Stability of passivated 316L stainless steel oxide films for cardiovascular stents

被引:18
作者
Shih, Chun-Che [1 ]
Shih, Chun-Ming
Chows, Kuang-Yi
Lin, Shing-Jong
Su, Yea-Yang
机构
[1] Natl Yang Ming Univ, Sch Med, Inst Clin Med, Taipei 112, Taiwan
[2] Taipei Vet Gen Hosp, Div Cardiovasc Surg, Taipei 112, Taiwan
[3] Natl Yang Ming Univ, Cardiovasc Res Ctr, Taipei 112, Taiwan
[4] Taipei Med Univ, Sch Med, Taipei 110, Taiwan
[5] Natl Taipei Coll Nursing, Ctr Gen Educ, Taipei 112, Taiwan
[6] Taipei Vet Gen Hosp, Div Cardiol, Taipei 112, Taiwan
关键词
passivated; 316L stainless steel stent; hydrated and hydrolyated oxides; thrombosis; neointima; inflammation;
D O I
10.1002/jbm.a.30915
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Passivated 316L stainless steel is used extensively in cardiovascular stents. The degree of chloride ion attack might increase as the oxide film on the implant degrades from exposure to physiological fluid. Stability of 316L stainless steel stent is a function of the concentration of hydrated and hydrolyated oxide concentration inside the passivated film. A high concentration of hydrated and hydrolyated oxide inside the passivated oxide film is required to maintain the integrity of the passivated oxide film, reduce the chance of chloride ion attack, and prevent any possible leaching of positively charged ions into the surrounding tissue that accelerate the inflammatory process. Leaching of metallic ions from corroded implant surface into surrounding tissue was confirmed by the X-ray mapping technique. The degree of thrombi weight percent-age [W-ao: (2.1 +/- 0.9)%; W-ep: (12.5 +/- 4.9)%, p < 0.01] between the amorphous oxide (AO) and the electropolishing (EP) treatment groups was statistically significant in ex-vivo extracorporeal thrombosis experiment of mongrel dog. The thickness of neointima (T-ao: 100 +/- 20 mu m; T-ep: 500 +/- 150 mu m, p < 0.01) and the area ratio of intimal response at 4 weeks (AR(ao): 0.62 +/- 0.22; AR(ep): 1.15 +/- 0.42, p < 0.001) on the implanted iliac stents of New Zealand rabbit could be a function of the oxide properties. (c) 2006 Wiley Periodicals, Inc.
引用
收藏
页码:861 / 873
页数:13
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