Embolization with cellulose porous beads, I: An experimental study. 1996

J Hamada, and Y Ushio, and K Kazekawa, and T Tsukahara, and N Hashimoto, and H Iwata
Department of Neurosurgery, Kumamoto University Medical School, Japan.

OBJECTIVE To study the possibility of using cellulose porous beads (CPBs) as a solid embolic material for the permanent occlusion of blood vessels. METHODS Unilateral renal arteries of 12 adult mongrel dogs were embolized with CPBs. Selective renal angiograms were obtained immediately, 1 hour, 4 weeks, and 12 weeks after the embolization. The dogs were killed 1 hour (n = 4), 4 weeks (n = 4), or 12 weeks (n = 4) after the procedure. The kidneys were removed en bloc and examined histologically. RESULTS The CPBs were easily injected through a microcatheter, were readily controlled with radiodensity, and did not adhere to the catheter. Renal angiograms obtained after embolization disclosed complete occlusion of the renal artery. Microscopically, the CPBs traveled to vessels with approximately the same diameter size. Larger vessels were occluded by aggregations of particles that left no open spaces. We found no disruption of the vessel wall, no evidence of perivascular hemorrhage, and no inflammatory changes of the vessel wall or the surrounding tissues. CONCLUSIONS The CPBs were easy to use; they reached distal sites and produced a homogeneous and permanent occlusion without specific inflammatory changes. The good results of this experimental study led to a clinical trial of CPBs.

UI MeSH Term Description Entries
D007668 Kidney Body organ that filters blood for the secretion of URINE and that regulates ion concentrations. Kidneys
D008863 Microspheres Small uniformly-sized spherical particles, of micrometer dimensions, frequently labeled with radioisotopes or various reagents acting as tags or markers. Latex Beads,Latex Particles,Latex Spheres,Microbeads,Bead, Latex,Beads, Latex,Latex Bead,Latex Particle,Latex Sphere,Microbead,Microsphere,Particle, Latex,Particles, Latex,Sphere, Latex,Spheres, Latex
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D012077 Renal Artery A branch of the abdominal aorta which supplies the kidneys, adrenal glands and ureters. Arteries, Renal,Artery, Renal,Renal Arteries
D002482 Cellulose A polysaccharide with glucose units linked as in CELLOBIOSE. It is the chief constituent of plant fibers, cotton being the purest natural form of the substance. As a raw material, it forms the basis for many derivatives used in chromatography, ion exchange materials, explosives manufacturing, and pharmaceutical preparations. Alphacel,Avicel,Heweten,Polyanhydroglucuronic Acid,Rayophane,Sulfite Cellulose,alpha-Cellulose,Acid, Polyanhydroglucuronic,alpha Cellulose
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D004621 Embolization, Therapeutic A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage. Embolotherapy,Therapeutic Embolization,Embolizations, Therapeutic,Embolotherapies,Therapeutic Embolizations
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D016062 Porosity Condition of having pores or open spaces. This often refers to bones, bone implants, or bone cements, but can refer to the porous state of any solid substance. Porosities

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