Maglev-fabricated long and biodegradable stent for interventional treatment of peripheral vessels

IF 14.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES
Wanqian Zhang, Xian Gao, Hongjie Zhang, Guoyi Sun, Gui Zhang, Xin Li, Haiping Qi, Jingzhen Guo, Li Qin, Daokun Shi, Xiaoli Shi, Haifeng Li, Deyuan Zhang, Wei Guo, Jiandong Ding
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Abstract

While chronic limb-threatening ischemia is a serious peripheral artery disease, the lack of an appropriate stent significantly limits the potential of interventional treatment. In spite of much progress in coronary stents, little is towards peripheral stents, which are expected to be both long and biodegradable and thus require a breakthrough in core techniques. Herein, we develop a long and biodegradable stent with a length of up to 118 mm based on a metal-polymer composite material. To achieve a well-prepared homogeneous coating on a long stent during ultrasonic spraying, a magnetic levitation is employed. In vivo degradation of the stent is investigated in rabbit abdominal aorta/iliac arteries, and its preclinical safety is evaluated in canine infrapopliteal arteries. First-in-man implantation of the stent is carried out in the below-the-knee artery. The 13 months’ follow-ups demonstrate the feasibility of the long and biodegradable stent in clinical applications.

Abstract Image

用于外周血管介入治疗的磁悬浮长型可降解支架
威胁肢体的慢性缺血是一种严重的外周动脉疾病,但由于缺乏合适的支架,大大限制了介入治疗的潜力。尽管在冠状动脉支架方面取得了很大进展,但在外周支架方面却鲜有进展,而外周支架预计既长又可生物降解,因此需要在核心技术上有所突破。在此,我们开发了一种基于金属聚合物复合材料的长达 118 毫米的可生物降解支架。为了在超声波喷涂过程中实现长支架上的均匀涂层,我们采用了磁悬浮技术。在兔子腹主动脉/髂动脉中对支架的体内降解进行了研究,并在犬髂下动脉中对其临床前安全性进行了评估。首次在人体膝下动脉植入支架。13 个月的随访结果表明,这种可生物降解的长支架在临床应用中是可行的。
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来源期刊
Nature Communications
Nature Communications Biological Science Disciplines-
CiteScore
24.90
自引率
2.40%
发文量
6928
审稿时长
3.7 months
期刊介绍: Nature Communications, an open-access journal, publishes high-quality research spanning all areas of the natural sciences. Papers featured in the journal showcase significant advances relevant to specialists in each respective field. With a 2-year impact factor of 16.6 (2022) and a median time of 8 days from submission to the first editorial decision, Nature Communications is committed to rapid dissemination of research findings. As a multidisciplinary journal, it welcomes contributions from biological, health, physical, chemical, Earth, social, mathematical, applied, and engineering sciences, aiming to highlight important breakthroughs within each domain.
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