药物洗脱支架在弯曲动脉中药物沉积量的数值分析
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国家自然科学基金资助项目(10872138)


Numerical analysis on drug deposition from drug eluting stents in curved artery
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    摘要:

    目的 分析弯曲动脉中药物洗脱支架间距和药物释放位置对血管壁内药物沉积量的影响。方法 采用二维弯曲血管和支架模型,对单一支架筋不同表面载药和不同支架间距(1、3和7倍支架筋宽)下血管壁内药物沉积量进行数值研究,并将计算结果与直管中情况进行比较。结果 药物从单一支架筋4个不同表面所产生的药物沉积量有较大差异,与直管相比,顶面的绝对优势在弯管中被减弱,近端的弱势在弯管中有大幅提高,远端变化不大。随着支架筋间距的增大,沉积量平均值增大,但变化幅度不如直管中剧烈。弯管内外侧形成沉积量差,外侧比内侧小很多。结论 局部流场的改变,药物从支架筋表面洗脱的位置以及多个支架筋的间距对弯曲血管中的药物沉积量有显著影响,且影响结果与直管中明显不同。

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    Objective To investigate the influence of the location of drug release and the stent spacing on drug deposition in curved artery walls. Method 2D curved artery and strut models were employed to carry out a numerical investigation on drug deposition under different drug release surfaces or stent spacing ( 1 strut length, 3 strut lengths, 7 strut lengths ). The results were compared with those in a straight artery. Results The drug depositions produced by four different surfaces of a single strut were quite different. Compared with the curved artery, the superiority of drug release from the top surface of the straight artery was reduced, while the weakness of drug release from proximal surface was substantially increased. There was no significant change for drug release from the distal surface. The average drug concentration increased with interstrut spacing increasing, but the percentage increase was less than that in the straight artery. Concentration differences were observed between the inside and outside of the curved artery, which on the outside showed much lower. Conclusions The local flow alteration, the drug release location and the stent spacing have significant effects on drug deposition in a curved artery and the result is obviously different from that in a straight artery.

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董瑞琪,蒋文涛,郑庭辉,晏菲,樊瑜波.药物洗脱支架在弯曲动脉中药物沉积量的数值分析[J].医用生物力学,2011,26(1):13-17

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  • 收稿日期:2010-11-15
  • 最后修改日期:2010-12-19
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