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Pineda-Castillo SA, Stiles AM, Bohnstedt BN, Lee H, Liu Y, Lee CH. Shape Memory Polymer-Based Endovascular Devices: Design Criteria and Future Perspective. Polymers (Basel) 2022; 14:polym14132526. [PMID: 35808573 PMCID: PMC9269599 DOI: 10.3390/polym14132526] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 06/13/2022] [Accepted: 06/17/2022] [Indexed: 12/12/2022] Open
Abstract
Devices for the endovascular embolization of intracranial aneurysms (ICAs) face limitations related to suboptimal rates of lasting complete occlusion. Incomplete occlusion frequently leads to residual flow within the aneurysm sac, which subsequently causes aneurysm recurrence needing surgical re-operation. An emerging method for improving the rates of complete occlusion both immediately after implant and in the longer run can be the fabrication of patient-specific materials for ICA embolization. Shape memory polymers (SMPs) are materials with great potential for this application, owing to their versatile and tunable shape memory properties that can be tailored to a patient’s aneurysm geometry and flow condition. In this review, we first present the state-of-the-art endovascular devices and their limitations in providing long-term complete occlusion. Then, we present methods for the fabrication of SMPs, the most prominent actuation methods for their shape recovery, and the potential of SMPs as endovascular devices for ICA embolization. Although SMPs are a promising alternative for the patient-specific treatment of ICAs, there are still limitations that need to be addressed for their application as an effective coil-free endovascular therapy.
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Affiliation(s)
- Sergio A. Pineda-Castillo
- Biomechanics and Biomaterials Design Laboratory (BBDL), The University of Oklahoma, Norman, OK 73019, USA; (S.A.P.-C.); (A.M.S.)
- Stephenson School of Biomedical Engineering, The University of Oklahoma, Norman, OK 73019, USA
| | - Aryn M. Stiles
- Biomechanics and Biomaterials Design Laboratory (BBDL), The University of Oklahoma, Norman, OK 73019, USA; (S.A.P.-C.); (A.M.S.)
- School of Aerospace and Mechanical Engineering, The University of Oklahoma, Norman, OK 73019, USA;
| | - Bradley N. Bohnstedt
- Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA;
| | - Hyowon Lee
- Laboratory of Implantable Microsystems Research (LIMR), Weldon School of Biomedical Engineering, Birck Nanotechnology Center, Purdue University, West Lafayette, IN 47907, USA;
| | - Yingtao Liu
- School of Aerospace and Mechanical Engineering, The University of Oklahoma, Norman, OK 73019, USA;
| | - Chung-Hao Lee
- Biomechanics and Biomaterials Design Laboratory (BBDL), The University of Oklahoma, Norman, OK 73019, USA; (S.A.P.-C.); (A.M.S.)
- School of Aerospace and Mechanical Engineering, The University of Oklahoma, Norman, OK 73019, USA;
- Correspondence:
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