Efecto del compuesto ácido poliláctico/policaprolactona y la geometría en stents biodegradables impresos 3D para el tratamiento de aterosclerosis
| dc.contributor.advisor | Escobar Jaramillo, Mateo | |
| dc.contributor.advisor | Solarte David, Víctor Alfonso | |
| dc.contributor.apolounab | Escobar Jaramillo, Mateo [mateo-escobar-jaramillo] | spa |
| dc.contributor.apolounab | Solarte David, Víctor Alfonso [víctor-alfonso-solarte-david] | spa |
| dc.contributor.author | Barrientos Contreras, Ana María | |
| dc.contributor.author | Manjarres Campo, Shanny Esther | |
| dc.contributor.author | Serrano Jaimes, María Victoria | |
| dc.contributor.cvlac | Escobar Jaramillo, Mateo [0001468933] | spa |
| dc.contributor.cvlac | Solarte David, Víctor Alfonso [1329391] | spa |
| dc.contributor.googlescholar | Escobar Jaramillo, Mateo [es&oi=ao] | spa |
| dc.contributor.orcid | Solarte David, Víctor Alfonso [0000-0002-9856-1484] | spa |
| dc.coverage.campus | UNAB Campus Bucaramanga | spa |
| dc.coverage.spatial | Colombia | spa |
| dc.date.accessioned | 2025-02-20T16:41:36Z | |
| dc.date.available | 2025-02-20T16:41:36Z | |
| dc.date.issued | 2025-01-23 | |
| dc.degree.name | Ingeniero Biomédico | spa |
| dc.description.abstract | En la actualidad la implantación de stents convencionales para el tratamiento de la aterosclerosis plantea diversos desafíos en el ámbito médico, debido a los efectos adversos que pueden surgir tras la implantación. Esto ha impulsado la búsqueda de alternativas más seguras, como los stents biodegradables fabricados con polímeros reabsorbibles, en los que tanto el material como la geometría de las celdas desempeñan un papel importante. Este proyecto tiene como objetivo analizar el efecto de la relación de ácido poliláctico (PLA) y policaprolactona (PCL) en el comportamiento mecánico y el tiempo de degradación de stents impresos en 3D. Para ello, se diseñaron y fabricaron stents con diferentes concentraciones de estos materiales: PLA 100%, PLA 75% PCL 25%, PLA 50% PCL 50%, PLA 25% PCL 75%, y PCL 100%. Estos fueron fabricados teniendo en cuenta la geometría de celda Elixir, la cual fue la que presentó un desempeño destacable durante simulaciones de elementos finitos en comparación a otros diseños conocidos. Las propiedades mecánicas de los stents impresos 3D se analizaron a través de ensayos de tracción, mientras que el proceso de degradación se estudió mediante el cambio de masa y pH en condiciones controladas. | spa |
| dc.description.abstractenglish | Currently, the implantation of conventional stents for the treatment of atherosclerosis has several challenges in the medical field, due to the adverse effects that can arise after implantation. This has prompted the search for safer alternatives, such as biodegradable stents made of resorbable polymers, in which both the material and the geometry of the cells play an important role. This project aims to analyze the effect of the ratio of polylactic acid (PLA) and polycaprolactone (PCL) on the mechanical behavior and degradation time of 3D printed stents. For this purpose, stents were designed and fabricated with different concentrations of these materials: PLA 100%, PLA 75% PCL 25%, PLA 50% PCL 50%, PLA 25% PCL 75%, and PCL 100%. These were fabricated considering the Elixir cell geometry, which was the one that presented outstanding performance during finite element simulations compared to other known designs. The mechanical properties of the 3D printed stents were analyzed through tensile tests, while the degradation process was studied by mass and pH change under controlled conditions. | spa |
| dc.description.degreelevel | Pregrado | spa |
| dc.description.learningmodality | Modalidad Presencial | spa |
| dc.description.tableofcontents | CAPITULO I ........................................................................................................................17 Aspectos Generales...............................................................................................................17 Descripción del problema.......................................................................................................... 17 Justificación............................................................................................................................... 18 Pregunta problema..................................................................................................................... 19 Objetivos................................................................................................................................... 20 Objetivo General.................................................................................................................... 20 Objetivos Específicos............................................................................................................ 