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

机译:在猪肾动脉栓塞模型中对Callispheres微球的体内评价

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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:本研究旨在评估猪肾模型中Callispheres微球(CSM)的操作性能,栓塞效应和安全性。 24个健康的正常猪同样地被随机分为CSM组和残余微球(ESM)组,分别与右肾下部的CSM或ESM栓塞。在D2,D7和D28上进行操作,进行血管造影和生物化学检查,然后在安乐死后进行猪宏观和组织病理学检查(每次4猪/颗粒)。栓塞在所有猪中成功地进行,没有明显不良事件或死亡,操作评估(包括CSM组和ESM组之间的操作评估(包括栓塞动脉次数,注射的微球的数量和血管重组率)。经过手术后,CSM组的所有猪和ESM组在D2和D7上呈现肾脏坏死,裂隙和胶囊渗出,D28上的胶囊增稠,纤维化和肾萎缩,两种宏观或微观表现没有差异团体。对于生物化学指数(包括血液常规,凝血功能,肝功能和肾功能),大多数在每个时间点之间的两组之间类似。 CSM有效,安全地栓塞猪肾动脉,没有明显的不良事件或死亡,这可能是临床实践中栓塞治疗的良好选择。

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