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Published on: June 2, 2015
New thermoreversible liquid embolic agent for embolotherapy: technical report.
Hiroyuki Takao1, Yuichi Murayama, Masaki Ebara
1Division of Endovascular Neurosurgery, Department of Neurosurgery, Jikei University School of Medicine, Tokyo, Japan. takao@jikei.ac.jp
A novel thermoreversible gelation polymer (TGP) shows promise as a liquid embolic agent for embolotherapy, demonstrating successful renal artery embolization in swine without complications.
Area of Science:
- Biomaterials Science
- Interventional Radiology
- Polymer Chemistry
Background:
- Thermoreversible gelation polymer (TGP) is a liquid polymer initially developed for tissue engineering.
- TGP transitions from liquid to gel at temperatures above its tunable sol-gel transition temperature (TT).
- This property allows for in-situ gelation at body temperature without requiring solvents.
Purpose of the Study:
- To evaluate the feasibility of TGP as a liquid embolic agent for embolotherapy.
- To assess the safety and efficacy of TGP in a preclinical animal model.
Main Methods:
- Renal arteries in six swine were embolized using TGP delivered via a cooling catheter.
- Angiographic assessments were performed at baseline, 3 hours, and 14 days post-embolization.
- Histopathological analysis was conducted on explanted kidneys at 14 days.
Main Results:
- Successful embolization of all target renal arteries was achieved with TGP.
- No acute or chronic clinical complications were observed in the animal subjects.
- Angiography confirmed complete or near-complete occlusion, and histology showed no significant inflammatory response.
Conclusions:
- TGP demonstrates potential feasibility as an embolic material for clinical applications.
- This includes the treatment of conditions such as cerebral arteriovenous malformations, aneurysms, and hypervascular tumors.
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