Mechanical properties of an improved flexible auxetic metamaterial and its application in self-expanding vascular stents

Auxetic metamaterials have shown great significance in the field of cardiovascular stents, but improving their applicability remains an issue. Here, we develop a type of improved auxetic metamaterial called the Re-entrant-Arrow-Snake (RAS) structure by adding arrow-shaped and snake-shaped structures to the Re-entrant (RE) structure. We first systematically study its in-plane elastic properties and compression behaviors. It is observed that the RAS structure exhibits improved vertical stiffness, horizontal flexibility, and clear auxetic effect in the vertical direction. The influence of the additional structures on the deformation pattern and the stability is also discussed by the in-plane compression analysis. Furthermore, we propose a new self-expanding (SE) vascular stent named RAS-SE based on the RAS structure. Numerical analysis demonstrates that the RAS-SE stent possesses enhanced dual-plateau radial force, negative foreshortening behavior, and improved bending flexibility, indicating better deployment performance and support in clinical applications. Biomechanical studies also show that axial deformation caused by the auxetic effect of the RAS-SE stent only slightly increases stress damage to plaque without affecting stress damage of the intima. This study further expands the application of metamaterials in SE vascular stents, and the proposed RAS structure shows high applicability on the SE stent, thus warranting further attention.