Polymeric Endo-Aortic Paving (PEAP): Initial Development of a Novel Treatment for Abdominal Aortic Aneurysms

Persistent Link:
http://hdl.handle.net/10150/204293
Title:
Polymeric Endo-Aortic Paving (PEAP): Initial Development of a Novel Treatment for Abdominal Aortic Aneurysms
Author:
Ashton, John Hardy
Issue Date:
2010
Publisher:
The University of Arizona.
Rights:
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Embargo:
Embargo: Release after 6/3/2012
Abstract:
Abdominal aortic aneurysm (AAA) is a prevalent disease in developed countries. While endovascular aneurysm repair is fairly successful, it has shortcomings. Polymeric endoluminal paving and sealing is a method that has previously been developed to treat a range of diseases. Our goal is to further develop this technique to treat AAA, a process we have named polymeric endo-aortic paving (PEAP). We hypothesize that PEAP will overcome many of the limitations associated with EVAR by providing a minimally invasive treatment which can be used on patients with complicated AAA geometries and reducing incidence of migration and endoleak. Additionally, we plan to incorporate drug delivery into PEAP to improve efficacy. The purpose of this work was to evaluate a potential graft material for PEAP and to develop a thrombus mimic which will aid in further PEAP development. Blends of polycaprolactone/polyurethane (PCL/PU) were assessed by characterizing their mechanical, thermoforming, and degradation properties. PCL/PU grafts have a similar stiffness to aortic tissue and can be thermoformed at temperatures approaching 37 degrees C. Blending PCL with PU significantly reduces PCL's degradation. An anisotropic hyperelastic strain energy function was developed for the PCL/PU blends and finite element modeling (FEM) was used to show that stress reduction on the AAA wall that can be achieved by PEAP is similar to current EVAR. Stiffness varies throughout the AAA thrombus, and thrombus mimics were developed that have similar stiffness, components, and structure to native AAA thrombus.
Type:
text; Electronic Dissertation
Keywords:
Aneurysm; Endovascular Aneurysm Repair; Polycaprolactone; Polyurethane; Thrombus; Vascular Graft
Degree Name:
Ph.D.
Degree Level:
doctoral
Degree Program:
Graduate College; Biomedical Engineering
Degree Grantor:
University of Arizona
Advisor:
Vande Geest, Jonathan P.

Full metadata record

DC FieldValue Language
dc.language.isoenen_US
dc.titlePolymeric Endo-Aortic Paving (PEAP): Initial Development of a Novel Treatment for Abdominal Aortic Aneurysmsen_US
dc.creatorAshton, John Hardyen_US
dc.contributor.authorAshton, John Hardyen_US
dc.date.issued2010-
dc.publisherThe University of Arizona.en_US
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en_US
dc.description.releaseEmbargo: Release after 6/3/2012en_US
dc.description.abstractAbdominal aortic aneurysm (AAA) is a prevalent disease in developed countries. While endovascular aneurysm repair is fairly successful, it has shortcomings. Polymeric endoluminal paving and sealing is a method that has previously been developed to treat a range of diseases. Our goal is to further develop this technique to treat AAA, a process we have named polymeric endo-aortic paving (PEAP). We hypothesize that PEAP will overcome many of the limitations associated with EVAR by providing a minimally invasive treatment which can be used on patients with complicated AAA geometries and reducing incidence of migration and endoleak. Additionally, we plan to incorporate drug delivery into PEAP to improve efficacy. The purpose of this work was to evaluate a potential graft material for PEAP and to develop a thrombus mimic which will aid in further PEAP development. Blends of polycaprolactone/polyurethane (PCL/PU) were assessed by characterizing their mechanical, thermoforming, and degradation properties. PCL/PU grafts have a similar stiffness to aortic tissue and can be thermoformed at temperatures approaching 37 degrees C. Blending PCL with PU significantly reduces PCL's degradation. An anisotropic hyperelastic strain energy function was developed for the PCL/PU blends and finite element modeling (FEM) was used to show that stress reduction on the AAA wall that can be achieved by PEAP is similar to current EVAR. Stiffness varies throughout the AAA thrombus, and thrombus mimics were developed that have similar stiffness, components, and structure to native AAA thrombus.en_US
dc.typetexten_US
dc.typeElectronic Dissertationen_US
dc.subjectAneurysmen_US
dc.subjectEndovascular Aneurysm Repairen_US
dc.subjectPolycaprolactoneen_US
dc.subjectPolyurethaneen_US
dc.subjectThrombusen_US
dc.subjectVascular Graften_US
thesis.degree.namePh.D.en_US
thesis.degree.leveldoctoralen_US
thesis.degree.disciplineGraduate Collegeen_US
thesis.degree.disciplineBiomedical Engineeringen_US
thesis.degree.grantorUniversity of Arizonaen_US
dc.contributor.advisorVande Geest, Jonathan P.en_US
dc.contributor.committeememberMills, Joseph L.en_US
dc.contributor.committeememberMcGrath, Dominic V.en_US
dc.contributor.committeememberSecomb, Timothy W.en_US
dc.contributor.committeememberSimon, Bruce R.en_US
dc.identifier.proquest11112-
dc.identifier.oclc659755058-
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