20 Limitaciones y delimitaciones................................................................................................... 20 CAPITULO II.......................................................................................................................22 Marco Teórico, Marco Legal y Estado del Arte....................................................................22 Marco Teórico ........................................................................................................................... 22 Generalidades del Sistema Cardiovascular............................................................................ 22 Stents ..................................................................................................................................... 25 Impresión 3D ......................................................................................................................... 26 Polímeros biodegradables...................................................................................................... 28 PLA y PCL en aplicaciones cardiovasculares ....................................................................... 29 Marco Legal .............................................................................................................................. 30 Normas Nacionales................................................................................................................ 31 Ley 23 de 1982................................................................................................................... 31 Resolución 8430 de 1993................................................................................................... 31 Decreto 4725 de 2005 ........................................................................................................ 31 Decreto 351 de 2014 .......................................................................................................... 32 Decreto 1036 de 2018 ........................................................................................................ 32 Normas Internacionales......................................................................................................... 32 Norma internacional ISO 10993-13................................................................................... 32 Norma internacional ISO 35001-19................................................................................... 32 Norma internacional ASTM D638-14 ............................................................................... 33 Norma internacional ASTM F2902-16 .............................................................................. 33 Norma internacional ASTM D2990-17 ............................................................................. 33 Estado del Arte .......................................................................................................................... 34 CAPITULO III......................................................................................................................36 Metodología ..........................................................................................................................36 Materiales.................................................................................................................................. 36 Métodos..................................................................................................................................... 36 Selección de geometría a replicar.......................................................................................... 36 Revisión de literatura ......................................................................................................... 36 Replicado de los diseños preseleccionados por medio de software CAD ......................... 37 Aplicación del análisis de elementos finitos en los diseños replicados............................. 39 Determinación de la geometría con el mejor comportamiento mecánico.......................... 40 Creación de pellets................................................................................................................. 41 Fabricación de pellets ........................................................................................................ 41 Caracterización dimensional de los pellets........................................................................ 42 Fabricación de mallas de stents............................................................................................. 42 Aplicación de pruebas mecánicas en los stents..................................................................... 43 Aplicación de pruebas de degradación en los stents.............................................................. 