1. Synthesis and characterization of bio-compatible shape memory polymers with potential applications to endovascular embolization of intracranial aneurysms.
- Author
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Kunkel, Robert, Laurence, Devin, Wang, Jingyu, Robinson, Donnie, Scherrer, Joshua, Wu, Yi, Bohnstedt, Bradley, Chien, Aichi, Liu, Yingtao, and Lee, Chung-Hao
- Subjects
BIOMEDICAL material manufacturing ,POLYMERIZATION kinetics ,THERAPEUTIC embolization ,INTRACRANIAL aneurysms ,URETHANE ,THERAPEUTICS - Abstract
Abstract Intracranial aneurysms (ICAs) are focal dilations in the brain's arteries. When left untreated, ICAs can grow to the point of rupture, accounting for 50–80% of subarachnoid hemorrhage cases. Current treatments include surgical clipping and endovascular coil embolization to block circulation into the aneurysmal space for preventing aneurysm rupture. As for endovascular embolization, patients could experience aneurysm recurrence due to an incomplete coil filling or compaction over time. The use of shape memory polymers (SMPs) in place of conventional platinum coils could provide more control and predictability for mitigating these complications. This study was focused on characterization of an aliphatic urethane-based SMP to evaluate its potential as a novel biomaterial for endovascular embolization. Twelve compositions of the SMP were synthesized and their thermomechanical properties together with the shape recovery behavior were comprehensively investigated. Our results showed that the SMPs experienced a significant decrease in storage and loss moduli as heated above their glass transition temperatures (32.3–83.2 °C), and that all SMPs were thermally stable up to 265 °C. Moreover, the SMPs exhibited both composition-dependent stress relaxation and a decrease in elastic modulus during cyclic loading. The shape recovery time was less than 11 s for all SMP compositions, which is sufficiently short for shape changing during embolization procedures. Several candidate compositions were identified, which possess a glass transition temperature above body temperature (37 °C) and below the threshold of causing tissue damage (45 °C). They also exhibit high material strength and low stress relaxation behavior, suggesting their potential applicability to endovascular embolization of ICAs. Graphical abstract fx1 Highlights • A detailed experimental procedure has been developed for the synthesis of aliphatic urethane-based shape memory polymers. • Comprehensive thermomechanical characterizations on a variety of SMP compositions have been performed. • Investigations of the polymer's working temperature, thermal stability and their mechanical behavior have been made. • Recovery tests has demonstrated superb shape recovery of the SMPs desirable for the endovascular embolization procedure. • SMP compositions that meet our criteria have been identified with their great potential for individualized ICA treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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