Herbert Robert, Elsisy Moataz, Rigo Bruno, Lim Hyo-Ryoung, Kim Hyeonseok, Choi Chanyeong, Kim Seungil, Ye Sang-Ho, Wagner William R, Chun Youngjae, Yeo Woon-Hong
George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USA.
IEN Center for Human-Centric Interfaces and Engineering at the Institute for Electronics and Nanotechnology, Georgia Institute of Technology, Atlanta, GA 30332, USA.
Nano Today. 2022 Oct;46. doi: 10.1016/j.nantod.2022.101557. Epub 2022 Jul 18.
Atherosclerosis is a common cause of coronary artery disease and a significant factor in broader cardiovascular diseases, the leading cause of death. While implantation of a stent is a prevalent treatment of coronary artery disease, a frequent complication is restenosis, where the stented artery narrows and stiffens. Although early detection of restenosis can be achieved by continuous monitoring, no available device offers such capability without surgeries. Here, we report a fully implantable soft electronic system without batteries and circuits, which still enables continuous wireless monitoring of restenosis in real-time with a set of nanomembrane strain sensors in an electronic stent. The low-profile system requires minimal invasive implantation to deploy the sensors into a blood vessel through catheterization. The entirely printed, nanomaterial-based set of soft membrane strain sensors utilizes a sliding mechanism to offer enhanced sensitivity and detection of low strain while unobtrusively integrating with an inductive stent for passive wireless sensing. The performance of the soft sensor platform is demonstrated by wireless monitoring of restenosis in an artery model and an ex-vivo study in a coronary artery of ovine hearts. The capacitive sensor-based artery implantation system offers unique advantages in wireless, real-time monitoring of stent treatments and arterial health for cardiovascular disease.
动脉粥样硬化是冠状动脉疾病的常见病因,也是更广泛的心血管疾病(主要死因)的重要因素。虽然植入支架是冠状动脉疾病的常用治疗方法,但常见的并发症是再狭窄,即支架置入的动脉变窄和变硬。尽管通过持续监测可以实现再狭窄的早期检测,但目前没有无需手术就能具备这种功能的设备。在此,我们报告了一种完全可植入的无电池和电路的软电子系统,该系统通过电子支架中的一组纳米膜应变传感器,仍能实时连续无线监测再狭窄情况。这种低剖面系统只需微创植入,通过导管插入术将传感器部署到血管中。这套完全基于纳米材料印刷的软膜应变传感器利用滑动机制提高了灵敏度,能够检测低应变,同时与感应支架巧妙集成以实现无源无线传感。通过在动脉模型中对再狭窄进行无线监测以及在羊心脏冠状动脉的离体研究,证明了该软传感器平台的性能。这种基于电容传感器的动脉植入系统在无线、实时监测支架治疗和心血管疾病的动脉健康方面具有独特优势。