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In vivo evaluation of callispheres microspheres in the porcine renal artery embolization model

机译:猪肾动脉栓塞模型中Callispheres微球的体内评估

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摘要

This study aimed to evaluate the operational performance, embolization effect and safety of CalliSpheres microspheres (CSM) in a porcine renal model. 24 healthy normal pigs were randomized into CSM group and Embosphere microspheres (ESM) group equally, and embolized with CSM or ESM in the lower pole of right kidneys, respectively. On D2, D7 and D28 after the operation, angiography and biochemistry examination were performed, and then the pigs were subjected to renal macroscopic and histopathological examination after euthanasia (4 pigs/group per each time point). The embolization was performed successfully in all pigs without obvious adverse events or deaths, and there was no difference in operation assessments (including number of embolized arteries, volume of injected microspheres and vessel recanalization rate) between CSM group and ESM group. After the operation, all pigs in CSM group and ESM group presented with renal necrosis, stasis and capsule exudation on D2 and D7, and capsule thickening, fibrosis and renal atrophy on D28, and there was no difference in these macroscopic or microscopic manifestations between two groups. For biochemistry indexes (including blood routine, coagulation function, liver function and renal function), most of them were similar between two groups at each time point. CSM embolizes porcine renal artery effectively and safely without obvious adverse events or deaths, which might be a good option for embolization therapy in clinical practices.
机译:这项研究旨在评估猪肾模型中CalliSpheres微球(CSM)的操作性能,栓塞效果和安全性。将24只健康的正常猪平均分为CSM组和Embosphere微球(ESM)组,并在右肾下极分别栓塞CSM或ESM。术后对D2,D7和D28进行血管造影和生化检查,然后在安乐死后对猪进行肾脏肉眼和组织病理学检查(每个时间点4只猪/组)。 CSM组和ESM组之间的所有猪均成功栓塞,无明显不良事件或死亡,并且操作评估(包括栓塞动脉的数量,注射的微球量和血管再通率)也没有差异。术后,CSM组和ESM组的所有猪在D2和D7均出现肾脏坏死,淤滞和包膜渗出,在D28上均出现了囊增厚,纤维化和肾萎缩,两者的宏观或微观表现无差异。组。就生化指标(包括血液常规,凝血功能,肝功能和肾功能)而言,在每个时间点两组之间大多数相似。 CSM有效安全地栓塞猪肾动脉,而没有明显的不良事件或死亡,这在临床实践中可能是栓塞治疗的好选择。

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