Division of Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Department of Radiology, Piedmont Healthcare, Atlanta, Georgia.
J Vasc Interv Radiol. 2022 Jun;33(6):648-652.e2. doi: 10.1016/j.jvir.2022.02.018.
This study evaluated fundal arteriole angiographic revascularization after embolization with embolic microspheres of 3 different diameters in a swine model (16 swine, 31 arterioles). In the 50-μm group, 7 of 11 (64%) arterioles recanalized completely, 3 of 11 (27%) arterioles recanalized partially, and 1 of 11 (9%) arterioles had collateralization (no recanalization). In the 100- to 300-μm group, 7 of 10 (70%) arterioles recanalized completely and 3 of 10 (30%) arterioles) recanalized partially. In the 300- to 500-μm group, 7 of 10 (70%) arterioles recanalized completely, 1 of 10 (10%) arterioles recanalized partially, and 2 of 10 (20%) arterioles had collateralization. No difference was found between the groups in the degree of recanalization (P = .64). All embolized arterioles exhibited some degree of angiographic revascularization, irrespective of the microsphere size.
本研究在猪模型中评估了用 3 种不同直径的微球栓塞后的底蜕膜动脉血管再通情况(16 头猪,31 条动脉)。在 50-μm 组中,11 条动脉中的 7 条(64%)完全再通,11 条中的 3 条(27%)部分再通,11 条中的 1 条(9%)有侧支循环(无再通)。在 100-300-μm 组中,10 条动脉中的 7 条(70%)完全再通,10 条中的 3 条(30%)部分再通。在 300-500-μm 组中,10 条动脉中的 7 条(70%)完全再通,10 条中的 1 条(10%)部分再通,10 条中的 2 条(20%)有侧支循环。各组之间的再通程度无差异(P=.64)。无论微球大小如何,所有栓塞的动脉都表现出一定程度的血管造影再通。