CN104352293A - Drug eluting stent capable of reducing late thrombosis - Google Patents
Drug eluting stent capable of reducing late thrombosis Download PDFInfo
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- CN104352293A CN104352293A CN201410690060.0A CN201410690060A CN104352293A CN 104352293 A CN104352293 A CN 104352293A CN 201410690060 A CN201410690060 A CN 201410690060A CN 104352293 A CN104352293 A CN 104352293A
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- stent
- restenosis
- medicine
- blood vessel
- drug eluting
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Abstract
An intravascular stent is an effective interventional device for treating cardiovascular hemadostenosis or blockage, and a drug eluting stent is taken as a stent of newest generation, so that the restenosis rate after stent implantation is remarkably reduced, and thus the occurrence rate of stent thrombosis is increased. The reasons are as follows: firstly, a coating medicine of the stent is capable of inhibiting regeneration of vascular smooth muscle and growth of endothelial cells, so that endothelialization of a vascular wall is incomplete and a cell matrix is exposed, and thus blood clotting response is promoted; after stent implantation, regional blood disorder is caused, so that blood clotting response is further promoted, and thus stent thrombosis is caused and a blood vessel in the stent generates restenosis. The drug eluting stent aims at the problems and provides a new intravascular stent provided with perforated design, so that the local turbulence in the stent is reduced and the occurrence rate of thrombus in the blood vessel is reduced under the condition that the strength of the stent is guaranteed, and thus restenosis in the blood vessel is prevented.
Description
Technical field
The present invention relates to a kind of endovascular stent, particularly a kind of bracket for eluting medicament.
Background technology
Cardiovascular disease caused by atherosclerosis is as more and more higher in coronary artery disease incidence rate, becomes one of disease of serious harm human health.The Main Means of this disease of current treatment makes narrow, inaccessible vasodilation through intervention support implanted prosthetics, lead to.Support, as the tube of support blood vessels, completely solves the restenosis caused by post-surgical vascular elastical retraction, makes postoperative restenosis rate obviously reduce about 20% ~ 30%.In addition, the advantages such as it also has, and curative effect is high, wound is little, risk is low, few intercurrent disease, hospital stays are short, become the preferred option of such disease for the treatment of at present.Bare bracket is placed and vascular smooth muscle cell can be caused to produce certain hypertrophy to the stimulation of blood vessel, can cause the again inaccessible of blood vessel (especially small-diameter intravascular), force patient's second operation, add patient's misery and family burden.In order to solve the restenosis that proliferation of smooth muscle causes, people design propagation and the migration that coating stent of medicine can suppress smooth muscle, but also suppress the propagation of endotheliocyte simultaneously, postpone vessel endothelialisation, postpone the normal healing of blood vessel.Endothelialization is incomplete, and extracellular matrix is highly exposed and can activate Coagulation test, forms thrombosis, and thrombosis assembles in bulk can cause Restenosis again.Data statistics shows, the curative effect of implantation of drug-eluting stent restenosis is better than bare metal stent, but thrombus in vivo incidence rate significantly increases.Bracket for eluting medicament still remains the vascular restenosis rate of 15% to 20% after implanting, wherein thrombosis is the key factor causing restenosis, and therefore, the thrombosis in bracket for eluting medicament is significant problem urgently to be resolved hurrily.
In order to solve the thrombosis problem of bracket for eluting medicament, adopting postoperative use anticoagulant clinically, reducing thrombosis, but can not fundamentally solve.Along with hemodynamic development, research shows, high local flow velocities and the high boundary shear stress of close blood vessel wall can make thrombin secreting rate reduce, and the secreting rate of anticoagulant, thrombolytic agent etc. is increased; Meanwhile, the design of scaffolding thread, the structure of support are again the keys affecting regional flow.Therefore, design a bracket for eluting medicament, the Hydrodynamic character of local can be optimized, improve flow velocity and the boundary shear stress of local in support, thus reduce thrombosis.
Summary of the invention
The present invention is directed to bracket for eluting medicament and implant the rear thrombotic problem of long-term existence, a kind of new intravascular drug FirebirdTM is proposed, the hemodynamic responses that implant frame is caused reduces, thus the thrombotic probability of promotion is reduced, thus prevents the generation of stent restenosis.
In order to solve above-mentioned hemodynamic responses problem, the present invention is achieved by the following technical solutions: a kind of novel endovascular stent, and the cross section of this scaffolding thread is a kind of profile design of perforation.This design inspiration comes from after dam opens a sluice gate and draws out some water, and the water velocity in downstream can be made to raise, and the earth of downstream siltation breaks up and then illustrates that boundary shear stress increases.