45 Análisis estadístico.................................................................................................................... 46 CAPITULO IV......................................................................................................................49 Resultados y Discusión.........................................................................................................49 Selección de geometría a replicar.......................................................................................... 49 Revisión de literatura ......................................................................................................... 49 Replicado de los diseños preseleccionados por medio de software CAD ......................... 49 Aplicación del análisis de elementos finitos en los diseños replicados............................. 51 Determinación de la geometría con el mejor comportamiento mecánico.......................... 59 Creación de pellets ................................................................................................................ 59 Fabricación de pellets ........................................................................................................ 59 Fabricación de stents.......................................................................................................... 62 Aplicación de pruebas mecánicas en los stents impresos...................................................... 64 Aplicación de ensayos de degradación en los stents impresos.............................................. 68 Ensayos de degradación mediante la evaluación del cambio de masa .............................. 68 Ensayos de degradación mediante la evaluación del cambio de pH.................................. 71 Análisis estadístico ................................................................................................................ 73 Análisis Descriptivo........................................................................................................... 73 Análisis ANOVA................................................................................................................ 77 CAPITULO V.......................................................................................................................81 Conclusiones y recomendaciones.........................................................................................81 Bibliografía ...........................................................................................................................84 | spa |
| dc.format.mimetype | application/pdf | spa |
| dc.identifier.instname | instname:Universidad Autónoma de Bucaramanga - UNAB | spa |
| dc.identifier.reponame | reponame:Repositorio Institucional UNAB | spa |
| dc.identifier.repourl | repourl:https://repository.unab.edu.co | spa |
| dc.identifier.uri | http://hdl.handle.net/20.500.12749/28412 | |
| dc.language.iso | spa | spa |
| dc.publisher.faculty | Facultad Ingeniería | spa |
| dc.publisher.grantor | Universidad Autónoma de Bucaramanga UNAB | spa |
| dc.publisher.program | Pregrado Ingeniería Biomédica | spa |
| dc.publisher.programid | IBM-1788 | |
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| dc.relation.references | Sociedad Latinoamericana de Cardiología Intervencionista. (2022). Resultado a 3 años luego de ATC con técnica de 2 stents vs Provisional stent por bifurcaciones complejas [Imagen]. SOLACI. https://solaci.org/2022/07/12/resultado-a-3-anos-luego-de-atc-con-tecnica-de-2-stents-vs-provisional-stent-por-bifurcaciones-complejas/ | spa |
| dc.relation.references | Stanford Medicine Children's Health. (s.f.). Atherosclerosis. https://www.stanfordchildrens.org/es/topic/default?id=atherosclerosis-85-P03320 | spa |
| dc.relation.references | Sun Dajun, Li Yezhou & Yin Dexin. (2019). CARDIOVASCULAR STENT (Patent 109876198). | spa |
| dc.relation.references | The International Organization for Standardization (ISO. (2019). ISO 35001:2019. The International Organization for Standardization (ISO). | spa |
| dc.relation.references | The International Organization for Standardization (ISO). (2010). ISO 10993-13. The International Organization for Standardization. | spa |
| dc.relation.references | The National Heart, Lung, and Blood Institute. (2022, 13 de mayo). ¿Qué es la aterosclerosis? NHLBI, NIH. https://www.nhlbi.nih.gov/es/salud/aterosclerosis | spa |
| dc.relation.references | Tidwell, K., Harriet, S., Barot, V., Bauer, A., Vaughan, M. B., & Hossan, M. R. (2021). Design and Analysis of a Biodegradable Polycaprolactone Flow Diverting Stent for Brain Aneurysms. Bioengineering, 8(11), 183. https://doi.org/10.3390/bioengineering8110183 | spa |
