Biomedical Material for Stent Application: Current Status and Future Challenges

I. Sukmana, Arifo Gunawan Chyanegoro, Agus Sugiri
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Abstract

Cardiovascular disease is the leading cause of death worldwide. Arterial stenting as a transluminal angioplasty procedure allows re-opening of narrowed vessels and restoring normal blood flow with stent placement. The development of stents ed at the end of 19 century with bare-metal stents (BMS). Now, it has been based on the application of biodegradable or natural decomposed and coated stents. The coated stent has been found to improve BMS properties in terms of biocompatibility, cytotoxicity, and better mechanical and biophysical properties. Also, a biodegradable stent may support the blood micro-vessel during the estimated period of time before downgraded constituents. The biodegradable stent also allows a reinsertion for several months to improve the vessel wall's quality. This paper describes the possible materials for stents and their properties such as design criteria, degradation behavior, disadvantages, and advantages with clinical and preclinical trials to date. Stent degradation allows reinsertion of the stent after several months and improves the vessel wall quality. This paper focuses on developing materials for stents, which describe the possible materials for stents and their properties. Furthermore, the current clinical trial of the new proposed stent will also be highlighted.
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用于支架应用的生物医学材料:现状和未来挑战
心血管疾病是世界范围内导致死亡的主要原因。动脉支架置入术作为一种腔内血管成形术,可以重新打开狭窄的血管,并通过支架置入术恢复正常的血流。支架的发展始于19世纪末裸金属支架(bare metal stent, BMS)。目前已以生物可降解或自然分解涂层支架的应用为主。涂层支架在生物相容性、细胞毒性以及更好的机械和生物物理性能方面改善了BMS的性能。此外,生物可降解支架可以在降级成分之前的估计时间内支持血管。这种可生物降解的支架还允许重新插入几个月,以改善血管壁的质量。本文介绍了可能用于支架的材料及其特性,如设计标准,降解行为,缺点,以及迄今为止临床和临床前试验的优势。支架降解后,可以在几个月后重新插入支架,并改善血管壁质量。本文重点介绍了支架材料的发展,介绍了可能的支架材料及其性能。此外,新支架的临床试验也将被强调。
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