STRUCTURAL AND FUNCTIONAL STATE OF POLYMER COATING OF CORONARY STENTS AFTER EFFECTS OF THE ACCELERATED ELECTRONS FLOW
https://doi.org/10.15372/SSMJ20180107
Abstract
The article presents the results of investigation of the electron-beam processing effect by a stream of accelerated electrons on coronary stents with a drug coating. Experiments on the visualization of the polymer coating have been carried out, the parameters of the kinetics of the antiproliferative substance as a function of the radiation dose have been determined. Integrity of the drug-coated stents has been visually assessed by scanning electron microscopy and optical microscopy. The release kinetic have been evaluated by high-performance liquid chromatography method. It has been established that electron beam treatment by the stream of accelerated electrons leads to non-dangerous deformations of the coronary stents drug coating and to the increased yield of antiproliferative substance. Deformation sites of the elution system appear on the surface of the drug-eluting stents after electron-beam treatment by the stream of accelerated electrons at a dose of 1.5 and 3 Mrad. Prolonged diffusion of rapamycin from the treated stent creates concentrations greater than those when used untreated stent and depends on the radiation load in a dose-dependent manner. Stent electron beam treatment by the stream of accelerated electrons provides a high gradient of release of the antiproliferative substance from the elution system, exceeding that without treatment, for 10 days. Comparison of efficiency and safety allows us to consider the technology of electron beam processing as promising for the introduction into coronary stents production.
About the Authors
P. G. Madonov
Novosibirsk State Medical University of Minzdrav of Russia
Russian Federation
M. R. Mashkovtsev
Budker Institute of Nuclear Physics of SB RAS
Russian Federation
S. V. Mishenina
Novosibirsk State Medical University of Minzdrav of Russia
Russian Federation
A. V. Dubrovin
Novosibirsk State Medical University of Minzdrav of Russia
Russian Federation
P. N. Miroshnikov
Novosibirsk State Medical University of Minzdrav of Russia
Russian Federation
K. I. Yershov
Novosibirsk State Medical University of Minzdrav of Russia
Russian Federation
S. V. Pozdnyakova
Novosibirsk State Medical University of Minzdrav of Russia
Russian Federation
References
1. Алекян Б.Г., Григорьян А.М., Стаферов А.В. Рентгенэндоваскулярная диагностика и лечение заболеваний сердца и сосудов в Российской Федерации. М., 2017.
2. Мадонов П.Г., Дубровин А.В., Мирошников П.Н., Мишенина С.В., Ершов К.И., Позднякова С.В. Электронно-лучевая модификация коронарных стентов с лекарственным покрытием // Мед. и образ. в Сибири. 2015. (5). Режим доступа: http://ngmu.ru/cozo/mos/article/text_full.php?id=1923 (дата обращения: 13.10.2016).
3. Маринкин И.О., Мадонов П.Г., Мишенина С.В., Дубровин А.В., Мирошников П.Н., Ершов К.И., Позднякова С.В. Фармакологическая модификация коронарных стентов // Сиб. науч. мед. журн. 2016. 36. (6). 24-28.
4. The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Electronic resource: https://academic.up.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehx393/4095042
For citations:
Madonov P.G.,
Mashkovtsev M.R.,
Mishenina S.V.,
Dubrovin A.V.,
Miroshnikov P.N.,
Yershov K.I.,
Pozdnyakova S.V.
STRUCTURAL AND FUNCTIONAL STATE OF POLYMER COATING OF CORONARY STENTS AFTER EFFECTS OF THE ACCELERATED ELECTRONS FLOW. Сибирский научный медицинский журнал. 2018;38(1):47-52.
(In Russ.)
https://doi.org/10.15372/SSMJ20180107
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