Thrombin Immobilized Hemocompatible Radiopaque Polyurethane Microspheres for Topical Blood Coagulation.

Abstract

Over the past decade, there has been growing interest in developing microspheres for embolization procedures. However, the lack of noninvasive monitoring of the embolic agents and the occurrence of reflux phenomenon leading to unintentional occlusions has raised concerns regarding their compatibility/suitability for embolization therapy. Here we report the development of specialty microspheres having intrinsic radiopacity and surface functionality to tackle the existing complications that pave the way for more advanced solutions. To achieve the above goal, an iodinated monomer, termed "IBHV," capable of imparting radiopacity and functionality, was synthesized and used as a chain extender to make radiopaque polyurethane. Microspheres with a smooth surface and an average diameter of 474 ± 73 μm were fabricated from this polyurethane. The microspheres obtained were noncytotoxic, had a permissible hemolysis rate, and showed better traceability on x-ray imaging. Subsequent immobilization of thrombin onto microspheres improved their hemostatic effect. This study demonstrated that immobilization of thrombin would lead to microspheres with unique traits of radiopacity and hemostatic properties, which will undoubtedly enhance embolization efficiency.