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新型碘基可视聚乙烯醇栓塞材料的制备与研究

Preparation and investigation of a novel iodine-based visible polyvinyl alcohol embolization material.

作者信息

Yang Yupeng, Yang Rui, Zhang Beilei, Tian Ye, Lu Yanqi, An Xiao, Shi Xiangyang

机构信息

State Key Laboratory for Modification of Chemical Fibers and Polymer Materials, Shanghai Engineering Research Center of Nano-Biomaterials and Regenerative Medicine, College of Chemistry, Chemical Engineering and Biotechnology, Donghua University, Shanghai, 201620, China.

Department of Pharmacy, Zhengzhou Railway Vocational & Technical College, Zhengzhou, 451460, China.

出版信息

J Interv Med. 2022 May 21;5(2):72-78. doi: 10.1016/j.jimed.2022.03.009. eCollection 2022 May.

Abstract

Polyvinyl alcohol (PVA) embolization particles, currently used in clinical practice, have good expansibility and are capable of permanent embolization. However, the lack of adhesion of embolization particles contributes to facilitated recanalization after embolization, while the lack of visualization facilitates misembolization. At present, embolization materials with good expansion, adhesion, and visualization potential are urgently required in clinical practice. Here, we report the development of PVA/gelatin/iohexol (I) fiber blocks as a novel embolization material for liver embolization in rats. In our work, electrospun PVA/gelatin/I nanofibrous mats were first prepared, homogenized, centrifuged in a gradient manner, and freeze-dried to obtain fiber blocks (fiber diameter ​= ​296.2 ​± ​74.23 ​nm, length 99.6 ​± ​17.0 ​μm ​× ​width 46.9 ​± ​13.3 ​μm). The fiber blocks exhibited excellent cytocompatibility and hemocompatibility. Fiber blocks with a PVA/gelatin/I mass ratio of 8:2:10 were selected due to their excellent expansibility and adhesive properties. The PVA/gelatin/I fiber blocks display excellent liver embolic effects and computed tomography (CT) imaging potential due to a combination of the following characteristics: expansibility of PVA and gelatin, adhesive property of gelatin, and CT imaging potential of I. The developed fiber block material is an embolic material that may potentially be used in interventional medicine.

摘要

聚乙烯醇(PVA)栓塞颗粒目前应用于临床实践,具有良好的膨胀性,能够实现永久性栓塞。然而,栓塞颗粒缺乏黏附性会导致栓塞后再通更容易,而缺乏显影性则会导致误栓。目前,临床实践迫切需要具有良好膨胀性、黏附性和显影潜力的栓塞材料。在此,我们报告了PVA/明胶/碘海醇(I)纤维块作为一种用于大鼠肝脏栓塞的新型栓塞材料的研发情况。在我们的工作中,首先制备了电纺PVA/明胶/I纳米纤维毡,进行均质化处理,梯度离心,然后冷冻干燥以获得纤维块(纤维直径 = 296.2 ± 74.23 nm,长度99.6 ± 17.0 μm × 宽度46.9 ± 13.3 μm)。该纤维块表现出优异的细胞相容性和血液相容性。由于其优异的膨胀性和黏附性能,选择了PVA/明胶/I质量比为8:2:10的纤维块。PVA/明胶/I纤维块由于具有以下特性的组合而显示出优异的肝脏栓塞效果和计算机断层扫描(CT)成像潜力:PVA和明胶的膨胀性、明胶的黏附性以及碘海醇的CT成像潜力。所研发的纤维块材料是一种可能用于介入医学的栓塞材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33f3/9349005/5a542c5884fc/ga1.jpg

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