Abstract:
:Lung cancer patients often suffer from severe airway stenosis, the symptoms of which can be relieved by the implantation of stents. Different respiratory stents are commercially available, but the impact of their mechanical performance on tissue responses is not well understood. Two novel laser-cut and hand-braided nitinol stents, partially covered with polycarbonate urethane, were bench tested and implanted in Rhön sheep for 6 weeks. Bench testing highlighted differences in mechanical behavior: the laser-cut stent showed little foreshortening when crimped to a target diameter of 7.5 mm, whereas the braided stent elongated by more than 50%. Testing also revealed that the laser-cut stent generally exerted higher radial resistive and chronic outward forces than the braided stent, but the latter produced significantly higher radial resistive forces at diameters below 9 mm. No migration was observed for either stent type in vivo. In terms of granulation, most stents exerted a low to medium tissue response with only minimal formation of granulation tissue. We have developed a mechanical and in vivo framework to compare the behavior of different stent designs in a large animal model, providing data, which may be employed to improve current stent designs and to achieve better treatment options for lung cancer patients.
journal_name
Ann Biomed Engjournal_title
Annals of biomedical engineeringauthors
Thiebes AL,McGrath DJ,Kelly N,Sweeney CA,Kurtenbach K,Gesché VN,Clauser J,O'Brien B,Bruzzi M,McHugh PE,Jockenhoevel S,Cornelissen CGdoi
10.1007/s10439-019-02278-1subject
Has Abstractpub_date
2019-08-01 00:00:00pages
1738-1747issue
8eissn
0090-6964issn
1573-9686pii
10.1007/s10439-019-02278-1journal_volume
47pub_type
杂志文章abstract::A computer-based feedback system has been developed to adjust the concentration of oxygen in the inspired gas of a patient under artificial respiration. The system uses a proportional plus integral controller and feedback of arterial oxygen saturation to adjust the inspired oxygen fraction. The effectiveness of the co...
journal_title:Annals of biomedical engineering
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journal_title:Annals of biomedical engineering
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journal_title:Annals of biomedical engineering
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