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用于血管内栓塞的同源可控粘度纤维蛋白。第二部分:插管技术、动物实验。

Homologous controlled-viscosity fibrin for endovascular embolization. Part II: catheterization technique, animal experiments.

作者信息

Richling B

出版信息

Acta Neurochir (Wien). 1982;64(1-2):109-24. doi: 10.1007/BF01405624.

Abstract

Part I of the present paper described the development of a substance for endovascular embolization from homologous fibrinogen, aprotinin, thrombin, metrizamide and CaCl2. Part II deals with the applicability of a controlled-viscosity fibrin mixture via different types of arterial catheters. In a flow-dynamic model the embolizing medium injected via a double syringe was shown to block a blood flow corresponding approximately to the flow encountered in cerebral angioma vessels. In the course of animal experiments the embolization of mesenteric arteries of rabbits showed the distribution of the embolizing medium to be dependent on its viscosity; the action of an embolizing medium applied by means of a double syringe was studied in the femoral arteries of rabbits. Scintigraphy was used to study the distribution of the substance in the body of the experimental animal after intravenous (i.v.) application; long-term studies of embolized auricular arteries in rabbits revealed parchment-like necroses after 5 to 10 days and the presence of radiopaque substances in the ear stumps after 6 weeks.

摘要

本文第一部分描述了一种由同源纤维蛋白原、抑肽酶、凝血酶、甲泛葡胺和氯化钙制成的用于血管内栓塞的物质的研制过程。第二部分探讨了通过不同类型动脉导管使用可控粘度纤维蛋白混合物的适用性。在一个血流动力学模型中,经双注射器注入的栓塞介质显示能阻断与脑血管瘤血管中大致相同的血流。在动物实验过程中,对兔肠系膜动脉的栓塞显示栓塞介质的分布取决于其粘度;通过双注射器应用栓塞介质的作用在兔股动脉中进行了研究。静脉注射后,用闪烁扫描法研究该物质在实验动物体内的分布;对兔栓塞耳动脉的长期研究显示,5至10天后出现羊皮纸样坏死,6周后在耳残端存在不透射线的物质。

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