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Interventional catheter, a medical device characterized by a gradient hardness from one end to the other, exhibits enhanced flexibility upon insertion into the human body. This unique configuration accommodates various anatomical structures and surgical requirements. This study reports, for the first time, a degradable hydrogel interventional catheter with gradient hardness. A novel aqueous reaction methodology is developed, enabling the direct transformation of a solid sodium alginate (SA) film strip into a hollow hydrogel interventional catheter. This process involves copper ions-induced asymmetry crosslinking in an aqueous solution, solvent exchange in ethanol, removal of copper ions by ethylenediaminetetraacetic acid, and subsequent bimetallic crosslinking in CaCl and FeCl aqueous solutions. This method results in gradient-hardness hydrogel interventional catheters without surface defects such as protrusions and pits. The hydrogel interventional catheter demonstrates gradient robustness with mechanical strength reaching 5.5 MPa for the soft head and 28 MPa for the hard tail. By incorporating a gradual stiffness variation, the hydrogel catheter with superior lubricity and flexibility more effectively adapts to the anatomical structures of the human body, potentially minimizing tissue damage and expediting surgical procedures. Consequently, it shows significant potential as a medical interventional catheter.
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http://dx.doi.org/10.1002/adhm.202405086 | DOI Listing |
Eur J Case Rep Intern Med
August 2025
Internal Medicine, University of California, Riverside School of Medicine, Riverside, USA.
Introduction: Pulmonary embolism (PE) is a life-threatening condition with well-defined management strategies; however, the presence of a clot-in-transit (CIT)-a mobile thrombus within the right heart-introduces a uniquely high-risk scenario associated with a significantly elevated mortality rate. While several therapeutic approaches are available-including anticoagulation, systemic thrombolysis, surgical embolectomy, and catheter-directed therapies-there is no established consensus on a superior treatment modality. Catheter-based mechanical thrombectomy has emerged as a promising, minimally invasive alternative that mitigates the bleeding risks of systemic thrombolysis and the invasiveness of surgery.
View Article and Find Full Text PDFFront Endocrinol (Lausanne)
September 2025
Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Background: Diabetic foot ulcers (DFU) are a prevalent complication of diabetes, leading to significant morbidity, mortality, and amputation rates. Chronic non-healing DFU often result from peripheral neuropathy, microvascular issues, and infection, with poor blood and oxygen supply being critical factors in delayed healing. The development of new treatments to promote blood supply and accelerate ulcer healing is a significant area of research for DFU management.
View Article and Find Full Text PDFMed Phys
September 2025
School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, P.R. China.
Background: In catheter-based radiofrequency ablation (RFA), energy is delivered to heterogeneous thin-walled tissues to induce therapeutic heating. Variations in electrical and mechanical properties of tissue contents have a great effect on outcomes.
Purpose: The objective of this study is to develop models that replicate tissue heterogeneity and visualize ablation zones for effective evaluation and optimization.
Catheter Cardiovasc Interv
September 2025
Cardiology Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
We present the first case of a double atrial septal defect (ASD) successfully reshaped using transcatheter electrosurgery to unify both defects into a single orifice, enabling closure with a single device. This technique appears feasible and may simplify the management of complex double ASDs in some cases.
View Article and Find Full Text PDFJ Vasc Access
September 2025
Prince of Wales Hospital, Sydney, NSW, Australia.
Objective: Minimal Invasive Dialysis Access (MIDA) for renal dialysis encompasses percutaneous arteriovenous fistula (pAVF) creation and the modified percutaneous Seldinger peritoneal dialysis catheter insertions (pPD). This review examines the impact of MIDA on technical success, maturation rates, patency, clinical benefits, complications, and cost.
Methods: A review was made of the literature on MIDA including pAVF creation and pPD insertion regarding technical success rates, maturation rates, patency, clinical benefits, complications, and cost.