在猪冠状动脉中的金涂NIR支架
E R Edelman1, P Seifert, A Groothuis
1Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA 02139, USA. ere@mit.edu
Circulation
|February 7, 2001
概括
内血管支架上的黄金涂层可以提高放射性透明度,但可能会损害血管修复. 用金涂布支架进行热处理会消除不良组织反应,改善生物相容性以获得更好的临床结果.
科学领域:
- 生物材料科学 生物材料科学
- 心血管研究研究心血管研究
- 医疗设备工程 医疗设备工程
背景情况:
- 内血管支架需要功能性修改,如放射性不透涂层.
- 这些修改可能会损害支架生物相容性.
- 了解血管对修改后的支架的反应对于临床成功至关重要.
研究的目的:
- 为了评估血管对金涂尼醇支架 (NIR支架) 的反应.
- 研究黄金涂层厚度和加工对生物相容性的影响.
- 确定减轻黄金涂层支架的不良组织反应的方法.
主要方法:
- 猪冠状动脉被用来评估血管对不钢金涂NIR支架的反应.
- 不同长度 (9和16毫米) 的支架既是裸体的,也可以是金的.
- 研究了不同的黄金涂层应用方法 (标准与稀薄支架) 和后热处理.
主要成果:
- 简单的黄金涂层在28天内加剧了内增生和炎症反应.
- 后的热处理使金涂层表面光滑,消除了不良的组织反应.
- 支架反弹受基本钢和黄金涂层的相对数量及其电阻的影响.
结论:
- 黄金涂层增强了支架的辐射透明度,但影响了血管修复.
- 黄金涂层的物质影响是显著的,可以通过热处理来减轻.
- 如果不解决金涂层的物质和物理影响,临床结果可能会受到损害.
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