摘要
中风或者脑血管意外是世界上导致死亡的主要原因。随着数字减影血管造影术的可用性,腔间血管成形术在很多情况下已经成为可行,且颅内支架的作用在脑血管疾病治疗中正变得更加重要。在这篇综述中,我们按时间顺序概述了各种支架的发展情况,这些支架分别是气囊扩张支架、自扩张开控支架、自扩张细胞关闭支架和分流支架。我们进一步讨论了它们在支架迁移血栓性栓塞,损害过程中的血管,血管支架狭窄和高灌注损伤方面的优点和缺陷。我们也讨论了在支架设计中原位内皮化,可控制扩展性和血液动力学操作方面的重要性。我们进一步总结了在颅内支架发展中起到重要作用的生物相容性材料,内皮祖细胞捕获技术,生物功能化的磁性纳米粒子和纳米技术领域的进一步发展的地位和需求。
关键词: 生物功能化材料,内皮祖细胞捕获,高灌注损伤,原位内皮化,血管支架狭窄,颅内支架,纳米复合材料,纳米技术,POSS纳米复合材料
Current Medicinal Chemistry
Title:Intracranial Stents Past, Present and the Future Trend: Stents Made with Nano-particle or Nanocomposite Biomaterials
Volume: 21 Issue: 37
Author(s): Junjie Zhao, Deepak Kalaskar, Yasmin Farhatnia, Xiaoxin Bai, Peter E. Bulter and Alexander M. Seifalian
Affiliation:
关键词: 生物功能化材料,内皮祖细胞捕获,高灌注损伤,原位内皮化,血管支架狭窄,颅内支架,纳米复合材料,纳米技术,POSS纳米复合材料
摘要: Stroke or cerebral vascular accidents are among the leading causes of death in the world. With the availability of Digital Subtraction Angiography, transluminal angioplasty has become feasible in many situations and the role of intracranial stents is becoming ever more important in the management of cerebral vascular diseases. In current review, we outline the chronological development of various stents namely; balloon expandable stent, self-expandable open cell stent, self-expandable close cell stent and the flow diverting stent. Further we discuss their advantages and limitations in terms of stent migration, thromboemboli, damage to vessels during procedure, in-stent stenosis and hyper-perfusion damage. We also discuss the importance of in-situ endothelialization, controlled expandability and hemodynamic manipulation in stent design. Further, we summarized the role and need for further development in the areas of bio-compatible materials, endothelial progenitor cell capture technique, bio-functionalized-magnetic-nano-particles and nanotechnology which are significant in intracranial stent development.
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Cite this article as:
Zhao Junjie, Kalaskar Deepak, Farhatnia Yasmin, Bai Xiaoxin, Bulter E. Peter and Seifalian M. Alexander, Intracranial Stents Past, Present and the Future Trend: Stents Made with Nano-particle or Nanocomposite Biomaterials, Current Medicinal Chemistry 2014; 21 (37) . https://dx.doi.org/10.2174/0929867321666140716103550
DOI https://dx.doi.org/10.2174/0929867321666140716103550 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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