Nickel-Titanium peripheral stents: can fracture mechanics shed light on their fatigue failure?

The major concern about Nickel-Titanium (Ni-Ti) stents, which are the gold standard in the treatment of occlusive peripheral disease, is fatigue and the consequent fracture in vivo. Indeed, their failure might be responsible for severe drawbacks, among which is the re-occlusion of the treated artery. Although many phenomenological approaches have been proposed to study this topic, the current literature lacks extensive knowledge on the Ni-Ti local damage mechanisms produced by the cyclic loads that promote crack nucleation and lead to the failure of thin struts, such as those of stents. Moreover, due to the super-elastic property of the alloy, the standard approach for interpreting the fracture of metals might be not accurate for this case. This work aims at increasing awareness of fatigue failure in superelastic Ni-Ti thin struts, such as those of stents. To do so, multi-wire specimens, sharing the same dimensions and thermo-mechanical treatment of the stent struts, were fatigue tested under different strain levels and the number of cycles to failure was recorded for each sample. Numerical simulations corroborated the experimental results to gain information on the local stress and strain fields during the fatigue cycles. A fracture mechanics-based fatigue model adopting the cyclic J-integral was here proposed, giving promising results for the interpretation of such failures.