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Two patients (one dSINE and one non\u2010dSINE), with the same age, gender, and type of implanted stent, were selected, then aortic morphological parameters were calculated. In addition, the stent material parameters used by the patients were also fitted. Simulations were performed based on the patient's aortic model and the stent graft used. The true lumen segment at the distal stent graft was designated as the \u201cdSINE risk zone,\u201d and mechanical parameters (maximum principal strain, maximum principal stress) were computed. When approaching the area with higher mechanical parameters in the dSINE risk zone, dSINE patient exhibited higher values and growth rates in mechanical parameters compared to non\u2010dSINE patient. Furthermore, dSINE patient also presented larger aortic taper ratio, stent oversizing ratio, and expansion mismatch ratio of the distal true lumen (EMRDTR). The larger mechanical parameters and growth rates in dSINE patient corresponded to a greater aortic taper ratio, stent oversizing ratio, and EMRDTR. The failure of dSINE prediction by the stent tortuosity index indicated that mechanical parameters were the fundamental reasons for dSINE development.<\/jats:p>","DOI":"10.1002\/cnm.3819","type":"journal-article","created":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T10:04:57Z","timestamp":1711706697000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Numerical simulation of the distal stent graft\u2010induced new entry after <scp>TEVAR<\/scp>"],"prefix":"10.1002","volume":"40","author":[{"given":"Meixuan","family":"Li","sequence":"first","affiliation":[{"name":"Department of Aeronautics and Astronautics Institute of Biomechanics, Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Zhongshan Hospital, Fudan University, and National Clinical Research Center for Interventional Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunhan","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Aeronautics and Astronautics Institute of Biomechanics, Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianming","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Aeronautics and Astronautics Institute of Biomechanics, Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuangyuan","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Aeronautics and Astronautics Institute of Biomechanics, Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhihui","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Zhongshan Hospital, Fudan University, and National Clinical Research Center for Interventional Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2364-3896","authenticated-orcid":false,"given":"Shengzhang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Aeronautics and Astronautics Institute of Biomechanics, Fudan University  Shanghai China"},{"name":"Institute of Biomedical Engineering Technology, Academy of Engineering and Technology Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.122.1.311"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.11.054"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.07.040"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27406"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.05.121"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1115\/1.4050642"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.09.022"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.10.060"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.07.052"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1526602818791827"},{"issue":"718","key":"e_1_2_10_12_1","first-page":"140","article-title":"Patient\u2010specific virtual stent\u2010graft deployment for type B aortic dissection: a pilot study of the impact of stent\u2010graft length","volume":"12","author":"Kan X","year":"2021","journal-title":"Front Physiol"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)04711-2"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2019.07.028"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2008.05.032"},{"key":"e_1_2_10_16_1","unstructured":"W. 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