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MedTech Outlook | Friday, August 28, 2020
The usage of endovascular devices to restore flow vessel integrity demands both short- and long-term biomechanical considerations.
FREMONT, CA: The human cardiovascular system has emerged into a sophisticated biomechanical structure potent of sustaining living tissues having different and dynamic metabolic requirements. The biomechanical nature of this system is vital to its ability to perform its several functions continuously over the years. The biomechanical pain points place high demands on the larger and medium-sized arteries, which are subjected to vigorous pressures and flows found in the system. When the fluid delivery functionality or structural integrity of any of these vessels is threatened by disease, the consequences can be fatal. Clinical failures remind that the short-term biomechanical demands that have been the focal point for device design may be at odds with long-term tolerance by the body and device integrity.
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[vendor_logo_first]Endovascular device design goals have mostly focused on short-term challenges, including deployability and instant restoration of reliable flow channels. The resulting design may be at odds with long-term clinical success. In-stent restenosis, endoleaks, and loss of device structural integrity are all instances of a lack of compatibility between the host vessel biomechanical environment and the implant design. Initial efforts to adapt device designs for greater compatibility, including drug-eluting and bioabsorbable stents, barely start to explore the ways in which implant design can be adjusted in time to reduce the risk of failure.
Biomechanical modeling has the ability to provide a simulated vascular environment in which new designs can be tested for their implications and tissue reaction. These models will be based on high quality, high resolved imaging information, and mechanobiology experiments from the cellular to the tissue level. These models can incorporate biodegradation mechanics, facilitating the next generations of devices whose designs change with time to improve healing. The possibility of starting changes in device design or drug release in accordance with the information on vascular healing provides the opportunity for truly individualized dynamic device design optimization.
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