A fully biodegradable patent ductus arteriosus occlude

J Mater Sci Mater Med. 2015 Feb;26(2):93. doi: 10.1007/s10856-015-5422-6. Epub 2015 Feb 4.

Abstract

The purpose of this study was to develop a fully degradable occluder for the closure of PDA, which can be deployed percutaneously. The blends of biodegradable poly(ε-caprolactone) and poly(L-lactide-co-ε-caprolactone) with various compositions were studied as the potential material. The mechanical properties, i.e. elastic modulus and strain recovery, of the blends could be largely tailored by changing the continuous phase component. Moreover, the suitable blends were selected to fabricate a prototype and its in vitro biodegradation rate and blood compatibility, was evaluated. The current results indicate that no adverse effect on the platelet and leukocyte components of the blood. Biocompatibility implantation studies of the device showed acceptable tissue response. Finally, an artificial PDA conduit was created in a pig, and the device deployment was tested from a sheath: the device recovered within 2-3 min of unsheathing and fully sealed the conduit.

MeSH terms

  • Absorbable Implants* / adverse effects
  • Animals
  • Biocompatible Materials / adverse effects
  • Biocompatible Materials / chemistry
  • Biomechanical Phenomena
  • Ductus Arteriosus, Patent / surgery*
  • Feasibility Studies
  • Humans
  • In Vitro Techniques
  • Leukocyte Count
  • Materials Testing
  • Microscopy, Electron, Scanning
  • Models, Animal
  • Platelet Count
  • Polyesters / chemistry
  • Prosthesis Design
  • Swine
  • Swine, Miniature
  • Therapeutic Occlusion / adverse effects
  • Therapeutic Occlusion / instrumentation
  • Thrombosis / etiology
  • Time Factors
  • Tissue Scaffolds / adverse effects
  • Tissue Scaffolds / chemistry

Substances

  • Biocompatible Materials
  • Polyesters
  • polycaprolactone
  • lactide-caprolactone copolymer