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Paprottka, Karolin J.; Waggershauser, Tobias; Rübenthaler, Johannes; Paprottka, Felix J.; Clevert, Dirk-André; Reiser, Maximilian F. und Paprottka, Philipp M. (2017): In vitro study of physical properties of various embolization particles regarding morphology before, during and after catheter passage. In: Clinical Hemorheology and Microcirculation, Bd. 64, Nr. 3: S. 887-898

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Abstract

OBJECTIVE: To evaluate various embolization particles on their physical properties with special regard on morphological variability and elasticity. METHODS: 8 embolization particles (EmboCept (R), Contour SE (R) Microspheres, Embosphere (R) Micorspheres 400 mu m, 500 mu m, 1300 mu m, Embozene (R) Microspheres, DC Beads (R), Embozene Tandem (R)) were evaluated and graduated from 1- 6 microscopically due to morphologic changes in vitro before, during and after their catheter passage by 4 blinded reviewers. To facilitate comparison, microscopic images were provided with a scale. RESULTS: All tested particles showed a homogenous shape and morphology before passage through the simulation catheter. During the passage all particles were elastically deformable, where necessary. After the catheter passage no loss of basic shape was seen. Changes in size were found in 5/8 particles. Grading of morphologic changes varied between mean value of 1.0 and 3.0. No complete destruction or loss of function was seen. CONCLUSION: All tested embolization particles are, regarding their morphological properties in sense of homogenous shape and deformation after catheter passage, a safe treatment option. Tested in vitro no less of functionality regarding physical properties should be expected.

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