Cold hibernated elastic memory foams for endovascular interventions
Cold hibernated elastic memory (CHEM) polyurethane-based foam is a new shape memory polymeric self-deployable structure. Standard cytotoxicity and mutagenicity tests were conducted on CHEM in vitro, to ensure biocompatibility before studying potential medical applications. In vivo, lateral wall aneu...
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| Published in | Biomaterials Vol. 24; no. 3; pp. 491 - 497 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier Ltd
01.02.2003
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Cold hibernated elastic memory (CHEM) polyurethane-based foam is a new shape memory polymeric self-deployable structure.
Standard cytotoxicity and mutagenicity tests were conducted on CHEM in vitro, to ensure biocompatibility before studying potential medical applications. In vivo, lateral wall aneurysms were constructed on both carotid arteries of eight dogs. Aneurysms were occluded per-operatively with CHEM blocks. In two dogs, CHEM embolization was compared with gelatin sponge fragment embolization. Internal maxillary arteries (Imax) were also occluded with CHEM using a 6F transcatheter technique. Angiography and pathology were used to study the evolution of aneurysms and Imax at 3 and 12 weeks. Imax embolized with CHEM foam remained occluded at 3 weeks. Most aneurysms embolized with CHEM showed a small residual crescent of opacification at initial angiography, but angiographic scores were significantly better at 3 weeks. Thick neointima formation over the CHEM at the neck of aneurysms was demonstrated at pathology. The foamy nature of CHEM favours the ingrowth of cells involved in neointima formation. New devices for endovascular interventions could be designed using CHEM's unique physical properties. |
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| AbstractList | Cold hibernated elastic memory (CHEM) polyurethane-based foam is a new shape memory polymeric self-deployable structure. Standard cytotoxicity and mutagenicity tests were conducted on CHEM in vitro, to ensure biocompatibility before studying potential medical applications. In vivo, lateral wall aneurysms were constructed on both carotid arteries of eight dogs. Aneurysms were occluded per-operatively with CHEM blocks. In two dogs, CHEM embolization was compared with gelatin sponge fragment embolization. Internal maxillary arteries (Imax) were also occluded with CHEM using a 6F transcatheter technique. Angiography and pathology were used to study the evolution of aneurysms and Imax at 3 and 12 weeks. Imax embolized with CHEM foam remained occluded at 3 weeks. Most aneurysms embolized with CHEM showed a small residual crescent of opacification at initial angiography, but angiographic scores were significantly better at 3 weeks. Thick neointima formation over the CHEM at the neck of aneurysms was demonstrated at pathology. The foamy nature of CHEM favours the ingrowth of cells involved in neointima formation. New devices for endovascular interventions could be designed using CHEM's unique physical properties. Cold hibernated elastic memory (CHEM) polyurethane-based foam is a new shape memory polymeric self-deployable structure. Standard cytotoxicity and mutagenicity tests were conducted on CHEM in vitro, to ensure biocompatibility before studying potential medical applications. In vivo, lateral wall aneurysms were constructed on both carotid arteries of eight dogs. Aneurysms were occluded per-operatively with CHEM blocks. In two dogs, CHEM embolization was compared with gelatin sponge fragment embolization. Internal maxillary arteries (Imax) were also occluded with CHEM using a 6F transcatheter technique. Angiography and pathology were used to study the evolution of aneurysms and Imax at 3 and 12 weeks. Imax embolized with CHEM foam remained occluded at 3 weeks. Most aneurysms embolized with CHEM showed a small residual crescent of opacification at initial angiography, but angiographic scores were significantly better at 3 weeks. Thick neointima formation over the CHEM at the neck of aneurysms was demonstrated at pathology. The foamy nature of CHEM favours the ingrowth of cells involved in neointima formation. New devices for endovascular interventions could be designed using CHEM's unique physical properties.Cold hibernated elastic memory (CHEM) polyurethane-based foam is a new shape memory polymeric self-deployable structure. Standard cytotoxicity and mutagenicity tests were conducted on CHEM in vitro, to ensure biocompatibility before studying potential medical applications. In vivo, lateral wall aneurysms were constructed on both carotid arteries of eight dogs. Aneurysms were occluded per-operatively with CHEM blocks. In two dogs, CHEM embolization was compared with gelatin sponge fragment embolization. Internal maxillary arteries (Imax) were also occluded with CHEM using a 6F transcatheter technique. Angiography and pathology were used to study the evolution of aneurysms and Imax at 3 and 12 weeks. Imax embolized with CHEM foam remained occluded at 3 weeks. Most aneurysms embolized with CHEM showed a small residual crescent of opacification at initial angiography, but angiographic scores were significantly better at 3 weeks. Thick neointima formation over the CHEM at the neck of aneurysms was demonstrated at pathology. The foamy nature