneurysm in the presence of endoluminal thrombus: experimental characterization and structural static computational analysis. Eur J Vasc Endovasc Surg. 1998;15:290-299.
118. Wang DH, Makaroun M, Vorp DA. Mechanical properties and microstructure of intraluminal thrombus from abdominal aortic aneurysm. J Biomech Eng. 2001;123:536-539.
119. Vande Geest J, Sacks M, Vorp D. A planar biaxial constitutive relation for the luminal layer of intraluminal thrombus in abdominal aortic aneurysms. J Biomech. 2006;39:2347-2354.
120. Hinnen JW, Koning OH, Visser MJ, et al. Effect of intraluminal thrombus on pressure transmission in the abdominal aortic aneurysm. J Vasc Surg. 2005;42:1176-1182.
121. Vallabhaneni SR, Gilling-Smith GL, How TV, et al. Heterogeneity of tensile strength and matrix metalloproteinase activity in the wall of abdominal aortic aneurysms. J Endovasc Surg. 2004;11:494-502.
122. Raghavan ML, Kratzberg J, Castro de Tolosa EM, et al. Regional distribution of wall thickness and failure properties of human abdominal aortic aneurysm. J Biomech. 2005;39:3010-3016.
123. Vande Geest J, Sacks M, Vorp D. The effects of aneurysm on the biaxial mechanical behavior of human abdominal aorta. J Biomech. 2006;39:1324-1334.
124. Singland JD, Voulgre J, Picard G, et al. Static mechanical properties of custom-made aortic endografts. Ann Vasc Surg. 2005;19:1-9.
125. Venkatasubramaniam AK, Fagan MJ, Mehta T, et al. A comparative study of aortic wall stress using finite element analysis for ruptured and non-ruptured abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2004;28:168-176.
126. Mower WR, Quinones WJ, Gambhir SS. Effect of intraluminal thrombus on abdominal aortic aneurysm wall stress. J Vasc Surg. 1997;26:602-608.
127. Raghavan ML, Vorp DA, Federle MP, et al. Wall stress distribution on three dimensionally reconstructed models of human abdominal aortic aneurysm. J Vasc Surg. 2000;31:760-769.
128. Fillinger MF, Marra SP, Raghavan ML, et al. Prediction of rupture risk in abdominal aortic aneurysm during observation: wall stress versus diameter. J Vasc Surg. 2003;37:724-732.
129. Morris L, Delassus P, Grace P, et al. Effect of flat, parabolic and realistic steady flow inlet profiles on idealised and realistic stent graft fits through abdominal aortic aneurysms (AAA). Med Eng Phys. 2006;28:19-26.
130. Frauenfelder T, Lotfey M, Boehm T, et al. Computational fluid dynamics: hemodynamic changes in abdominal aortic aneurysms after stent-graft implantation. Cardiovasc Intervent Radiol. 2006;29:613-623.
131. Li Z, Kleinstreuer C. Blood flow and structure interactions in a stented abdominal aortic aneurysm model. Med Eng Phys. 2005;27:369-382.
132. Li Z, Kleinstreuer C. Effects of major endoleaks on a stented abdominal aortic aneurysm. J Biomech Eng. 2006;128:59-68.
133. Li Z, Kleinstreuer C. Analysis of biomechanical factors affecting stent-graft migration in an abdominal aortic aneurysm model. J Biomech. 2006;39:2264-2273.
134. Li Z, Kleinstreuer C. Computational analysis of type II endoleaks in a stented abdominal aortic aneurysm model. J Biomech. 2006;39:2573-2582.
135. Mohan IV, Harris PL, van Marrewijk CJ, et al. Factors and forces influencing stent-graft migration after endovascular aortic aneurysm repair. J Endovasc Ther. 2002;9:748-755.
136. Papaharilaou Y, Ekterinaris JA, Manousaki E, et al. A decoupled fluid structure approach for estimating wall stress in abdominal aortic aneurysms. J Biomech. 2006;40:367-377.
137. Liffman K, Lawrence-Brown MMD, Semmens JB, et al. Analytical modeling and numerical simulation of forces in an endoluminal graft. J Endovasc Ther. 2001;8:358-371.
138. Canic S. Krajcer Z, Lapin S. Design of optimal endoprosthesis using mathematical modelling. Endovasc Today. May 2006:48-50.
139. Canic S. Blood flow through compliant vessels after endovascular repair: wall deformations induced by the discontinuous wall properties. Comput Visual Sci. 2002;4:147-155.
140. Sicard GA, Zwolak RM, Sidawy AN, et al. Endovascular abdominal aortic aneurysm repair: long-term outcome measures in patients at high-risk for open surgery. J Vasc Surg. 2006;44:229-236.
141. Hynes N, Sultan S. A prospective clinical, economic, and quality-of-life analysis comparing endovascular aneurysm repair (EVAR), open repair, and best medical treatment in high-risk patients with abdominal aortic aneurysms suitable for EVAR: the Irish patient trial. J Endovasc Ther. 2007;14:763-776.
142. Bush RL, Johnson ML, Hedayati N, et al. Performance of endovascular aortic aneurysm repair in high-risk patients: results from the Veterans Affairs National Surgical Quality Improvement Program. J Vasc Surg. 2007;45:227-235.
143. Schermerhorn M, O'Malley J, Jhaveri A, et al. Endovascular vs. open repair of abdominal aortic aneurysms in the Medicare population. N Engl J Med. 2008;358:464-474.
144. Michaels JA, Drury D, Thomas SM. Cost-effectiveness of endovascular abdominal aortic aneurysm repair. Br J Surg. 2005;92:960-967.
145. Angle N, Dorafshar AH, Moore WS, et al. Open versus endovascular repair of abdominal aortic aneurysms: what does each really cost? Ann Vasc Surg. 2004;18:612-618.
146. Corbett T, Callanan A, Morris L, et al. Conventional methods overestimate the efficacy of proximal fixation in abdominal aortic aneurysm stent-grafts. Ir J Med Sci. 2007;176(S1):S48.
147. Torella F. Effect of improved endograft design on outcome of endovascular aneurysm repair. J Vasc Surg. 2004;40:216-221.
148. Cao P, Verzini F, Parlani G, et al. Clinical effect of abdominal aortic aneurysm endografting: 7-year concurrent comparison with open repair. J Vasc Surg. 2004;40:841-848.