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一种用于股-髂动脉的不透射线、长期药物洗脱生物可吸收支架的研发。

Development of a radiopaque, long-term drug eluting bioresorbable stent for the femoral-iliac artery.

作者信息

Ha Dong-Heon, Kim Jae Yun, Park Tae Sik, Park Jong Ha, Chae Suhun, Kim Byoung Soo, Lee Han Cheol, Cho Dong-Woo

机构信息

Department of Mechanical Engineering, Pohang University of Science and Technology Pohang 37673 Korea

School of Interdisciplinary Bioscience and Bioengineering, Pohang University of Science and Technology Pohang 37673 Korea.

出版信息

RSC Adv. 2019 Oct 28;9(59):34636-34641. doi: 10.1039/c9ra06179g. eCollection 2019 Oct 23.

Abstract

Tubular tissues exist in various forms purported for blood supply, waste secretion, to aid proper function and maintenance of the human body. Under pathological conditions, however, these tissues may undergo stenosis. A major surgical treatment for stenosis is to implant a medical device called a stent which aims to expand the narrowed tissue and maintain its patency. Most stents are currently made from metals; despite their high mechanical strength, however, interactions with the host tissue often results in restenosis and stent fracture. To solve these problems, a bioresorbable stent (BRS) is proposed as a next generation stent. In this study, a rotating rod combined 3D printing system was developed to fabricate various types of BRSs. In addition, we confirmed that a 1.5 year long-term release of paclitaxel is possible using polymeric materials. Moreover, a stent loaded with contrast powder was fabricated and was successfully viewed under fluoroscopy. The stent was then implanted in the iliac arteries of pigs and no adverse events were observed for up to 8 weeks.

摘要

管状组织以各种形式存在,其作用包括血液供应、废物分泌,以帮助人体正常运作和维持。然而,在病理条件下,这些组织可能会发生狭窄。针对狭窄的一种主要外科治疗方法是植入一种名为支架的医疗器械,其目的是扩张狭窄的组织并保持其通畅。目前大多数支架由金属制成;然而,尽管它们具有很高的机械强度,但与宿主组织的相互作用往往会导致再狭窄和支架断裂。为了解决这些问题,一种可生物吸收支架(BRS)被提议作为下一代支架。在本研究中,开发了一种旋转杆组合3D打印系统来制造各种类型的BRS。此外,我们证实使用聚合物材料可以实现紫杉醇长达1.5年的长期释放。此外,制造了一种装载造影剂粉末的支架,并在荧光透视下成功观察到。然后将该支架植入猪的髂动脉中,长达8周未观察到不良事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8846/9073948/694bd387590a/c9ra06179g-f1.jpg

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