期刊论文详细信息
BioMedical Engineering OnLine
Porous media properties of reticulated shape memory polymer foams and mock embolic coils for aneurysm treatment
Andrea D Muschenborn2  Jason M Ortega1  Jason M Szafron2  David J Szafron2  Duncan J Maitland2 
[1] Lawrence Livermore National Laboratory, 7000 East Ave., L-090, 94551 Livermore, CA, USA
[2] Texas A&M University, 3120 TAMU, 77843 College Station, Texas, USA
关键词: Aneurysm treatment;    FHDD, Forchheimer-Hazen-Dupuit-Darcy equation;    Embolic coils;    SMP, Shape memory polymer foams;    Form factor;    Permeability;   
Others  :  797309
DOI  :  10.1186/1475-925X-12-103
 received in 2013-05-30, accepted in 2013-10-04,  发布年份 2013
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【 摘 要 】

Background

Shape memory polymer (SMP) foams are being investigated as an alternative aneurysm treatment method to embolic coils. The goal of both techniques is the reduction of blood flow into the aneurysm and the subsequent formation of a stable thrombus, which prevents future aneurysm rupture. The purpose of this study is to experimentally determine the parameters, permeability and form factor, which are related to the flow resistance imposed by both media when subjected to a pressure gradient.

Methods

The porous media properties—permeability and form factor—of SMP foams and mock embolic coils (MECs) were measured with a pressure gradient method by means of an in vitro closed flow loop. We implemented the Forchheimer-Hazen-Dupuit-Darcy equation to calculate these properties. Mechanically-reticulated SMP foams were fabricated with average cell sizes of 0.7E-3 and 1.1E-3 m, while the MECs were arranged with volumetric packing densities of 11-28%.

Results

The permeability of the SMP foams was an order of magnitude lower than that of the MECs. The form factor differed by up to two orders of magnitude and was higher for the SMP foams in all cases. The maximum flow rate of all samples tested was within the inertial laminar flow regime, with Reynolds numbers ranging between 1 and 35.

Conclusions

The SMP foams impose a greater resistance to fluid flow compared to MECs, which is a result of increased viscous and inertial losses. These results suggest that aneurysms treated with SMP foam will have flow conditions more favorable for blood stasis than those treated with embolic coils having packing densities ≤ 28%.

