Summary
The paper discusses application issues of using the metal implants for treatment of the cardiovascular diseases. The analysis of the biophysical conditions of the heart-coronary vessels system has been used to distinguish the tissue environment properties which should be compatible with properties of the metal biomaterial and stent surface. The need to determine the correct quality and service properties of the coronary stents has been indicated, which refer first of all to their design form, physical and chemical properties of the metal biomaterial and its surface. Based on that the Author of the work has proposed his own methodology for forming and controlling the service properties of the stents. It takes into account the required relationships between structure, and mechanical properties of the stent biomaterial, and the physical and chemical properties of its surface - adjusted to the specific features of the cardiovascular system.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Paszenda, Z.: Kształtowanie własności fizykochemicznych stentów wieńcowych ze stali Cr-Ni-Mo do zastosowań w kardiologii zabiegowej. Wydawnictwo Politechniki Śląskiej Gliwice (in Polish) (2005)
Paszenda, Z., Duda, B., Wilczek, P.: Investigation of haemocompatibility of the passive-carbon coatings used for improvement of the coronary stents’ surfaces. Engineering of Biomaterials 26, 3–11 (2003)
Paszenda, Z.: Issues of metal materials used for implants in interventional cardiology. Engineering of Biomaterials 21, 3–9 (2002)
Peng, T., Gibula, P., Yao, K., Goosen, M.: Role of polymers in improving the results of stenting in coronary arteries. Biomaterials 17, 685–694 (1996)
Lahann, J., Klee, D.: Improvement of hemocompatibility of metallic stents by polymer coating. Journal of Materials Science: Materials in Medicine 10, 443–448 (1999)
Verweire, I., Schacht, E., Qiang, B., Wang, K.: Evaluation of fluorinated polymers as coronary stent coating. Journal of Materials Science: Materials in Medicine 11, 207–212 (2000)
Serruys, P., Kutryk, M.: Handbook of coronary stens. Martin Dunitz Ltd (1998)
Jaroszyk, F.: Biofizyka. Wydawnictwo Lekarskie PZWL, Warszawa (in Polish) (2001)
Huang, N., Yang, P., Cheng, X., Leng, Y.: Blood compatibility of amorphous titanium oxide films synthesized by ion beam enhanced deposition. Biomaterials 19, 771–776 (1998)
Chen, J., Leng, Y., Tian, X., Wang, L., Huang, N., Chu, P., Yang, P.: Antithrombotic investigation of surface energy and optical bandgap and haemocompatibility mechanism of titanium oxide thin films. Biomaterials 23, 2545–2552 (2002)
Huang, N., Yang, P., Leng, Y., Chen, J., Sun, H., Wang, J.: Haemocompatibility of titanium oxide films. Biomaterials 24, 2177–2187 (2003)
Colombo, A., Stankovic, G., Moses, J.: Selection of coronary stent. Journal of the American College of Cardiology 6, 1021–1033 (2002)
Marciniak, J., Paszenda, Z., Walke, W., Tyrlik-Held, J.: Stenty w chirurgii małoinwazyjnej. Wydawnictwo Politechniki Śląskiej Gliwice (in Polish) (2006)
Serruys, P., Rensing, B.: Handbook of coronary stents. Martin Dunitz Ltd (2002)
ISO 5832-1, Implants for surgery – Metallic materials – Wrought stainless steel (2007)
EN 12006-3 Non-active surgical implants – Part 3: Intravascular devices (1998)
EN ISO 14630 Non-active surgical implants – General requirements (1997)
Popko, J., Szeparowicz, P., Sajewicz, E., Sidun, J.: Biomechanical evaluation of two cervical spine stabilization systems. Acta of Bioengineering and Biomechanics 4, 72–79 (2002)
Pezowicz, C.: Experimental investigation of cervical spine fixators. Acta of Bioengineering and Biomechanics 3, 3–13 (2001)
Pozowski, A., Będziński, R., Ścigała, K.: Stress distribution in knee after operative correction of its mechanical axix. Acta of Bioengineering and Biomechanics 3, 31–40 (2001)
