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Sensor to detect endothelialization on an active coronary stent 英文参考文献
Musicketal.BioMedicalEngineeringOnLine2010,9:67
/content/9/1/67
RESEARCH
OpenAccess
Sensortodetectendothelializationonan
activecoronarystent
KatherineMMusick1*,ArthurCCoffey2,PedroPIrazoqui1
*Correspondence:
kmmusick@
1WeldonSchoolofBiomedical
Abstract
Background:Aseriouscomplicationwithdrug-elutingcoronarystentsislate
thrombosis,causedbyexposedstentstrutsnotcoveredbyendothelialcellsinthe
healingprocess.Real-timedetectionofthishealingprocesscouldguidephysicians
formoreindividualizedanti-platelettherapy.Herewepresentworktowards
developingasensortodetectthishealingprocess.Sensorsonseveralstentstruts
couldgiveinformationabouttheheterogeneityofhealingacrossthestent.
Engineering,PurdueUniversity,
WestLafayette,IN,USA.
Methods:Apiezoelectricmicrocantileverwasinsulatedwithparyleneand
demonstratedasanendothelializationdetectorforincorporationwithinanactive
coronarystent.Afterinitialcharacterization,endothelialcellswereplatedontothe
cantileversurface.Aftertheyattachedtothesurface,theycausedanincreasein
mass,andthusadecreaseintheresonantfrequenciesofthecantilever.Thisshift
wasthendetectedelectricallywithanLCRmeter.Theself-sensing,self-actuating
cantileverdoesnotrequireanexternal,opticaldetectionsystem,thusallowingfor
implantedapplications.
Results:Acelldensityof1300cells/mm2onthecantileversurfaceisdetected.
Conclusions:Wehavedevelopedaself-actuating,self-sensingdevicefordetecting
thepresenceofendothelialcellsonasurface.Thedeviceisbiocompatibleand
functionsreliablyinionicliquids,makingitappropriateforimplantableapplications.
Thissensorcanbeplacedalongthestrutsofacoronarystenttodetectwhenthe
strutshavebeencoveredwithalayerofendothelialcellsandarenolongeravailable
surfacesforclotformation.Anti-platelettherapycanbeadjustedinreal-timewith
respecttoapatient’slevelofhealingandhemorrhagingrisks.
Background
Coronarystents,whichareroutinelyusedto treatblockedarteries,arerecognizedby
the body as foreign objects and can incite an immune response and cause re-occlu-
sionoftheartery.T
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