Huang Ying Ying, Wong Yee Shan, Chan Jing Ni, Venkatraman Subbu S
School of Materials Science & Engineering, Nanyang Technological University, Singapore, 639798, Singapore,
J Mater Sci Mater Med. 2015 Feb;26(2):93. doi: 10.1007/s10856-015-5422-6. Epub 2015 Feb 4.
The purpose of this study was to develop a fully degradable occluder for the closure of PDA, which can be deployed percutaneously. The blends of biodegradable poly(ε-caprolactone) and poly(L-lactide-co-ε-caprolactone) with various compositions were studied as the potential material. The mechanical properties, i.e. elastic modulus and strain recovery, of the blends could be largely tailored by changing the continuous phase component. Moreover, the suitable blends were selected to fabricate a prototype and its in vitro biodegradation rate and blood compatibility, was evaluated. The current results indicate that no adverse effect on the platelet and leukocyte components of the blood. Biocompatibility implantation studies of the device showed acceptable tissue response. Finally, an artificial PDA conduit was created in a pig, and the device deployment was tested from a sheath: the device recovered within 2-3 min of unsheathing and fully sealed the conduit.
本研究的目的是开发一种用于封堵动脉导管未闭(PDA)的完全可降解封堵器,该封堵器可经皮植入。研究了具有不同组成的可生物降解聚(ε-己内酯)和聚(L-丙交酯-共-ε-己内酯)共混物作为潜在材料。通过改变连续相组分,可在很大程度上调整共混物的力学性能,即弹性模量和应变恢复率。此外,选择合适的共混物制作原型,并评估其体外生物降解速率和血液相容性。目前的结果表明,该封堵器对血液中的血小板和白细胞成分没有不良影响。该装置的生物相容性植入研究显示出可接受的组织反应。最后,在猪体内创建了一个人工PDA导管,并测试了从鞘管中部署该装置的情况:该装置在出鞘后2 - 3分钟内恢复原状,并完全封闭了导管。