» Articles » PMID: 38962657

Radiopaque FeMnN-Mo Composite Drawn Filled Tubing Wires for Braided Absorbable Neurovascular Devices

Abstract

Flow diverter devices are small stents used to divert blood flow away from aneurysms in the brain, stagnating flow and inducing intra-aneurysmal thrombosis which in time will prevent aneurysm rupture. Current devices are formed from thin (∼25 μm) wires which will remain in place long after the aneurysm has been mitigated. As their continued presence could lead to secondary complications, an absorbable flow diverter which dissolves into the body after aneurysm occlusion is desirable. The absorbable metals investigated to date struggle to achieve the necessary combination of strength, elasticity, corrosion rate, fragmentation resistance, radiopacity, and biocompatibility. This work proposes and investigates a new composite wire concept combining absorbable iron alloy (FeMnN) shells with one or more pure molybdenum (Mo) cores. Various wire configurations are produced and drawn to 25-250 μm wires. Tensile testing revealed high and tunable mechanical properties on par with existing flow diverter materials. In vitro degradation testing of 100 μm wire in DMEM to 7 days indicated progressive corrosion and cracking of the FeMnN shell but not of the Mo, confirming the cathodic protection of the Mo by the FeMnN and thus mitigation of premature fragmentation risk. In vivo implantation and subsequent μCT of the same wires in mouse aortas to 6 months showed meaningful corrosion had begun in the FeMnN shell but not yet in the Mo filament cores. In total, these results indicate that these composites may offer an ideal combination of properties for absorbable flow diverters.

Citing Articles

Evaluation of FeMnN alloy bioresorbable flow diverters in the rabbit elastase induced aneurysm model.

Oliver A, Bilgin C, Cortese J, Bayraktar E, Dai D, Ding Y Front Bioeng Biotechnol. 2025; 13:1522696.

PMID: 40070550 PMC: 11893611. DOI: 10.3389/fbioe.2025.1522696.

References
1.
McKenna C, Vaughan T . A finite element investigation on design parameters of bare and polymer-covered self-expanding wire braided stents. J Mech Behav Biomed Mater. 2021; 115:104305. DOI: 10.1016/j.jmbbm.2020.104305. View

2.
Belanger B, Morrish R, McClarty D, Barnstable C, Muir W, Ghazizadeh S . In vitro flow diversion effect of the ReSolv stent with the shelf technique in a bifurcation aneurysm model. J Neurointerv Surg. 2023; 16(3):296-301. DOI: 10.1136/jnis-2022-020023. View

3.
Oliver A, Carlson K, Bilgin C, Larco J, Kadirvel R, Guillory 2nd R . Bioresorbable flow diverters for the treatment of intracranial aneurysms: review of current literature and future directions. J Neurointerv Surg. 2022; 15(2):178-182. PMC: 9708930. DOI: 10.1136/neurintsurg-2022-018941. View

4.
Peuster M, Hesse C, Schloo T, Fink C, Beerbaum P, von Schnakenburg C . Long-term biocompatibility of a corrodible peripheral iron stent in the porcine descending aorta. Biomaterials. 2006; 27(28):4955-62. DOI: 10.1016/j.biomaterials.2006.05.029. View

5.
Pierot L, Spelle L, Berge J, Januel A, Herbreteau D, Aggour M . Feasibility, complications, morbidity, and mortality results at 6 months for aneurysm treatment with the Flow Re-Direction Endoluminal Device: report of SAFE study. J Neurointerv Surg. 2018; 10(8):765-770. PMC: 6204937. DOI: 10.1136/neurintsurg-2017-013559. View