Indwelling Stent Embedded with Light-Emitting Diodes for Photodynamic Therapy of Malignant Biliary Obstruction

Cardiovasc Intervent Radiol. 2016 Jun;39(6):916-9. doi: 10.1007/s00270-015-1241-x. Epub 2015 Nov 19.

Abstract

Purpose: We describe the design and preliminary characterization of a stent incorporating light-emitting diodes (LEDs) for photodynamic therapy (PDT) of malignant biliary obstruction.

Methods: A prototype was constructed with red (640 nm) LEDs embedded in a 14.5 French polyurethane tube. The device was evaluated for optical power and subjected to physical and electrical tests. PDT-induced reactive oxygen species were imaged in a gel phantom.

Results: The stent functioned at a 2.5-cm bend radius and illuminated for 6 months in saline. No stray currents were detected, and it was cool after 30 minutes of operation. Optical power of 5-15 mW is applicable to PDT. Imaging of a reactive oxygen indicator showed LED-stent activation of photosensitizer.

Conclusions: The results motivate biological testing and design optimization.

Keywords: Bileduct; Biliary; Cancer; Catheter drainage; Interventional oncology.

MeSH terms

  • Bile Duct Neoplasms / drug therapy*
  • Cholestasis / drug therapy*
  • Cholestasis / therapy
  • Equipment Design
  • Humans
  • Lighting
  • Models, Anatomic
  • Optical Phenomena
  • Photochemotherapy / instrumentation*
  • Photochemotherapy / methods
  • Photosensitizing Agents
  • Stents*

Substances

  • Photosensitizing Agents