Abstract

“Cable-tie” type biodegradable stents with drug-eluting nanofiber were developed to treat rabbit denuded arteries in this study. Biodegradable stents were fabricated using poly-L-lactide film following being cut and rolled into a cable-tie type stent. Additionally, drug-eluting biodegradable nanofiber tubes were electrospun from a solution containing poly (lactic-co-glycolic acid), rapamycin, and hexafluoroisopropanol, and then mounted onto the stents. The fabricated rapamycin-eluting cable-tie stents exhibited excellent mechanical properties on evaluation of compression test and collapse pressure, and less than 8% weight loss following being immersed in phosphate-buffered saline for 16 weeks. Furthermore, the biodegradable stents delivered high rapamycin concentrations for over 4 weeks and achieved substantial reductions in intimal hyperplasia associated with elevated heme oxygenase-1 and calponin level on the denuded rabbit arteries during 6 months of follow-up. The drug-eluting cable-tie type stents developed in this study might have high potential impacts for the local drug delivery to treat various vascular diseases.

Highlights

  • Since the first biodegradable stent[9] in the 1990s, attempts have been made to develop such stents for cardiovascular applications[10,11,12]

  • The biodegradable rapamycin-eluting stent that we developed in this study is designed to be expanded by a balloon, and has a self-locking characteristic which can avoid stent recoil resulted from polymer properties and the external pressure of the arteries

  • The experimental results of this study indicated that the biodegradable stents could release an effective and high concentration of rapamycin for over 4 weeks

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Summary

Introduction

Since the first biodegradable stent[9] in the 1990s, attempts have been made to develop such stents for cardiovascular applications[10,11,12]. Clinical trials show that those with a biodegradable vascular scaffold have a greater incidence of incomplete strut apposition and tissue prolapse area. Edge dissection and stent strut fracture may occur, leading to acute stent thrombosis and even death. Hybrid biocompatible nanofiber drug-eluting polymers on BMS and biodegradable-polymer stents have been developed for the application of drugs to repair denuded arteries[20,21,22]. A cable-tie poly-L-lactide (PLLA) stent loaded with rapamycin-eluting poly (lactic-co-glycolic acid) (PLGA) nanofibers was developed to treat denuded rabbit arteries

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