Yang Kaining, Sun Wenxin, Cui Lanyue, Zou Yuhong, Wen Cuie, Zeng Rongchang
Department of Bioengineering, College of Chemical and Biological Engineering, Shandong University of Science and Technology, Qingdao 266590, China.
Corrosion Laboratory for Light Metals, College of Materials Science and Engineering, Shandong University of Science and Technology, Qingdao 266590, China.
Regen Biomater. 2024 Jan 18;11:rbae001. doi: 10.1093/rb/rbae001. eCollection 2024.
Biliary stenting is an important interventional method for the prevention and treatment of biliary tract diseases. However, complications, such as postoperative biliary infection and restenosis, frequently occur due to the extensive scope of the biliary system and the complex composition of bile. The combination of coating technology and biliary stents is expected to bring new approaches to the solution of these problems. The cutting-edge advance on functional coatings on biliary stents is reviewed from seven perspectives: anticorrosion, -bacterial, -tumor, stone-dissolving, X-ray visibility, antistent migration and functional composite coatings. The development trend is also discussed. Overall, the performance of the numerous functional coatings for various purposes is generally up to expectations, but the balance between the medications' effectiveness and their safety needs to be further adjusted. Many contemporary investigations have advanced to the level of animal experiments, offering crucial fundamental assurance for broader human studies. The combination of biliary stents and functional coatings is an innovative idea with great potential for future development.
胆道支架置入术是预防和治疗胆道疾病的一种重要介入方法。然而,由于胆道系统范围广泛且胆汁成分复杂,术后胆道感染和再狭窄等并发症经常发生。涂层技术与胆道支架的结合有望为解决这些问题带来新方法。从防腐、抗菌、抗肿瘤、溶石、X射线显影、抗支架迁移和功能复合涂层七个方面综述了胆道支架功能涂层的前沿进展。并讨论了其发展趋势。总体而言,众多用于各种目的的功能涂层的性能总体上达到预期,但药物有效性与安全性之间的平衡仍需进一步调整。许多当代研究已进展到动物实验水平,为更广泛的人体研究提供了关键的基础保障。胆道支架与功能涂层的结合是一个具有巨大未来发展潜力的创新理念。