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Qiu et al. Vessel Plus 2018;2:12                                            Vessel Plus
               DOI: 10.20517/2574-1209.2018.13




               Review                                                                        Open Access


               Research into biodegradable polymeric stents: a
               review of experimental and modelling work



               Tianyang Qiu, Liguo Zhao

               Wolfson School of Mechanical, Electrical, and Manufacturing Engineering, Loughborough University, Loughborough LE11 3TU, UK.
               Correspondence to: Dr. Liguo Zhao, Wolfson School of Mechanical, Electrical, and Manufacturing Engineering, Loughborough
               University, Loughborough LE11 3TU, UK. E-mail: L.Zhao@Lboro.ac.uk

               How to cite this article: Qiu T, Zhao L. Research into biodegradable polymeric stents: a review of experimental and modelling work.
               Vessel Plus 2018;2:12. http://dx.doi.org/10.20517/2574-1209.2018.13

               Received: 19 Mar 2018    First Decision: 18 Apr 2018    Revised: 26 Apr 2018    Accepted: 14 May 2018    Published: 5 Jun 2018
               Science Editor: Mario F. L. Gaudino    Copy Editor: Jun-Yao Li    Production Editor: Cai-Hong Wang



               Abstract
               Bioresorbable stents (BRSs) are regarded as the next-generation medical devices to treat blocked or diseased arteries.
               The use of BRSs aims to reduce the risk of late stent thrombosis and long-term tissue inflammation associated with
               permanent metallic stents. BRSs are designed to relieve symptoms immediately and also provide mechanical support
               for an appropriate time period before they are fully absorbed by human body. To promote clinical adoption of BRSs
               or even to substitute metallic stents, the mechanical performance of BRSs needs to be thoroughly investigated and
               quantitatively characterised, especially over the full period of degradation. This paper offers a review of current research
               status of polymeric BRSs, covering both experimental and modelling work. Review of experimental studies highlighted
               the effects of stent designs and materials on the behaviour of polymeric BRSs. Computational work was able to simulate
               crimping, expansion and degradation of polymeric BRSs and the results were useful for performance assessment. In
               summary, the development of polymeric BRSs is still at an early stage, and further research is urgently required for a
               better understanding and control of their mechanical performance.


               Keywords: Bioresorbable stents, mechanical performance, degradation, experimental studies, computational work


               INTRODUCTION
               Since the implantation of the first coronary artery stent in 1986, stent deployment has become a standard
               medical procedure to treat coronary stenosis, a leading cause of heart attack. The worldwide coronary stent
               market is worth over $7 billion and forecasted to grow by more than 5% annually . Over the past three
                                                                                       [1]
               decades, there have been significant improvements made in stent materials and designs, especially for the


                           © The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
                           International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
                sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
                as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
                and indicate if changes were made.


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