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正常犬肝脏的经导管动脉栓塞术

Transcatheter arterial embolization in normal canine liver.

作者信息

Oishi Yasuhisa, Tani Kenji, Ozono Koushiro, Itamoto Kazuhito, Haraguchi Tomoya, Taura Yasuho

机构信息

Department of Veterinary Surgery, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan.

Animal Medical Center, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan.

出版信息

Vet Surg. 2017 Aug;46(6):797-802. doi: 10.1111/vsu.12663. Epub 2017 May 29.

Abstract

OBJECTIVE

To determine the effects of selective transcatheter arterial embolization (TAE) in the normal canine liver.

STUDY DESIGN

Experimental study.

ANIMALS

Adult Beagle dogs (n = 5).

METHODS

Gelatin sponge particles (GSPs) were injected through a microcatheter for selective embolization of the left hepatic artery in normal dogs. Computed tomography (CT) and histology were performed during an 8-week observation period; biochemical analysis data were obtained during a 12-week observation period after TAE.

RESULTS

Embolization was successful in all dogs and did not induce any change in the clinical appearance of dogs. Postoperative CT was consistent with recanalization of the artery within 2 weeks of embolization in all dogs. Hepatic enzyme levels increased temporarily after embolization but gradually returned to normal ranges. Histological examinations did not differ between treated and untreated liver tissues.

CONCLUSION

TAE appears safe in normal dogs observed for 12 weeks. Arterial recanalization seems to occur within 2 weeks after injection of GSPs in the left hepatic artery.

IMPACT/CLINICAL RELEVANCE: Selective TAE of the hepatic artery was well tolerated in normal dogs. Selective TAE may be applicable to canine hepatocellular carcinoma.

摘要

目的

确定选择性经导管动脉栓塞术(TAE)对正常犬肝脏的影响。

研究设计

实验研究。

动物

成年比格犬(n = 5)。

方法

通过微导管注入明胶海绵颗粒(GSPs),对正常犬的左肝动脉进行选择性栓塞。在8周的观察期内进行计算机断层扫描(CT)和组织学检查;在TAE术后12周的观察期内获取生化分析数据。

结果

所有犬的栓塞均成功,且未引起犬临床外观的任何变化。术后CT显示,所有犬在栓塞后2周内动脉再通。栓塞后肝酶水平暂时升高,但逐渐恢复到正常范围。治疗组和未治疗组肝脏组织的组织学检查无差异。

结论

在观察12周的正常犬中,TAE似乎是安全的。在左肝动脉注射GSPs后2周内似乎会发生动脉再通。

影响/临床意义:正常犬对肝动脉选择性TAE耐受性良好。选择性TAE可能适用于犬肝细胞癌。

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