Vascular response towards biodegradable sirolimus-eluting polymeric scaffolds in the porcine model

In this study, PLLA-based sirolimus-eluting polymer scaffolds and permanent bare-metal stents (316L) were implanted interventionally into both common carotid arteries (CCA) of 6 female pigs via the left common iliac artery (8F-sheath). The pigs were administered dual antiplatelet drugs peroral start...

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Main Authors: Kischkel Sabine, Bünger Carsten M., Püschel Anja, Schareck Wolfgang, Schmitz Klaus-Peter, Grabow Niels
Format: Article
Language:English
Published: De Gruyter 2018-09-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2018-0111
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author Kischkel Sabine
Bünger Carsten M.
Püschel Anja
Schareck Wolfgang
Schmitz Klaus-Peter
Grabow Niels
author_facet Kischkel Sabine
Bünger Carsten M.
Püschel Anja
Schareck Wolfgang
Schmitz Klaus-Peter
Grabow Niels
author_sort Kischkel Sabine
collection DOAJ
description In this study, PLLA-based sirolimus-eluting polymer scaffolds and permanent bare-metal stents (316L) were implanted interventionally into both common carotid arteries (CCA) of 6 female pigs via the left common iliac artery (8F-sheath). The pigs were administered dual antiplatelet drugs peroral starting 3 days before the procedure until the end of the study. Stented CCA segments were explanted after 12 weeks, and processed for quantitative histomorphometry, and estimation of vascular inflammation and injury scores. SIR/polymer scaffolds showed a decreased residual lumen area and higher restenosis after 12 weeks (4.45 ± 2.23 mm² and 61.68 ± 22.39%) as compared to the 316L reference stent (16.53 ± 1.23 mm² and 6.65 ± 1.30%). After 12 weeks, inflammation score and vascular injury score were higher in the SIR/polymer group (1.90 ± 1.15 and 1.26 ± 0.87) compared to the 316L group (0.57 ± 0.37 and 0.83 ± 0.34).
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spelling doaj.art-27a255025ed042d08deaf63523dcd9b82022-12-22T03:55:43ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042018-09-014146546710.1515/cdbme-2018-0111cdbme-2018-0111Vascular response towards biodegradable sirolimus-eluting polymeric scaffolds in the porcine modelKischkel Sabine0Bünger Carsten M.1Püschel Anja2Schareck Wolfgang3Schmitz Klaus-Peter4Grabow Niels5Department of General, Thoracic, Vascular and Transplantation Surgery, Rostock University Medical Center,Rostock, GermanyDepartment of General, Thoracic, Vascular and Transplantation Surgery, Rostock University Medical Center,Rostock, GermanyDepartment of General, Thoracic, Vascular and Transplantation Surgery, Rostock University Medical Center,Rostock, GermanyDepartment of General, Thoracic, Vascular and Transplantation Surgery, Rostock University Medical Center,Rostock, GermanyInstitute for Biomedical Engineering, Rostock University Medical Center,Rostock, GermanyInstitute for Biomedical Engineering, Rostock University Medical Center,Rostock, GermanyIn this study, PLLA-based sirolimus-eluting polymer scaffolds and permanent bare-metal stents (316L) were implanted interventionally into both common carotid arteries (CCA) of 6 female pigs via the left common iliac artery (8F-sheath). The pigs were administered dual antiplatelet drugs peroral starting 3 days before the procedure until the end of the study. Stented CCA segments were explanted after 12 weeks, and processed for quantitative histomorphometry, and estimation of vascular inflammation and injury scores. SIR/polymer scaffolds showed a decreased residual lumen area and higher restenosis after 12 weeks (4.45 ± 2.23 mm² and 61.68 ± 22.39%) as compared to the 316L reference stent (16.53 ± 1.23 mm² and 6.65 ± 1.30%). After 12 weeks, inflammation score and vascular injury score were higher in the SIR/polymer group (1.90 ± 1.15 and 1.26 ± 0.87) compared to the 316L group (0.57 ± 0.37 and 0.83 ± 0.34).https://doi.org/10.1515/cdbme-2018-0111biodegradable polymeric scaffolddrugexperimental pig studycarotid artery stenting
spellingShingle Kischkel Sabine
Bünger Carsten M.
Püschel Anja
Schareck Wolfgang
Schmitz Klaus-Peter
Grabow Niels
Vascular response towards biodegradable sirolimus-eluting polymeric scaffolds in the porcine model
Current Directions in Biomedical Engineering
biodegradable polymeric scaffold
drug
experimental pig study
carotid artery stenting
title Vascular response towards biodegradable sirolimus-eluting polymeric scaffolds in the porcine model
title_full Vascular response towards biodegradable sirolimus-eluting polymeric scaffolds in the porcine model
title_fullStr Vascular response towards biodegradable sirolimus-eluting polymeric scaffolds in the porcine model
title_full_unstemmed Vascular response towards biodegradable sirolimus-eluting polymeric scaffolds in the porcine model
title_short Vascular response towards biodegradable sirolimus-eluting polymeric scaffolds in the porcine model
title_sort vascular response towards biodegradable sirolimus eluting polymeric scaffolds in the porcine model
topic biodegradable polymeric scaffold
drug
experimental pig study
carotid artery stenting
url https://doi.org/10.1515/cdbme-2018-0111
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AT puschelanja vascularresponsetowardsbiodegradablesirolimuselutingpolymericscaffoldsintheporcinemodel
AT schareckwolfgang vascularresponsetowardsbiodegradablesirolimuselutingpolymericscaffoldsintheporcinemodel
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