Premium
Poly‐Lactic‐Acid for coating of endovascular stents: preliminary results in canine experimental av‐fistulae
Author(s) -
Schellhammer F.,
Schumacher M.,
Berlis A.,
Bloss H. G.,
Pagenstecher A.
Publication year - 2001
Publication title -
materialwissenschaft und werkstofftechnik
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.285
H-Index - 38
eISSN - 1521-4052
pISSN - 0933-5137
DOI - 10.1002/1521-4052(200102)32:2<193::aid-mawe193>3.0.co;2-#
Subject(s) - coating , lactic acid , materials science , biomedical engineering , composite material , engineering , geology , paleontology , bacteria
Poly‐Lactic‐Acid (PLA) was evaluated for coating of vascular endoprostheses in the treatment of experimental arterio‐venous‐fistulae (AVF). Bilateral carotid – external jugular AVF were created in 5 adult dogs. 7 PLA coated nitinol stents were placed via a transfemoral approach covering 5 AVF. The contralateral AVF remained untreated. Angiography was performed immediately after stent placement, at weeks 1 and 3 and at months 3, 6 and 9. All grafts were removed and underwent histologic examination. In 2 cases the occlusion of the AVF was successful, while misplacement occurred in 3 cases. Occlusion of the parent vessel was disclosed in 3 cases. Histologic examination revealed a mild inflammatory reaction with the presence of macrophages. There was no foreign‐body reaction or fragmentation of the arterial vessel wall. PLA, which is a well‐known biodegradable material, showed a good mid‐term biocompatibility. Elastic mismatch of the non‐elastic coating and the self‐expandable nitinol stent caused misplacement. Frequent vessel‐occlusions were probably due to PLA‐filaments fraying into the vessel lumen. Using a different textile structure PLA might be a material suitable for coating endovascular stents.