Ensureing that scaffolding thread itself can not occur because of under perforated design causes the prerequisite ruptured, the perforation size of described endovascular stent can be the arbitrary value lower than maximum upper limit, and perforation shape can be arbitrary shape, such as circular, oval, square.
The weaving manner of described endovascular stent or shape can adopt weaving manner or the shape of any one existing intravascular stent.
Described endovascular stent can be metal rack also can be coating stent of medicine.
Pass through technique scheme, compared with commercial racks, the Hemodynamic response after stenter to implant blood vessel can be optimized, the blood flow rate of the forward and backward regional area of scaffolding thread is raised relatively, boundary shear stress increases relatively, thus reduce the thrombotic factor of promotion, reach the object preventing Restenosis.
Accompanying drawing illustrates:
Fig. 1 is front view of the present invention and partial enlarged drawing;
Fig. 2 is 3D rotary stereo figure of the present invention.
Detailed description of the invention:
Specific embodiment of the invention scheme is described as follows:
As shown in Figure 1, coating stent of medicine 1 disclosed by the invention has the shape of intravascular stent, and it is made up of two large divisions: holder part and perforated design part.Wherein holder part can be metal rack or biodegradable stent, the weaving method of published intravascular stent or shape before its weaving method or shape can adopt.
Claims (5)
1. ensure scaffolding thread itself can not occur because of perforated design cause rupture prerequisite under, the perforation size of described intravascular drug FirebirdTM can be the arbitrary value lower than maximum upper limit, and perforation shape can be arbitrary shape, such as circular, oval, square.
2. coating stent of medicine according to claim 1, is characterized in that, the holder part of described coating stent of medicine can be metal rack also can be degradation material support.
3. coating stent of medicine according to claim 1, is characterized in that, described medication coat forms by polymer with by the ingredient of polymer overmold.
4. coating stent of medicine according to claim 1, is characterized in that, the ingredient of described medication coat is the combination of a class in statins, rapamycin class, taxanes, heparin class medicine or 2-4 class.
5. coating stent of medicine according to claim 1, is characterized in that, the weaving method of published intravascular stent or shape before the weaving method of described coating stent of medicine or shape can adopt.
Priority Applications (1)
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CN201410690060.0A CN104352293A (en) | 2014-11-25 | 2014-11-25 | Drug eluting stent capable of reducing late thrombosis |
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CN201410690060.0A CN104352293A (en) | 2014-11-25 | 2014-11-25 | Drug eluting stent capable of reducing late thrombosis |
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CN104352293A true CN104352293A (en) | 2015-02-18 |
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CN201410690060.0A Pending CN104352293A (en) | 2014-11-25 | 2014-11-25 | Drug eluting stent capable of reducing late thrombosis |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109330753A (en) * | 2018-08-20 | 2019-02-15 | 江苏大学 | A kind of carried stent improving blood circulation |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20010032011A1 (en) * | 1999-07-20 | 2001-10-18 | Stanford Ulf Harry | Expandable stent with array of relief cuts |
CN2503865Y (en) * | 2001-08-01 | 2002-08-07 | 蒲忠杰 | Medicine released support |
CN1709210A (en) * | 2005-07-08 | 2005-12-21 | 东南大学 | Microporous structure blood vessel stent |
CN200970281Y (en) * | 2006-08-28 | 2007-11-07 | 北京乐普医疗器械有限公司 | Medicine storage and medicine releasing structure for medicinal elution device |
CN101273926A (en) * | 2007-03-28 | 2008-10-01 | 科迪斯公司 | Short term sustained drug-delivery system for implantable medical devices and method of making the same |
-
2014
- 2014-11-25 CN CN201410690060.0A patent/CN104352293A/en active Pending
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20010032011A1 (en) * | 1999-07-20 | 2001-10-18 | Stanford Ulf Harry | Expandable stent with array of relief cuts |
CN2503865Y (en) * | 2001-08-01 | 2002-08-07 | 蒲忠杰 | Medicine released support |
CN1709210A (en) * | 2005-07-08 | 2005-12-21 | 东南大学 | Microporous structure blood vessel stent |
CN200970281Y (en) * | 2006-08-28 | 2007-11-07 | 北京乐普医疗器械有限公司 | Medicine storage and medicine releasing structure for medicinal elution device |
CN101273926A (en) * | 2007-03-28 | 2008-10-01 | 科迪斯公司 | Short term sustained drug-delivery system for implantable medical devices and method of making the same |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109330753A (en) * | 2018-08-20 | 2019-02-15 | 江苏大学 | A kind of carried stent improving blood circulation |
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Application publication date: 20150218 |