Polyurethane shape memory polymer (SMP) foams are proposed for use as thrombogenic scaffolds to improve the treatment of vascular defects, such as cerebral aneurysms. However, gas blown SMP foams inherently have membranes between pores, which can limit their performance as embolic tissue scaffolds. Reticulation, or the removal of membranes between adjacent foam pores, is advantageous for improving device performance by increasing blood permeability and cellular infiltration. This work characterizes the effects of cold gas plasma reticulation processes on bulk polyurethane SMP films and foams. Plasma-induced changes on material properties are characterized using scanning electron microscopy, uniaxial tensile testing, goniometry, and free strain recovery experiments. Device specific performance is characterized in terms of permeability, platelet attachment, and cell–material interactions. Overall, plasma reticulated SMP scaffolds show promise as embolic tissue scaffolds due to increased bulk permeability, retained thrombogenicity, and favorable cell–material interactions.
Shape memory polymers can be programmed into a secondary geometry and recovered to their primary geometry with the application of a controlled stimulus. Porous shape memory polymer foam scaffolds that respond to body temperature show particular promise for embolic medical applications. A limitation for the minimally invasive delivery of these materials is an inherent lack of X-ray contrast. In this work, a triiodobenzene containing a monomer was incorporated into a shape memory polymer foam material system to chemically impart X-ray visibility and increase material toughness. Composition and process changes enabled further control over material density and thermomechanical properties. The proposed material system demonstrates a wide range of tailorable functional properties for the design of embolic medical devices, including X-ray visibility, expansion rate, and porosity. Enhanced visualization of these materials can improve the acute performance of medical devices used to treat vascular malformations, and the material porosity provides a healing scaffold for durable occlusion.
An estimated 6 million people in the United States have an unruptured cerebral aneurysm [1]. If left untreated, these aneurysms can rupture and to lead to severe brain function impairment or even death. Shape memory polymer (SMP) foams have been proposed for use to optimize endovascular embolization in place of current embolization devices [2,3]. SMPs are capable of actuating from a programmed secondary geometry to their expanded primary geometry in response to a stimulus, such as body temperature [4]. The expanded foam geometry provides an interface for embolization of the aneurysm to occur, however, treatment with these devices has limited visibility under fluoroscopy. Previous work by Hasan et al. increased radiopacity through the incorporation of tungsten (W) nanoparticles. These composite foams showed successful x-ray visibility, but aggregate disruption of the SMP matrix led to decreased mechanical properties [5]. This work addresses limitations of composite SMP foams, namely toughness, by chemically incorporating x-ray visible monomers, such as the triodobenzene containing monomer, 5-Amino-2,4,6-triiodoisophthalic acid (AT), into the material composition. These materials enable contrast agent loading without disrupting the polymer matrix. This polymer foam system was characterized to determine the clinical relevance of the improved radiopaque SMP foam for occlusion devices.
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