of CHEM favours the ingrowth of cells involved in neointima formation. New devices for endovascular interventions could be designed using CHEM's unique physical properties. In vitro, standard cytotoxicity and mutagenicity tests were conducted on cold hibernated elastic memory (CHEM) polyurethane-based foam, to ensure biocompatibility before studying potential medical applications. In vivo, lateral wall aneurysms were constructed on both carotid arteries in 8 dogs and aneurysms were occluded per-operatively with CHEM blocks and compared with embolization by gelatin sponges. Internal maxillary arteries (Imax) were also occluded with CHEM. Imax embolized with CHEM foam remained occluded at 3 weeks. Thick neointima formation over the CHEM at the neck of aneurysms was demonstrated at pathology. The foamy nature of CHEM favours the ingrowth of cells involved in neointima formation. Cold hibernated elastic memory (CHEM) polyurethane-based foam is a new shape memory polymeric self-deployable structure. Standard cytotoxicity and mutagenicity tests were conducted on CHEM in vitro, to ensure biocompatibility before studying potential medical applications. In vivo, lateral wall aneurysms were constructed on both carotid arteries of eight dogs. Aneurysms were occluded per-operatively with CHEM blocks. In two dogs, CHEM embolization was compared with gelatin sponge fragment embolization. Internal maxillary arteries (Imax) were also occluded with CHEM using a 6F transcatheter technique. Angiography and pathology were used to study the evolution of aneurysms and Imax at 3 and 12 weeks. Imax embolized with CHEM foam remained occluded at 3 weeks. Most aneurysms embolized with CHEM showed a small residual crescent of opacification at initial angiography, but angiographic scores were significantly better at 3 weeks. Thick neointima formation over the CHEM at the neck of aneurysms was demonstrated at pathology. The foamy nature of CHEM favours the ingrowth of cells involved in neointima formation. New devices for endovascular interventions could be designed using CHEM's unique physical properties. |
| Author | Sokolowski, Witold M Raymond, Jean Salazkin, Igor Metcalfe, Annick Desfaits, Anne-Cécile Yahia, L’Hocine |
| Author_xml | – sequence: 1 givenname: Annick surname: Metcalfe fullname: Metcalfe, Annick email: annick.metcalfe@polymtl.ca organization: Interventional Neuroradiology Laboratory, CHUM Research Center, Notre-Dame Hospital, Mailloux Pavilion M-8206, 1560 Sherbrooke East, Montreal, Que, Canada H2L 4M1 – sequence: 2 givenname: Anne-Cécile surname: Desfaits fullname: Desfaits, Anne-Cécile organization: Interventional Neuroradiology Laboratory, CHUM Research Center, Notre-Dame Hospital, Mailloux Pavilion M-8206, 1560 Sherbrooke East, Montreal, Que, Canada H2L 4M1 – sequence: 3 givenname: Igor surname: Salazkin fullname: Salazkin, Igor organization: Interventional Neuroradiology Laboratory, CHUM Research Center, Notre-Dame Hospital, Mailloux Pavilion M-8206, 1560 Sherbrooke East, Montreal, Que, Canada H2L 4M1 – sequence: 4 givenname: L’Hocine surname: Yahia fullname: Yahia, L’Hocine organization: Biomedical Engineering Institute, École Polytechnique, PO Box 6079, Montreal, Que, Canada H3C 3A7 – sequence: 5 givenname: Witold M surname: Sokolowski fullname: Sokolowski, Witold M organization: Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA 91109, USA – sequence: 6 givenname: Jean surname: Raymond fullname: Raymond, Jean organization: Interventional Neuroradiology Laboratory, CHUM Research Center, Notre-Dame Hospital, Mailloux Pavilion M-8206, 1560 Sherbrooke East, Montreal, Que, Canada H2L 4M1 |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/12423604$$D View this record in MEDLINE/PubMed |
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| Keywords | Embolization Shape memory polymer (SMP) Cold hibernated elastic memory (CHEM) Polyurethane Endovascular Aneurysm |
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beta radiation to prevent recanalization after coil embolization of cerebral aneurysms publication-title: Stroke doi: 10.1161/hs0202.104474 – reference: - Biomaterials. 2003 Apr;24(9):1681 |
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| Snippet | Cold hibernated elastic memory (CHEM) polyurethane-based foam is a new shape memory polymeric self-deployable structure.
Standard cytotoxicity and mutagenicity... Cold hibernated elastic memory (CHEM) polyurethane-based foam is a new shape memory polymeric self-deployable structure. Standard cytotoxicity and mutagenicity... In vitro, standard cytotoxicity and mutagenicity tests were conducted on cold hibernated elastic memory (CHEM) polyurethane-based foam, to ensure... |
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| SubjectTerms | Aneurysm Aneurysm - therapy Angiography Animals Biocompatible Materials Carotid Artery Diseases - pathology Carotid Artery Diseases - physiopathology Cold hibernated elastic memory (CHEM) Dogs Embolization Endothelium, Vascular - metabolism Endovascular Muscle, Smooth, Vascular - pathology Mutagenicity Tests Mutagens Polyurethane Polyurethanes - administration & dosage Polyurethanes - chemistry Polyurethanes - pharmacology Shape memory polymer (SMP) Temperature Time Factors |
| Title | Cold hibernated elastic memory foams for endovascular interventions |
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