Open AccessReview
Advances in Degradable Embolic Microspheres: A State of the Art Review
by
Jensen Doucet 1, Lauren Kiri 2, Kathleen O’Connell 2,*, Sharon Kehoe 3, Robert J. Lewandowski 4, David M. Liu 5, Robert J. Abraham 6 and Daniel Boyd 3,*
1
School of Biomedical Engineering, Dalhousie University, Halifax, NS B3H 4R2, Canada
2
Department of Applied Oral Sciences, Faculty of Dentistry, 5981 University Avenue, P.O. BOX 15000, Halifax, NS B3H 4R2, Canada
3
ABK Biomedical Inc., Unit 32, 155 Chain Lake Drive, Halifax, NS B3S 1B3, Canada
4
Department of Radiology, Division of Vascular and Interventional Radiology, Fienberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
5
Department of Radiology, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
6
Interventional Radiology and Diagnostic Imaging Department, Room 3316, Halifax Infirmary Site, QEII Health Sciences Center, 1796 Summer St, Halifax, NS B3H 3A7, Canada
Cited by 48 | Viewed by 10730
Abstract
Considerable efforts have been placed on the development of degradable microspheres for use in transarterial embolization indications. Using the guidance of the U.S. Food and Drug Administration (FDA) special controls document for the preclinical evaluation of vascular embolization devices, this review consolidates all
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Considerable efforts have been placed on the development of degradable microspheres for use in transarterial embolization indications. Using the guidance of the U.S. Food and Drug Administration (FDA) special controls document for the preclinical evaluation of vascular embolization devices, this review consolidates all relevant data pertaining to novel degradable microsphere technologies for bland embolization into a single reference. This review emphasizes intended use, chemical composition, degradative mechanisms, and pre-clinical safety, efficacy, and performance, while summarizing the key advantages and disadvantages for each degradable technology that is currently under development for transarterial embolization. This review is intended to provide an inclusive reference for clinicians that may facilitate an understanding of clinical and technical concepts related to this field of interventional radiology. For materials scientists, this review highlights innovative devices and current evaluation methodologies (i.e., preclinical models), and is designed to be instructive in the development of innovative/new technologies and evaluation methodologies.
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