EFFECTS OF SANDBLASTING CONDITIONS IN PREPARATION OF BIOACTIVE STAINLESS STEELS BY THE FUNCTION OF APATITE NUCLEI

We formed many micropores on the surfaces of stainless steel (SUS) substrates by sandblasting method using alumina particles with 14 μm or 3 μm for average particle size and apatite nucleus (AN) treatment was operated. By these treatments, we provided bioactivity to the SUS substrates. We evaluated apatite-forming ability of the SUS substrate by soaking in a simulated body fluid. Apatite formation was induced on the surface of the substrate within 1 day. High adhesive strength of apatite layer was achieved by a mechanical interlocking effect between the apatite layer and the substrate. The adhesive strength was related to the size of the grinding particles in the sandblasting process

Effect of doubled sandblasting process and basic simulated body fluid treatment on fabrication of bioactive stainless steels

In our recent study, we aimed to impart hydroxyapatite (HA)-forming to bioinert stainless steels (SUS316L). The surfaces of SUS316L specimen were treated by a sandblasting process using alumina grinding particles with 14.0 or 3.0 μm for average particle size, respectively. In addition, a doubled sandblasting process (DSP) using the 14.0 μm particles and subsequently 3.0 μm ones were also conducted. Compared with the case of the 14.0 μm particles, the 3.0 μm particles were available to increase the surface roughness and the surface area of the specimen. Moreover, these values were further increased in the case of the DSP. These specimens were soaked in simulated body fluid (SBF) at pH = 8.4, 25 °C and were directly heated in the solution by electromagnetic induction. By this treatment, formation of CaP was induced on each specimen. These materials performed high HA-forming ability in SBF. Average bonding strength of the HA film formed on them in SBF was increased depending on the increase of surface roughness and surface area. These results indicated that sandblasting condition was an important factor to improve interlocking effect related to the increase of the surface roughness and the surface area

A case of popliteal pseudoaneurysm following vessel injury and subintimal application of paclitaxel-coated balloon

Paclitaxel-coated balloon (PCB) is a commonly used endovascular device for symptomatic patients with a femoropopliteal lesion. However, pseudoaneurysm is a rarely encountered complication after PCB treatment. PCB treatment for right popliteal arterial occlusion was performed on a 67-year-old female. Three months later, a right popliteal pseudoaneurysm was detected and a covered stent was implanted. The mechanism of pseudoaneurysm, indicated by the serial assessment of angiography and intravascular ultrasound during these endovascular treatments, was arterial wall injury, subintimal passage of wires, subintimal PCB attachment, and arterial dilation after PCB treatment. Our case suggested that the subintimal PCB application after arterial wall injury may have a risk of pseudoaneurysm after the PCB treatment

A novel initial wiring technique for chronic total occlusion of the superficial femoral artery using the structural features of a polymer jacket guidewire

Abstract Background To evaluate the efficacy of the GLadIus MG drilLINg technique (GLIMGLIN), a novel initial wiring technique using the Gladius MG™ structural features, for crossing the superficial femoral artery (SFA) with chronic total occlusion (CTO). Methods This retrospective, single-center study enrolled 27 symptomatic patients (mean age 77.4 ± 8.5 years; 20 men) with de novo SFA CTO (mean CTO length 16.1 ± 8.9 cm) who underwent GLIMGLIN as the initial wiring between January 2020 and December 2021. The success of GLIMGLIN was defined when the wire crossing was completed using a Gladius MG™ and a microcatheter without any additional devices and techniques. Results The success rate of GLIMGLIN was 48.1%. Intravascular ultrasound findings showed complete true lumen passage in the GLIMGLIN success group. Compared to the failure group, the proximal (6.3 ± 0.8 vs. 5.5 ± 0.9 mm, p = 0.02) and distal (5.9 ± 0.5 vs. 5.4 ± 0.6 mm, p = 0.02) reference vessel diameters were significantly larger, and the rate of calcium angle > 180° was significantly lower (30.8 vs. 71.4%, p = 0.04) in the success group. No significant difference was shown in the CTO length between two groups. Total wiring time, total procedure time, and fluoroscopic time were significantly shorter in the success group. Conclusions GLIMGLIN may enable operators to perform CTO wiring easily and efficiently in selected cases