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国产钛镍合金血管支架的生物相容性研究

  来源:120online      日期:2007-05-09
生物医学工程学杂志1999年第2期第16卷论著作者:童 健 苏鸿熙 李功宋 朱朗标 郭锦芳 成玉英单位:(童健)第一军医大学珠江医院胸外科,广州 510282;(苏鸿熙李功宋朱朗标)解放军总医院心血管外科,北京;(郭锦燕成玉英)北京有色金属研究总院,北京关键词:钛镍记忆合金;血管支架;生物相容性...

  摘要 采用国产钛镍形状记忆合金制成4 mm内径的血管支架,通过导管置入8只正常犬的双侧髂动脉。观察1~6个月,发现支架表面为一层新生内膜覆盖,光镜及电镜观察新生内膜表层为血管内皮样细胞。国产钛镍合金血管支架有很好的生物相容性。

The Biocompatibility of Chinese Nitinol Alloy Intravascular Stent

  Tong Jian Su Hongxi Li Gongsong

  Department of Cardio-thoracic Surgery, Zhujiang Hospital,First Military Medical University,Guangzhou 510282

  Department of Cardiovascular Surgery, PLA General Hospital, Beijing

  Abstract The aim of this study was to evaluate the biocompatibility of Chinese nitinol alloy intravascular stent. Sixteen Chinese nitinol alloy intravascular stents with 4mm ID were implanted in the left and right iliac arteries of 8 normal dogs and were observed for one to six months. The results showed that the stents implanted were completely covered by a thin layer of the neointima after one month and the surface of neointima was covered by a monolayer of endothelium-like cells.These suggest that the Chinese nitinol alloy has very good biocompatibility.

  Key words Nitinol alloy  Intravascular stent  Biocompatibility

  近年国外学者应用不锈钢丝制作成血管内支架,预防和治疗经皮血管腔内成形术(PTA)和经皮冠状动脉腔内成形术(PTCA)后的急性闭塞及再狭窄,取得了满意的疗效[1,2]。但该成形支架及导管装置价格昂贵。本实验采用国产钛镍形状记忆合金丝制作成血管腔内支架,通过自制导管装置,将其置入正常犬的双侧髂动脉,以观察国产钛镍合金血管内支架的生物相容性,为过渡到临床应用提供实验依据。

  1 材料和方法

  钛镍合金血管腔内支架由北京有色金属研究总院提供,其规格为钛44.4 wt%,镍55.6 wt%,相变温度35~40 ℃,钛镍丝径为0.28 mm,支架内径为4 mm,长5 mm,密螺距。自制导管装置由外鞘为8F动脉穿刺扩张器和内置的5F心导管组成。实验动物选用12~21 kg的健康杂种犬8只。

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