生物可吸收支架材料创新:从实验室到临床的转化机制与挑战Innovations in bioabsorbable stent materials:transformation mechanisms and challenges from laboratory to clinic
苗官宝,张富龙,王斌,拓明明,于进
摘要(Abstract):
生物可吸收支架(BVS)作为冠状动脉介入治疗革新技术,旨在克服传统金属支架的长期局限性,如血管的刚性束缚、晚期支架内再狭窄、血栓形成以及金属异物永久存留体内等。BVS的“介入无置入”理念符合血管的生理需求,尽管存在短期血栓风险,但随着材料科学与制作技术的不断进步,未来新型支架有望实现降解过程与血管重塑的协同进行,其安全性与有效性必将取得突破性进展。本文系统梳理了BVS的材料创新路径、临床转化过程及当前面临的挑战,重点结合最新临床试验数据与基础研究成果,探讨材料特性与临床结局的关联机制。通过对比分析传统支架的局限性、BVS的降解机制与性能优化策略,阐明其在冠心病介入治疗中的安全性与有效性现状,同时,从多学科交叉视角提出未来技术突破方向。
关键词(KeyWords): 生物可吸收支架;降解机制;经皮冠状动脉介入治疗
基金项目(Foundation): 中国人民解放军空军军医大学第一附属医院临床新技术新业务(2025XJSM13)
作者(Author): 苗官宝,张富龙,王斌,拓明明,于进
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