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AUXETIC DRUG-ELUTING STENT DESIGN

机译:麻醉药物洗脱支架设计

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摘要

A cardiovascular stent is a cylindrical wire mesh structure that is permanently introduced into an artery during angioplasty (balloon dilatation) to act as a scaffold, thus preventing elastic recoil and/or sudden collapse of the damaged artery. While cardiovascular stents virtually eliminate elastic recoil and/or collapse of the artery, recognition of the stent as a foreign material triggers a human immune system response causing re-closure, or restenosis, of the artery. A recent advancement to counteract restenosis is to employ drug-eluting stents to locally deliver immunosuppressant and antiproliferative drugs. Two aspects of drug-eluting stent design are analytically addressed in this paper. Fick's law of diffusion was used to model the diffusion of immunosuppressant and antiproliferative drugs from the stent into the adjacent arterial tissue. Also, an analytical procedure was developed to estimate the circumferential and the flexural stiffnesses of stents. Furthermore, a unique auxetic (negative Poisson's ratio) stent structure is proposed that exhibits high circumferential strength in its expanded configuration and low flexural rigidity in its crimped configuration.
机译:心血管支架是一种圆柱形的金属丝网结构,在血管成形术(气球扩张)过程中永久地引入到动脉中以充当支架,从而防止了弹性回缩和/或受损动脉的突然塌陷。尽管心血管支架实际上消除了弹性回弹和/或动脉塌陷,但将支架识别为异物会触发人体免疫系统反应,从而导致动脉重新闭合或再狭窄。对抗再狭窄的最新进展是采用药物洗脱支架来局部递送免疫抑制剂和抗增殖药物。本文分析了药物洗脱支架设计的两个方面。使用菲克扩散定律来模拟免疫抑制剂和抗增殖药物从支架向邻近动脉组织的扩散。此外,还开发了一种分析程序来估算支架的圆周刚度和弯曲刚度。此外,提出了一种独特的膨胀(泊松比为负)支架结构,该支架结构在其扩张构造中表现出高周向强度,在其卷曲构造中表现出低抗弯刚度。

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