| dc.relation.references | Torki, M. M., Hassanajili, S., & Jalisi, M. M. (2020). Design optimizations of PLA stent structure by FEM and investigating its function in a simulated plaque artery. Mathematics and Computers in Simulation, 169, 103–116. https://doi.org/10.1016/j.matcom.2019.09.011 | spa |
| dc.relation.references | Tong, X., Zhang, Z., Fu, K., Li, Y., Cao, B., Wang, W., & Chen, B. (2023). Achieving high mechanical properties of biodegradable vascular stents by four-axis 3D printing system and heat treatment. Materials Letters, 341, 134261. https://doi.org/10.1016/j.matlet.2023.134261 | spa |
| dc.relation.references | Velasco, E. G., & Revelo, D. A. (2019). 3D printing: the new industrial revolution. I+ T+ C- Research, Technology and Science, 1(13), 60–71. Retrieved from https://revistas.unicomfacauca.edu.co/ojs/index.php/itc/article/view/itc2019_pag_60_71 | spa |
| dc.relation.references | Wachirahuttapong, S., Thongpin, C., & Sombatsompop, N. (2016). Effect of PCL and compatibility contents on the morphology, crystallization and mechanical properties of PLA/PCL blends. Energy Procedia, 89, 198–206. https://doi.org/10.1016/j.egypro.2016.05.026 | spa |
| dc.relation.references | Wen, Y., Li, Y., Yang, R., Chen, Y., Shen, Y., Liu, Y., Liu, X., Zhang, B., & Li, H. (2024). Biofunctional coatings and drug-coated stents for restenosis therapy. Materials Today Bio, 101259. https://doi.org/10.1016/j.mtbio.2024.101259 | spa |
| dc.relation.references | Zaaba, N. F., & Jaafar, M. (2020). A review on degradation mechanisms of polylactic acid: Hydrolytic, photodegradative, microbial, and enzymatic degradation. Polymer Engineering & Science, 60(9), 2061–2075. https://doi.org/10.1002/pen.25511 | spa |
| dc.relation.references | Zong, J., He, Q., Liu, Y., Qiu, M., Wu, J., & Hu, B. (2022). Advances in the development of biodegradable coronary stents: A translational perspective. Materials Today Bio, 100368. https://doi.org/10.1016/j.mtbio.2022.100368 | spa |
| dc.relation.uriapolo | https://apolo.unab.edu.co/en/persons/mateo-escobar-jaramillo | spa |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
| dc.rights.creativecommons | Atribución-NoComercial-SinDerivadas 2.5 Colombia | * |
| dc.rights.local | Abierto (Texto Completo) | spa |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | * |
| dc.subject.keywords | Biomedical engineering | spa |
| dc.subject.keywords | Engineering | spa |
| dc.subject.keywords | Medical electronics | spa |
| dc.subject.keywords | Biological physics | spa |
| dc.subject.keywords | Bioengineering | spa |
| dc.subject.keywords | Medical instruments and apparatus | spa |
| dc.subject.keywords | Medicine | spa |
| dc.subject.keywords | Biomedical | spa |
| dc.subject.keywords | Clinical engineering | spa |
| dc.subject.keywords | Biomaterials | spa |
| dc.subject.keywords | Biocompatibility | spa |
| dc.subject.keywords | Bioprinting | spa |
| dc.subject.keywords | Degradation | spa |
| dc.subject.keywords | Mechanical properties | spa |
| dc.subject.keywords | Polymers | spa |
| dc.subject.keywords | Biodegradability | spa |
| dc.subject.keywords | Polylactic acid | spa |
| dc.subject.keywords | Biodegradable plastics | spa |
| dc.subject.keywords | Three-dimensional printing | spa |
| dc.subject.lemb | Ingeniería biomédica | spa |
| dc.subject.lemb | Ingeniería | spa |
| dc.subject.lemb | Biofísica | spa |
| dc.subject.lemb | Bioingeniería | spa |
| dc.subject.lemb | Medicina | spa |
| dc.subject.lemb | Biomédica | spa |
| dc.subject.lemb | Ácido poliláctico | spa |
| dc.subject.lemb | Plásticos biodegradables | spa |
| dc.subject.lemb | Impresión 3D | spa |
| dc.subject.proposal | Biomateriales | spa |
| dc.subject.proposal | Biocompatibilidad | spa |
| dc.subject.proposal | Ingeniería biomédica | spa |
| dc.subject.proposal | Ingeniería | spa |
| dc.subject.proposal | Bioingeniería | spa |
| dc.subject.proposal | Medicina | spa |
| dc.subject.proposal | Biomédica | spa |
| dc.subject.proposal | Bioimpresión | spa |
| dc.subject.proposal | Degradación | spa |
| dc.subject.proposal | Propiedades mecánicas | spa |
| dc.subject.proposal | Biofísica | spa |
| dc.subject.proposal | Biodegradabilidad | spa |
| dc.subject.proposal | Polímeros | spa |
| dc.title | Efecto del compuesto ácido poliláctico/policaprolactona y la geometría en stents biodegradables impresos 3D para el tratamiento de aterosclerosis | spa |
| dc.title.translated | Effect of Polylactic Acid/Polycaprolactone composite and geometry on 3D printed biodegradable stents for atherosclerosis treatment | spa |
| dc.type.coar | http://purl.org/coar/resource_type/c_7a1f | |
| dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa | spa |
| dc.type.driver | info:eu-repo/semantics/bachelorThesis | |
| dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | |
| dc.type.local | Trabajo de Grado | spa |
| dc.type.redcol | http://purl.org/redcol/resource_type/TP |
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