Business School, University of Shanghai for Science and Technology, Shanghai, China.
Shanghai Key Laboratory of Interventional Medical Devices and Equipment, Shanghai, China.
Technol Health Care. 2021;29(5):989-1000. doi: 10.3233/THC-212891.
Percutaneous transluminal coronary angioplasty (PTCA), including balloon angioplasty, is a standard clinical invasive treatment for coronary artery disease. The coronary lesion with calcification is difficult to dilate and the prevention of balloon failure is especially important.
A novel superpressure balloon was fabricated with bilayered structure of polyethylene terephthalate (PET) and PA12 (polyamide).
The structures of bilayer balloon were adjusted to achieve overall excellent performance. Physicochemical, thermal and mechanical properties of bilayer balloons were characterized by X-ray diffraction, differential scanning calorimeter, hydraulic tester and theoretical simulation.
Compared with pure PA12 and PET balloons, PA12 outer layer: PET inner layer balloon with layer ratio of 3:7 shows the highest burst stress and relatively low compliance due to an increase in crystallinity and orientation.
The produced bilayer balloon proved to possess a small folding dimension thanks to its ultrathin bilayer structure, which is good for crossing cramped vessels. We believe these optimally fabricated bilayer balloons are proved to provide attractive opportunities for preparation, performance enhancement, and practical applications of super-pressure balloon catheters and cryoablation balloons, that will significantly promote the development of percutaneous transluminal coronary angioplasty for clinical applications.
经皮腔内冠状动脉血管成形术(PTCA),包括球囊血管成形术,是一种治疗冠状动脉疾病的标准临床介入治疗方法。钙化的冠状动脉病变难以扩张,预防球囊失败尤为重要。
采用聚对苯二甲酸乙二醇酯(PET)和 PA12(聚酰胺)的双层结构制备了一种新型超高压球囊。
调整双层球囊的结构,以实现整体优异的性能。通过 X 射线衍射、差示扫描量热仪、液压试验机和理论模拟对双层球囊的物理化学、热学和力学性能进行了表征。
与纯 PA12 和 PET 球囊相比,PA12 外层:PET 内层球囊的层比为 3:7 由于结晶度和取向度的增加,显示出最高的破裂应力和相对较低的顺应性。
所制备的双层球囊由于其超薄的双层结构,具有较小的折叠尺寸,有利于穿过狭窄的血管。我们相信,这些经过优化设计的双层球囊为超高压球囊导管和冷冻消融球囊的制备、性能增强和实际应用提供了有吸引力的机会,这将极大地促进经皮腔内冠状动脉血管成形术在临床应用中的发展。