Technical feasibility and histopathologic studies of poly (N-isopropylacrylamide) as a non-adhesive embolic agent in swine rete mirabile
| Autor: | Ling-bin Kong, Cheng-ru Zhao, Qin Wang, Jun Tang, Chuandong Wang, Le-bin Wu, Xi-zhong Sheng, Zuo-qin Liu |
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| Rok vydání: | 2006 |
| Předmět: |
Intracranial Arteriovenous Malformations
endocrine system medicine.medical_specialty Pathology Swine medicine.medical_treatment Acrylic Resins Muscular layer Embolic Agent medicine.artery Animals Medicine Occipital artery Embolization medicine.diagnostic_test business.industry Arteriovenous malformation General Medicine medicine.disease Embolization Therapeutic Surgery medicine.anatomical_structure Angiography Iohexol business Rete mirabile medicine.drug |
| Zdroj: | Chinese Medical Journal. 119:391-396 |
| ISSN: | 0366-6999 |
| Popis: | Background Non-adhesive liquid embolic agents are increasingly gaining importance in the embolization of cerebral arteriovenous malformations (AVMs). We investigated the use of poly (N-isopropylacrylamide) (PNIPAM) as a non-adhesive embolic agent in swine rete mirabile. Methods The PNIPAM hydrogel was mixed with iohexol and embolization was performed in swine rete mirabile in 30 animals. The microcatheter was examined after embolization. Follow-up angiography was performed for embolic efficacy after embolization. Embolized retia were examined histopatholgically, and the alterations of inside rete and surrounding tissue were observed. Results The copolymer hydrogel was used for rete embolization in 30 swine, 28 swine survived the procedure, 2 swine died, 1 swine died of cerebrum infarction and the other died of embolic agent reflux into the occipital artery. The inside wall of the microcatheter was smooth, without copolymer adhering to it. Follow-up angiography was performed in 22 swine, there was no rete recanalization in 20 swine and partial rete recanalization in 2 swine because of the trunk embolization of ascending pharyngeal arteries. Histopatholgically, the copolymer was found diffused into vessels of 100-150 μm in diameter. In acute group, neutrophils scattered surrounding the copolymer and endothelial integrity was observed, without endothelial denuding and necrosis. In subacute and chronic groups, the copolymer was found inside retia, a few mononuclear cells and eosinocytes scattered inside and surrounding it. The muscular layer was loosened with most muscular nuclei degraded. Conclusion Experimental rete embolization with PNIPAM, made radiopaque with iohexol, is technically feasible in swine. Because of its properties, PNIPAM has great potential as a therapeutic non-adhesive embolic agent. |
| Databáze: | OpenAIRE |
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