Abstract
Objectives: Implantation of bare metal stents has therapeutic limitations, such as the permanent nature and the thrombogenicity. This has lead to the development of bioabsorbable polymer stents. With regard to the material, the stent design is a highly important factor for mechanical performance. Hence, in this study we examined the influence of the stent design on the mechanical properties of the entire stent. Materials/Methods: Three different designs were created as two dimensional stent outer shells with the CAD software Pro/Engineer Wildfire 3.0, Parametric Technology Corporation, Needham, USA. The stent outer shell was the basis for the three dimensional modeling with the preprocessor Patran, MSC Software Corporation, Santa Ana, CA, USA. For the nonlinear finite-element-analysis stent expansion, recoil and the pressure of the vessel were defined in separate load cases. Abaqus, Dassault Systemes, Providence, RI, USA, was used as processor and postprocessor. Three designs with the most promising results in terms of mechanical properties were used for manufacturing prototypes were investigated regarding recoil and radial strength. Stents were with from polymer tubes of a poly-(L-lactid) based polymer blend with an inner diameter of 1.4 mm and a wall thickness of 0.15 mm, for prototype manufacturing. Results: In the finite-element-analysis the recoil of Design A, B and C was 2.18%, 4.26%, and 2.82% and the collapse pressure was 0.81 bar, 0.66 bar, and 0.52 bar, respectively. In vitro testing yielded recoil values for Design A, B and C of: 2.09±0.11%, 2.14±0.25%, and 2.15±0.21%. The collapse pressure was 0.40±0.03 bar, 0.34±0.06 bar, and 0.44±0.04 bar, respectively. Conclusion: The differences of the results may be found in the elasto-plastic defined material properties. In next steps the finite-element-model will be further improved as a tool to reduce the need for experimental investigations during the development of polymer stents.
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References
Morice MC, Serruys PW, Sousa JE, et al. (2002) A randomized comparison of a sirolimus-eluting stent with a standard stent for coronary revascularization. N Engl J Med 346:1773–1780
Moses JW, Leon MB, Popma JJ, et al. (2003) Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N Engl J Med 349:1315–1323
Heublein B, Rohde R, Kaese V, et al. (2003) Biocorrosion of magnesium alloys: a new principle in cardiovascular implant technology? Heart 89:651–656
Peuster M, Wohlsein P, Brugmann M, et al. (2001) A novel approach to temporary stenting: degradable cardiovascular stents produced from corrodible metal-results 6–18 months after implantation into New Zealand white rabbits. Heart 86:563–569
Stack RS, Califf RM, Phillips HR, et al. (1988) Interventional cardiac catheterization at Duke Medical Center. Am J Cardiol 62:3F–24F
Colombo A, Karvouni E. (2000) Biodegradable stents: “fulfilling the mission and stepping away”. Circulation 102:371–373
Tamai H, Igaki K, Kyo E, et al. (2000) Initial and 6-month results of biodegradable poly-l-lactic acid coronary stents in humans. Circulation 102:399–404
Ormiston JA, Webster MW, Armstrong G. (2007) First-in-human implantation of a fully bioabsorbable drug-eluting stent: the BVS poly-L-lactic acid everolimus-eluting coronary stent. Catheter Cardiovasc Interv 69:128–131
Tanimoto S, Serruys PW, Thuesen L, et al. (2007) Comparison of in vivo acute stent recoil between the bioabsorbable everolimus-eluting coronary stent and the everolimus-eluting cobalt chromium coronary stent: insights from the ABSORB and SPIRIT trials. Catheter Cardiovasc Interv 70:515–523
Venkatraman S, Poh TL, Vinalia T, et al. (2003) Collapse pressures of biodegradable stents. Biomaterials 24:2105–2111
Venkatraman SS, Tan LP, Joso JF, et al. (2006) Biodegradable stents with elastic memory. Biomaterials 27:1573–1578
Vogt F, Stein A, Rettemeier G, et al. (2004) Long-term assessment of a novel biodegradable paclitaxel-eluting coronary polylactide stent. Eur Heart J 25:1330–1340
Zilberman M, Eberhart RC. (2006) Drug-eluting bioresorbable stents for various applications. Ann Rev Biomed Eng 8:153–180
Zilberman M, Nelson KD, Eberhart RC. (2005) Mechanical properties and in vitro degradation of bioresorbable fibers and expandable fiber-based stents. J Biomed Mater Res B Appl Biomater 74:792–799
Bunger CM, Grabow N, Sternberg K, et al. (2007) A biodegradable stent based on poly(L-lactide) and poly(4-hydroxybutyrate) for peripheral vascular application: preliminary experience in the pig. J Endovasc Ther 14:725–733
Bunger CM, Grabow N, Sternberg K, et al. (2007) Sirolimus-eluting biodegradable poly-L-lactide stent for peripheral vascular application: a preliminary study in porcine carotid arteries. J Surg Res 139:77–82
Grabow N, Bunger CM, Schultze C, et al. (2007) A biodegradable slotted tube stent based on poly(L-lactide) and poly(4-hydroxybutyrate) for rapid balloon-expansion. Ann Biomed Eng 35:2031–2038
Schmidt W Schmitz KP. A guide to excellence. In Mastering of Endovascular Techniques. Edited by Lanzer P: Lippincott William & Wilkins; Philadelphia 2006: 114–135
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Schultze, C., Grabow, N., Martin, H., Schmitz, KP. (2009). Finite-element-analysis and in vitro study of bioabsorbable polymer stent designs. In: Vander Sloten, J., Verdonck, P., Nyssen, M., Haueisen, J. (eds) 4th European Conference of the International Federation for Medical and Biological Engineering. IFMBE Proceedings, vol 22. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-89208-3_520
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DOI: https://doi.org/10.1007/978-3-540-89208-3_520
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