Migliavacca, F., Petrini, L., Colombo, M.: Mechanical behaviour of coronary stents investigated through the finite element method. Journal of Biomechanics 35, 803–811 (2002)
Chua, S., Mc Donald, B., Hashmi, M.: Finite-element simulation of stent expansion. Journal of Materials Processing Technology 120, 335–340 (2002)
Zhu, H., Warner, J., Gehring, T., Friedman, M.: Comparison of coronary artery dynamics pre- and poststenting. Journal of Biomechanics 36, 689–697 (2003)
Benard, N., Coisne, D., Perrault, R.: Experimental study of laminar blood flow through an artery treated by a stent implantation. Journal of Biomechanics 36, 991–998 (2003)
Walke, W., Paszenda, Z.: Experimental and numerical biomechanical analysis of vascular stent. Journal of Materials Processing Technology 164-165, 1263–1268 (2005)
Sheth, S., Litvak, F., Fishbein, M., Forrester, J., Eigler, N.: Reduced thrombogenicity of polished and unpolished nitinolvs stainless steel slotted-tube stents in a pig coronary artery model. Journal of the American College of Cardiology 27, 197A (1997)
De Scheerder, I., Sohier, J., Wang, K.: Metallic surface treatment using electrochemical polishing decreases thrombogenicity and neointimal hyperplasia after coronary stent implantation in a porcine model. Eurpean Heart Journal 18, 153–156 (1997)
Gunn, J., Cumberland, D.: Stent coatings and local drug delivery. European Heart Journal 20, 1693–1700 (1999)
Verweire, I., Schacht, E., Qiang, B., Wang, K.: Evaluation of fluorinated polymers as coronary stent coating. Journal of Materials Science: Materials in Medicine 11, 207–212 (2000)
Bertrand, O., Sipehia, R., Mongrain, R., Rodes, J., Tardif, J.: Biocompatibility aspects of new stent technology. Journal of the American College of Cardiology 32, 562–571 (1998)
Christensen, K., Larsson, R., Elgue, G., Larsson, A.: Heparin coating of the stent graft – effects on platelets, coagulation and complement activation. Biomaterials 22, 349–355 (2001)
Michenatzis, G.: Comparison of haemocompatibility improvement of four polymeric biomaterials by two heparinization techniques. Biomaterials 24, 677–688 (2003)
Sousa, J., Morice, M., Serruys, P.: The RAVEL study – a randomized study with the sirolimus-coated BX Velocity balloon-expandable stent in the treatment of patients with de novo native coronary artery lesions. The American Heart Association Scientific Sessions, Anaheim, abstract 111305 (2001)
Grube, E., Silber, S., Hauptman, K.: Prospective, randomized, double-blind comparison of NIR stents coated with paclitaxel in a polymer carrier in de novo coronary lesions compared with uncoated controls. The American Heart Association Scientific Sessions, Anaheim, abstract 110945 (2001)
Paszenda, Z., Tyrlik-Held, J., Nawrat, Z., Żak, J., Wilczek, J.: Usefulness of passive-carbon layer for implants applied in interventional cardiology. Journal of Materials Processing Technology 157-158C, 399–404 (2004)
Paszenda, Z., Tyrlik-Held, J., Jurkiewicz, W.: Investigations of antithrombogenic properties of passive-carbon layer. Journal of Achievements in Materials and Manufacturing Engineering 17(1-2), 197–200 (2006)
Author information
Authors and Affiliations
Editor information
Rights and permissions
Copyright information
© 2008 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Paszenda, Z. (2008). Application Problems of Implants Used in Interventional Cardiology. In: Pietka, E., Kawa, J. (eds) Information Technologies in Biomedicine. Advances in Soft Computing, vol 47. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68168-7_2
Download citation
DOI: https://doi.org/10.1007/978-3-540-68168-7_2
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-68167-0
Online ISBN: 978-3-540-68168-7
eBook Packages: EngineeringEngineering (R0)