Ou Wen-chao, Xiu Jian-cheng, Xie Jin-guo, Zha Dao-gang, Liu Jian, Hao Rui, Bin Jian-ping, Liu Yi-li
Department of Cardiology, Nangfang Hospital, First Military Medical University, Guangzhou 510515, China.
Di Yi Jun Yi Da Xue Xue Bao. 2004 May;24(5):536-8.
To evaluate the efficacy of intravenous ultrasound microbubbles for thrombolysis of arterial thrombus without using thrombolytic drugs.
Twelve rabbit models of acute bilateral femoral artery thrombosis were established and 6 of them received transcutaneous ultrasound and intravenous albumin microbubble treatment for thrombosis on one side while only microbubble treatment for the other side. The other 6 rabbits received ultrasound treatment on one side but no treatment on the other to serve as the control group.
None of the 6 arteries treated with microbubbles alone and only 2 arteries treated with ultrasound alone in the 6 control rabbits were recanalized. All the 6 femoral arteries treated with microbubbles together with ultrasound were recanalized (P=0.014), with significantly shorter patent time and smaller residual thrombus cross-sectional area than those of the arteries with only ultrasound treatment (P=0.004 and P=0.003, respectively).
Treatment with intravenous microbubbles assisted by transcutaneous ultrasound effectively promotes arterial thrombolysis in vivo, and this technique can be of significance in clinical treatment of acute thrombotic occlusions.
评估在不使用溶栓药物的情况下,静脉注射超声微泡对动脉血栓进行溶栓的疗效。
建立12只兔双侧股动脉急性血栓形成模型,其中6只兔一侧经皮超声联合静脉注射白蛋白微泡治疗血栓,另一侧仅行微泡治疗。另外6只兔一侧接受超声治疗,另一侧不治疗作为对照组。
6只对照组兔中,单独使用微泡治疗的6条动脉均未再通,单独使用超声治疗的6条动脉中仅有2条再通。超声联合微泡治疗的6条股动脉均再通(P = 0.014),与仅接受超声治疗的动脉相比,再通时间显著缩短,残余血栓横截面积更小(分别为P = 0.004和P = 0.003)。
经皮超声辅助静脉注射微泡治疗可有效促进体内动脉溶栓,该技术在急性血栓性闭塞的临床治疗中具有重要意义。