The Development of a Magnesium Biodegradable Stent: Design, Analysis, Fabrication, and In-vivo Test

Main Article Content

Chenhao Xu Zhangzhang Yin Prabir Roy-Chaudhury Begona Campos-Naciff Guangfeng Hou Mark Schulz

Abstract

Stents are widely used as scaffolding to open up blood vessel stenosis. A stent can provide early stage scaffolding, increase blood flow, and optimize hemodynamics. Stainless steel is the most popular material for conventional stents, and it has excellent mechanical behavior during deformation. On the downside, stents made of stainless steel remain in the body permanently and may cause complications or lead to occlusion of the vessel. Biodegradable stents that eventually dissolve and disappear in the body are being developed to overcome these shortcomings. However, biodegradable materials such as magnesium alloys are relatively brittle and cannot deform as much as stainless steel. A proper geometry for the stent that allows large displacement and plastic deformation is necessary and required. In this paper, a balloon-expandable design of magnesium AZ31 alloy venous stent is proposed and evaluated. Computational analysis using finite element analysis (FEA) tools simulated the expansion and recoiling process. The stent was expanded from 6.0 mm to 10.0 mm in the radial direction with the expansion ratio of 1.67. Strain and stress distributions, structural stiffness, and radial strength were studied. The maximum stress did not exceed the ultimate tensile strength (in the plastic region) of the stent material, and the maximum strain was 64% of the elongation. The stent design was then fabricated with methods of electro-discharge machining (EDM), laser machining, and electro-polishing. Lastly, these prototyped stents were prepared for future in-vivo experiment in animal models. 

Keywords: biodegradable stent, magnesium, finite element analysis

Article Details

How to Cite
XU, Chenhao et al. The Development of a Magnesium Biodegradable Stent: Design, Analysis, Fabrication, and In-vivo Test. Medical Research Archives, [S.l.], v. 8, n. 9, sep. 2020. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2237>. Date accessed: 22 dec. 2024. doi: https://doi.org/10.18103/mra.v8i9.2237.
Section
Research Articles

References

1. Gruentzig AR. Percutaneous transluminal coronary angioplasty. Semin Roentgentol. 1981; 16: 152-3.
2. Gay M, Zhang L, Liu WK. Stent modeling using immersed finite element method. Comput. Methods Appl. Mech. Eng. 2006; 195: 4358-4370.
3. Waksman R, Pakala R. Biodegradable and bioabsorbable stent. Cardiovascular research institute. Current Pharmaceutical Design. 2010, 16, 4041-4051.
4. Mintz GS, Popma JJ, Pichard AD, et al. Arterial remodeling after coronary angioplasty: A serial intravascular ultrasound study. Circulation. 1996 Jul 1; 94(1): 35-43.
5. Zahora J, Bezrouk A, Hanus J. Models of stent – comparison and applications. Physiol. Res. 56 (Suppl. 1): S115-121, 2007.
6. Kawaguchi R, Angiolillo DJ, Futamatsu H, Suzuki N, Bass TA, Costa MA. Stent thrombosis in the era of drug eluting stents. Minerva Cardioangiol. 2007; 55: 199-211.
7. Heublein B, Rohde R, Kaese V, Niemeyer M, Hartung W, Haverich A. Biocorrosion of metallic alloys: a new principle in cardiovascular implant technology? Heart 2003; 89, 651-656.
8. Wang Q, Fang G, Zhao YH, Zhou J. Improvement of mechanical performance of bioresorbable magnesium alloy coronary artery stent through stent pattern redesign. Appl. Sci. 2018, 8, 2461.
9. Geller J. Food and drug administration approves plethora of medical devices. J. Clin. Eng. 2017, 42, 4–10.
10. Giacchi G, Ortega-Paz L, Brugaletta S, Ishida K, Sabaté M. Bioresorbable vascular scaffolds technology: current use and future developments. Med. Devices. 2016, 9, 185.
11. Moravej M, Mantovani D. Biodegradable metals for cardiovascular stent application: interests and new opportunities. Int. J. Mol. Sci. 2011; 12, 4250-4270.
12. Xu C. Design and simulation of a magnesium based biodegradable stent for hemodialysis application. Electronic Thesis or Dissertation. University of Cincinnati, 2015. https://etd.ohiolink.edu/!etd.send_file?accession=ucin1445342007&disposition=inline. Accessed June 19, 2020.
13. Peuster M, Wohlsein P, Brugmann M, et al. A novel approach to temporary stenting: degradable cardiovascular stents produced from corrodible metal-results 6-19 months after implantation into New Zealand white rabbits. Heart. 2001; 86, 563-569.
14. Peuster M, Hesse C, Schloo T, Fink C, Beerbaum P, von Schnakenburg C. Long-term biocompatibility of a corrodible peripheral iron stent in the porcine descending aorta. Biomaterials. 2006; 27, 4955-4962.
15. Stoeckel D, Bonsignore C, Duda S. A survey of stent designs. Min Invas. Ther. Allied Technol. 2002; 11: 137-147.
16. Wu W, Petrini L, Gastaldi D, Villa T, Vedani M. Finite element shape optimization for biodegradable magnesium alloy stents. Ann. Biomed. Eng. 2010; 38(9): 2829-40.
17. Gastald D, Sassi V, Petrini L, Vedani M, Trasatti S, Migliavacca F. Contiuum damage model for bioresorbable magnesium alloy devices – application to coronary stents. J. Mech. Behav. Biomed. Mater. 2011; 4: 352-365.
18. Avedesian MM, Baker H, eds. ASM specialty handbook: magnesium and magnesium alloys. Materials Park, OH. ASM International; 1999.
19. Liang DK, Yang DZ, Qi M, Wang WQ. Finite element analysis of the implantation of a balloon-expandable stent in a stenosed artery. International Journal of Cardiology. 2005; 104: 314-318.
20. Carrozza JP, Hosley SE, Cohen DJ, Baim DS. In vivo assessment of stent expansion and recoil in normal porcine coronary arteries differential outcome by stent design. Circulation. 1999; 100: 756–760.