PMID- 22451257 OWN - NLM STAT- MEDLINE DCOM- 20121231 LR - 20131121 IS - 1573-9686 (Electronic) IS - 0090-6964 (Linking) VI - 40 IP - 9 DP - 2012 Sep TI - The development of novel biodegradable bifurcation stents for the sustainable release of anti-proliferative sirolimus. PG - 1961-70 LID - 10.1007/s10439-012-0556-x [doi] AB - In this report, a balloon-expandable, biodegradable, drug-eluting bifurcation stent (DEBS) that provides a sustainable release of anti-proliferative sirolimus was developed. Biodegradable bifurcation stents, made of polycaprolactone, were first manufactured by injection molding and hot spot welding techniques. Various properties of the fabricated stents, including compression strengths, collapse pressures, and flow pattern in a circulation test, were characterized. The experimental results showed that biodegradable bifurcation stents exhibited comparable mechanical properties with those of metallic stents and superior flow behavior to that of metallic bifurcation stents deployed via the T And small Protrusion approach. Polylactide-polyglycolide (PLGA) copolymer and sirolimus were then dissolved in acetonitrile and coated onto the surface of the stents by a spray coating device. An elution method and a high performance liquid chromatography analysis were utilized to examine the in vitro release characteristics of sirolimus. Biodegradable bifurcation stents released high concentrations of sirolimus for more than 6 weeks, and the total period of drug release could be prolonged by increasing the drug loading of the PLGA/sirolimus coating layers. In addition, the eluted drug could effectively inhibit the proliferation of smooth muscle cells. The developed DEBS in this study may provide a promising strategy for the treatment of cardiovascular bifurcation lesions. FAU - Lee, Cheng-Hung AU - Lee CH AD - Second Section of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou, Taiwan. FAU - Chen, Chia-Jung AU - Chen CJ FAU - Liu, Shih-Jung AU - Liu SJ FAU - Hsiao, Chao-Ying AU - Hsiao CY FAU - Chen, Jan-Kan AU - Chen JK LA - eng PT - Journal Article DEP - 20120327 PL - United States TA - Ann Biomed Eng JT - Annals of biomedical engineering JID - 0361512 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Delayed-Action Preparations) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antibiotics, Antineoplastic/*administration & dosage MH - Aorta, Thoracic/cytology MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Cells, Cultured MH - Delayed-Action Preparations MH - Drug Delivery Systems MH - *Drug-Eluting Stents MH - Myocytes, Smooth Muscle/cytology/drug effects MH - Rats MH - Sirolimus/*administration & dosage EDAT- 2012/03/28 06:00 MHDA- 2013/01/01 06:00 CRDT- 2012/03/28 06:00 PHST- 2012/01/07 00:00 [received] PHST- 2012/03/21 00:00 [accepted] PHST- 2012/03/28 06:00 [entrez] PHST- 2012/03/28 06:00 [pubmed] PHST- 2013/01/01 06:00 [medline] AID - 10.1007/s10439-012-0556-x [doi] PST - ppublish SO - Ann Biomed Eng. 2012 Sep;40(9):1961-70. doi: 10.1007/s10439-012-0556-x. Epub 2012 Mar 27.