title: Shape memory polymer foams for cerebral aneurysm reparation: effects of plasma sterilization on physical properties and cytocompatibility.
abstract: Shape memory polyurethanes (SMPUs) represent promising candidate materials for aneurysm embolization, since they could enable clinical problems still associated with these clinical procedures to be overcome. In this work, we report on the characterization of physicochemical, thermomechanical and in vitro interface properties of two SMPU foams (Cold Hibernated Elastic Memory, CHEM), proposed as a material for embolization devices in minimally invasive procedures. Moreover, because device sterilization is mandatory for in vivo applications, effects on the properties of the foams after plasma sterilization were also evaluated. Both foams (CHEM 3520 and CHEM 5520) showed excellent shape recovery ability (recovery rate, R(r), up to 99%) in conventional shape recovery tests, performed at constant heating rate. Transition temperatures (T(trans)), determined by tandelta peaks in dynamic mechanical analysis (DMA), were 32.2 and 45.1 degrees C, for CHEM 3520 and 5520, respectively. The value of T(trans) affects shape memory ability in the recovery test at 37 degrees C, which simulates the behavior after implantation of the device: in fact, R(r) was significantly higher for lower T(trans) foam (R(r) approximately 82% and R(r) approximately 46%, respectively, for CHEM 3520 and CHEM 5520). After plasma sterilization performed by a Sterrad sterilization system, an increase in open porosity was observed: this is probably due to the sterilization cycle; however, no effects on shape recovery behavior were observed. Furthermore, plasma treatment had no significant effect on L929 cells in in vitro cytotoxicity tests, performed on cell culture medium extracts in contact with foams for up to 7 days. Moreover, direct cytocompatibility tests showed a good colonization and growth from L929 cells on CHEM foams, suggesting the effectiveness of an in vivo healing process. All these results seem to suggest that CHEM foams could be advantageously used for manufacturing devices for mini-invasive embolization procedures of aneurysms.
authors.affiliation: Dipartimento di Chimica, Materiali e Ingegneria Chimica, G. Natta, Politecnico di Milano, Via Mancinelli 7, 20133 Milan, Italy. luigi.denardo@polimi.it
authors.forename: Luigi
authors.initials: L
authors.lastname: De Nardo
authors.forename: Rachele
authors.initials: R
authors.lastname: Alberti
authors.forename: Alberto
authors.initials: A
authors.lastname: Cigada
authors.forename: L'Hocine
authors.initials: L
authors.lastname: Yahia
authors.forename: Maria Cristina
authors.initials: MC
authors.lastname: Tanzi
authors.forename: Silvia
authors.initials: S
authors.lastname: Farè
mesh_terms: D000818:Animals; D001672:Biocompatible Materials / Q000737:chemistry* / Q000494:pharmacology; D002448:Cell Adhesion / Q000187:drug effects; D002450:Cell Communication / Q000187:drug effects; D002460:Cell Line; D049109:Cell Proliferation / Q000187:drug effects; D002470:Cell Survival / Q000187:drug effects; D005347:Fibroblasts / Q000166:cytology / Q000648:ultrastructure; D002532:Intracranial Aneurysm / Q000628:therapy*; D007700:Kinetics; D008422:Materials Testing; D055595:Mechanical Phenomena / Q000187:drug effects; D051379:Mice; D011140:Polyurethanes / Q000737:chemistry*; D013242:Sterilization / Q000379:methods*; D044366:Transition Temperature / Q000187:drug effects
chemical_list: D001672:Biocompatible Materials; D011140:Polyurethanes