Comparison of four embolic materials for portal vein embolization: experimental study in pigs.

Details

Serval ID
serval:BIB_107E584F5DE7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Comparison of four embolic materials for portal vein embolization: experimental study in pigs.
Journal
European Radiology
Author(s)
de Baere T., Denys A., Paradis V.
ISSN
1432-1084[electronic]
Publication state
Published
Issued date
2009
Volume
19
Number
6
Pages
1435-1442
Language
english
Abstract
Different embolic materials for portal vein embolization (PVE) were evaluated. Twenty pigs received left and median PVE. Hydrophilic phosphorylcholine, N-butyl cyanoacrylate, hydrophilic gel, and polyvinyl alcohol (PVA) particles measuring either 50-150 microm or 700-900 microm were used in five pigs each. Portography and portal vein pressure measurement were performed before, immediately after PVE, and before being euthanized at day 7. Tissue wedges from embolized, and non-embolized liver were obtained for pathology. After complete embolization, recanalization occurred at 7 days in one gel and one 700-900 PVA embolization. Post-PVE increase in portal pressure was found in all groups (p = 0.01). The area of the hepatic lobules in non-embolized liver was larger than in the embolized liver in all groups (p = 0.001). The ratios of the areas between non-embolized/embolized livers were 1.65, 2.19, 1.57, and 1.32 for gel, NBCA, 50-150 PVA and 700-900 PVA, respectively; the ratios of fibrosis between the embolized and non-embolized livers were 1.37, 3.01, 3.49, and 2.11 for gel, NBCA, 50-150 PVA and 700-900 PVA, respectively. Hepatic lobules in non-embolized liver were significantly larger with NBCA than in other groups (p = 0.01). Fibrosis in embolized liver was significantly higher for NBCA and 50-150 PVA (p = 0.002). The most severe changes in embolized and non-embolized liver were induced by 50-150 PVA and NCBA PVE.
Keywords
Animals, Embolization, Therapeutic/methods, Hemostatics/administration &amp, dosage, Portal Vein/drug effects, Portal Vein/pathology, Swine
Pubmed
Web of science
Create date
22/06/2009 17:17
Last modification date
20/08/2019 13:37
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