Matching Items (2)
Description
Treatment of cerebral aneurysms using non-invasive methods has existed for decades. Since the advent of modern endovascular techniques, advancements to embolic materials have largely focused on improving platinum coil technology. However, the recent development of Onyx®, a liquid-delivery precipitating polymer system, has opened the door for a new class of embolic materials--liquid-fill systems. These liquid-fill materials have the potential to provide better treatment outcomes than platinum coils. Initial clinical use of Onyx has proven promising, but not without substantial drawbacks, such as co-delivery of angiotoxic compounds and an extremely technical delivery procedure. This work focuses on formulation, characterization and testing of a novel liquid-to-solid gelling polymer system, based on poly(propylene glycol) diacrylate (PPODA) and pentaerythritol tetrakis(3-mercaptopropionate) (QT). The PPODA-QT system bypasses difficulties associated with Onyx embolization, yet still maintains non-invasive liquid delivery--exhibiting the properties of an ideal embolic material for cerebral aneurysm embolization. To allow for material visibility during clinical delivery, an embolic material must be radio-opaque. The PPODA-QT system was formulated with commercially available contrast agents and the gelling kinetics were studied, as a complete understanding of the gelling process is vital for clinical use. These PPODA-QT formulations underwent in vitro characterization of material properties including cytotoxicity, swelling, and degradation behaviors. Formulation and characterization tests led to an optimized PPODA-QT formulation that was used in subsequent in vivo testing. PPODA-QT formulated with the liquid contrast agent ConrayTM was used in the first in vivo studies. These studies employed a swine aneurysm model to assess initial biocompatibility and test different delivery strategies of PPODA-QT. Results showed good biocompatibility and a suitable delivery strategy, providing justification for further in vivo testing. PPODA-QT was then used in a small scale pilot study to gauge long-term effectiveness of the material in a clinically-relevant aneurysm model. Results from the pilot study showed that PPODA-QT has the capability to provide successful, long-term treatment of model aneurysms as well as facilitate aneurysm healing.
ContributorsRiley, Celeste (Author) / Vernon, Brent L (Thesis advisor) / Preul, Mark C (Committee member) / Frakes, David (Committee member) / Pauken, Christine (Committee member) / Massia, Stephen (Committee member) / Arizona State University (Publisher)
Created2011
Description
A fetus physiologically relies on blood for nutrients given by the mother. Blood supply is provided to a fetus through an umbilical cord having the structure of two pulsatile arteries with smooth muscle surrounding a thin walled vein. The two arteries transport deoxygenated blood from the fetus in the direction of the placenta while the one vein transports oxygenated blood in the direction of the fetus. This process of the movement of blood is continuous throughout the gestation cycle. Conventionally, there are two arterial coils for every one coil of the vein. Undercoiling and overcoiling of the arteries leads to fetal distress, resulting in researchers to speculate that there is a relationship between these geometries with altered blood flow patterns that may be deleterious to the fetus. The fluid dynamics of an umbilical cord artery blood flow has not been extensively modeled on a computer, meaning there is an absence of knowledge on the ideal pitch of the coiling of the umbilical cord arteries. In this study, I developed computer models with ANSYS Fluent containing fluid dynamic variables and boundary conditions including: density of blood, viscosity of blood, diameter of each artery, pitch of artery coil, flow rate in each artery, and inlet velocity. Care was taken to investigate the effect of fluid finite element size, through mesh refinement, to improve accuracy of the models. The finalized models illustrate velocity and stress distribution in a coiled artery, showing different patterns in a model representing normal as compared to abnormal pitch. Further study of the fluid mechanics in the coil of the umbilical cord arteries, may elucidate the correlation between ideal pitch and fetal distress.
ContributorsSeaney, Amanda Marie (Author) / VanAuker, Michael (Thesis director) / Lilien, Lawrence (Committee member) / Harrington Bioengineering Program (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05