【 授权许可】

   
2013 Muschenborn et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Burns JD, Huston J, Layton KF, Piepgras DG, Brown RD: Intracranial aneurysm enlargement on serial magnetic resonance angiography frequency and risk factors. Stroke 2009, 40:406-411.
  • [2]Humphrey JD, DeLange S: An introduction to biomechanics: solids and fluids, analysis and design. New York: Springer; 2004.
  • [3]Carod-Artal FJ, Egido JA: Quality of life after stroke: the importance of a good recovery. Cerebrovasc Dis 2009, 27:204-214.
  • [4]Humphrey JD: Cardiovascular solid mechanics: cells, tissues, and organs. New York: Springer; 2002.
  • [5]Kurth T, Moore SC, Gaziano JM, Kase CS, Stampfer MJ, Berger K, Buring JE: Healthy lifestyle and the risk of stroke in women. Arch Intern Med 2006, 166:1403-1409.
  • [6]Østergaard JR: Risk factors in intracranial saccular aneurysms. Aspects on the formation and rupture of aneurysms, and development of cerebral vasospasm. Acta Neurol Scand 1989, 80:81-98.
  • [7]Schievink WI: Intracranial aneurysms. New Engl J Med 1997, 336:28-40.
  • [8]Richling B: History of endovascular surgery: personal accounts of the evolution. Neurosurgery 2006, 59:S3-30-S3-38.
  • [9]Deshaies E, Eddleman C: Handbook of neuroendovascular surgery. New York: Thieme; 2011.
  • [10]Prestigiacomo CJ: Historical perspectives: the microsurgical and endovascular treatment of aneurysms. Neurosurgery 2006, 59:S3-39-S3-47.
  • [11]Viñuela F, Duckwiler G, Mawad M: Guglielmi detachable coil embolization of acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403 patients. J Neurosurg 1997, 86:475-482.
  • [12]Zubillaga AF, Guglielmi G, Vi F, Duckwiler G: Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysm neck size and treatment results. Am J Neuroradiol 1994, 15:815-820.
  • [13]Willinsky RA: Detachable coils to treat intracranial aneurysms. Can Med Assoc J 1999, 161:1136-1136.
  • [14]Sluzewski M, van Rooij WJ, Slob MJ, Bescós JO, Slump CH, Wijnalda D: Relation between aneurysm volume, packing, and compaction in 145 cerebral aneurysms treated with coils. Radiology 2004, 231:653-658.
  • [15]Ward Small I, Singhal P, Wilson TS, Maitland DJ: Biomedical applications of thermally activated shape memory polymers. J Mater Chem 2010, 20:3356-3366.
  • [16]Singhal P, Rodriguez JN, Small W, Eagleston S, Van de Water J, Maitland DJ, Wilson TS: Ultra low density and highly crosslinked biocompatible shape memory polyurethane foams. J Polym Sci Pol Phys 2012, 50:727-737.
  • [17]Hwang W, Volk BL, Akberali F, Singhal P, Criscione JC, Maitland DJ: Estimation of aneurysm wall stresses created by treatment with a shape memory polymer foam device. Biomech Model Mechan 2012, 11:715-729.
  • [18]Yu YJ, Hearon K, Wilson TS, Maitland DJ: The effect of moisture absorption on the physical properties of polyurethane shape memory polymer foams. Smart Mater Struct 2011, 20:1-6. 085010
  • [19]Rodriguez JN, Yu YJ, Miller MW, Wilson TS, Hartman J, Clubb FJ, Gentry B, Maitland DJ: Opacification of shape memory polymer foam designed for treatment of intracranial aneurysms. Ann Biomed Eng 2012, 40:883-897.
  • [20]Ortega J, Maitland D, Wilson T, Tsai W, Savaş Ö, Saloner D: Vascular dynamics of a shape memory polymer foam aneurysm treatment technique. Ann Biomed Eng 2007, 35:1870-1884.
  • [21]Wilson T, Bearinger J, Herberg J, Marion J, Wright W, Evans C, Maitland D: Shape memory polymers based on uniform aliphatic urethane networks. J Appl Polym Sci 2007, 106:540-551.
  • [22]Hearon K, Gall K, Ware T, Maitland DJ, Bearinger JP, Wilson TS: Post-polymerization crosslinked polyurethane shape memory polymers. J Appl Polym Sci 2011, 121:144-153.
  • [23]Kakalis NMP, Mitsos AP, Byrne JV, Ventikos Y: The haemodynamics of endovascular aneurysm treatment: a computational modelling approach for estimating the influence of multiple coil deployment. IEEE T Med Imaging 2008, 27:814-824.
  • [24]Khanafer KM, Berguer R: Using porous media theory to determine the coil volume needed to arrest flow in brain aneurysms. In Porous media: applications in biological systems and biotechnology. Edited by Vafai K. Bosa Roca: Taylor & Francis; 2010:237-250.
  • [25]Wei Y, Cotin S, Fang L, Allard J, Pan C, Ma S: Toward real-time simulation of blood-coil interaction during aneurysm embolization. Lect Notes Comput Sc 2009, 12:198-205.
  • [26]Mitsos AP, Kakalis NMP, Ventikos YP, Byrne JV: Haemodynamic simulation of aneurysm coiling in an anatomically accurate computational fluid dynamics model: technical note. Neuroradiology 2008, 50:341-347.
  • [27]Ortega JM, Hartman J, Rodriguez JN, Maitland DJ: Virtual treatment of basilar aneurysms using shape memory polymer foam. Ann Biomed Eng 2013, 41:725-743.
  • [28]Lage J: The fundamental theory of flow through permeable media from Darcy to turbulence. In Transport phenomena in porous media. Edited by Ingham DB, Pop I. Oxford: Elsevier Science; 1998:1-30.
  • [29]Dybbs A, Edwards R: A new look at porous media fluid mechanics-Darcy to turbulent. In Fundamentals of transport phenomena in porous media. Edited by Bear J, Corapcioglu MY. Dordrecht: Springer Netherlands; 1984:201-256.
  • [30]Scheidegger AE: The physics of flow through porous media. 3rd edition. Toronto: University of Toronto Press; 1974.
  • [31]Despois JF, Mortensen A: Permeability of open-pore microcellular materials. Acta Mater 2005, 53:1381-1388.
  • [32]Bear J: Dynamics of fluids in porous media. New York: Dover Publications; 1988. Einav
  • [33]Bevington P, Robinson DK: Data reduction and error analysis for the sciences. 3rd edition. New York: McGraw Hill; 1992.
  • [34]Ahmed N, Sunada DK: Nonlinear flow in porous media. J Hyrd Eng Div-ASCE 1969, 95:1847-1857.
  • [35]Geertsma J: Estimating the coefficient of inertial resistance in fluid flow through porous media. SPE J 1974, 14:445-450.
  • [36]Figliola RS, Beasley DE: Theory and design for mechanical measurements. 4th edition. Hoboken: John Wiley & Sons; 2006.
  • [37]Einav S, Bluestein D: Dynamics of blood flow and platelet transport in pathological vessels. Ann NY Acad Sci 2004, 1015:351-366.
  • [38]Hwang W, Volk BL, Akberali F, Singhal P, Criscione JC, Maitland DJ: Estimation of aneurysm wall stresses created by treatment with a shape memory polymer foam device. Biomech Model Mechanobiol 2012, 11:715-729.
  • [39]Sefton MV, Lusher HM: Hydraulic permeability of open-cell hydrophilic polyurethane foams. J Appl Polym Sci 1980, 25:2167-2178.
  • [40]Beavers GS, Sparrow EM: Non-Darcy flow through fibrous porous media. J Appl Mech 1969, 36:711-714.
  • [41]Sabiri N, Montillet A, Comiti J: Pressure drops of non-Newtonian purely viscous fluid flow through synthetic foams. Chem Eng Commun 1997, 156:59-74.
  • [42]Tadrist L, Miscevic M, Rahli O, Topin F: About the use of fibrous materials in compact heat exchangers. Exp Therm Fluid Sci 2004, 28:193-199.
  • [43]Dawson M, Germaine J, Gibson L: Permeability of open-cell foams under compressive strain. Int J Solids Struct 2007, 44:5133-5145.
  • [44]Johnston BM, Johnston PR, Corney S, Kilpatrick D: Non-Newtonian blood flow in human right coronary arteries: steady state simulations. J Biomech 2004, 37:709-720.
  • [45]Sorteberg A, Sorteberg W, Aagaard BDL, Rappe A, Strother CM: Hemodynamic versus hydrodynamic effects of guglielmi detachable coils on intra-aneurysmal pressure and flow at varying pulse rate and systemic pressure. Am J Neuroradiol 2004, 25:1049-1057.
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