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镍钛诺合金支架植入致动脉血流闭塞的实验研究

Experimental study on the occlusion of arterial blood flow by the implantation of nitinol alloy stents.

作者信息

Huang J, Ma G S, Wang J L, Ma W Z, Wang S D, Wu X Z

机构信息

Department of Cardiology, First Affiliated Hospital, Nanjing Medical University.

出版信息

Chin Med J (Engl). 1994 Jul;107(7):512-4.

PMID:7956498
Abstract

To evaluate the occlusion of arteries, 6 conic intravascular endoprosthetic stents of titanium-nickel alloy were implanted transluminally to the right external iliac arteries in 2 normal dogs and 4 normal pigs. The stent was characterized by ductility below 313 K (40 degrees C) and restoration memory-shape between 313-319 K. The diameter of the large end of conic stent was 4.0 mm (dog) and 4.5 mm(pig). The topographic anatomy showed that the external iliac artery was near complete occlusion, with a very small residual lumen (about 1 mm in diameter) in dogs at 6 months, with complete occlusion in pigs at 8 months. The histopathological examination indicated that the arterial intima of the upper branch from the stented site was smooth, and that neither inflammatory cell infiltration nor foreign giant cell reaction was found. The newly formed granulation tissue inside the stent came from emboli organization. These results suggest that the shape-memory alloy stent has good biocompatibility and the conic intravascular endoprosthetic stent might completely occlude arterial blood flow.

摘要

为评估动脉闭塞情况,将6个钛镍合金圆锥形血管内支架经皮腔内植入2只正常犬和4只正常猪的右侧髂外动脉。该支架的特点是在313K(40摄氏度)以下具有延展性,在313 - 319K之间具有恢复记忆形状的特性。圆锥形支架大端直径犬为4.0毫米,猪为4.5毫米。局部解剖显示,髂外动脉接近完全闭塞,6个月时犬的残余管腔非常小(直径约1毫米),8个月时猪完全闭塞。组织病理学检查表明,支架部位上方分支的动脉内膜光滑,未发现炎性细胞浸润和异物巨细胞反应。支架内新形成的肉芽组织来自栓子机化。这些结果表明,形状记忆合金支架具有良好的生物相容性,圆锥形血管内支架可能完全闭塞动脉血流。

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