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Updated: Feb 7, 2026

10:52
Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
Published on: December 23, 2022
6.0K
4D-Printed Intelligent Reconfigurable Occluder With Anti-Thrombotic and Rapid-Repairing Capabilities for Patent
Jingfei Wang1, Shuting Li2, Liwu Liu1
1Department of Astronautical Science and Mechanics, Harbin Institute of Technology, Harbin, China.
Advanced Healthcare Materials
|February 6, 2026
Summary
This study introduces a novel 4D-printed occluder for patent foramen ovale (PFO) that promotes healing and reduces clotting. This innovative device offers a promising solution for stroke prevention by combining occlusion with drug delivery.
Area of Science:
- Biomaterials Science
- Medical Devices
- Regenerative Medicine
Background:
- Patent foramen ovale (PFO) closure is effective, but current devices face challenges with slow endothelialization, leading to complications.
- Developing advanced occluders is crucial to mitigate risks like thrombosis and improve integration with cardiac tissue.
Purpose of the Study:
- To design and evaluate a 4D-printed, intelligent, reconfigurable PFO occluder with enhanced pro-endothelialization, anti-thrombotic properties, and bioabsorbability.
- To explore the potential of combining occluder implantation with topical drug delivery for stroke prevention.
Main Methods:
- Fabrication of a 4D-printed occluder utilizing biomimetic design principles for cardiac tissue compatibility.
- In vitro degradation studies and in vivo histological examinations to assess bioabsorbability.
- Anti-thrombosis experiments and evaluation of endothelialization markers (VWF, CD31) to demonstrate efficacy.
Main Results:
- The 4D-printed occluder demonstrated successful bioabsorbability through in vitro and in vivo assessments.
- Preliminary anti-thrombosis experiments indicated significant efficacy.
- Validation of superior pro-endothelialization capabilities through effective expression of VWF and CD31 markers.
Conclusions:
- The developed 4D-printed occluder offers an integrated approach for PFO treatment, combining mechanical occlusion with targeted drug delivery.
- This innovative device presents a viable strategy to enhance healing, prevent thrombosis, and potentially reduce stroke risk in PFO patients.
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