Scientific article
English

A novel, non-adhesive, precipitating liquid embolic implant with intrinsic radiopacity: feasibility and safety animal study

Published inEuropean Radiology, vol. 27, no. 3, p. 1248-1256
Publication date2017
Abstract

Objectives To evaluate a novel, ready-to-use, iodinated polyvinyl alcohol polymer embolic implant. Methods Under good laboratory practice conditions, 26 pigs were investigated. A complex arteriovenous malformation (AVM) model was created in 16 animals, and a simple rete model was used in the remaining 10 animals. The novel material was used for embolization in 22 animals, and a commercially available liquid embolic material in 4 animals as a control group. Animals were killed at 2 days, 3 months and 6 months. Feasibility, efficacy and safety were evaluated radiologically, clinically and histologically. Results Preparation was easy, without risk of catheter clogging or adhesiveness. Embolic delivery was well controlled under subtracted fluoroscopy. Visibility was homogeneous throughout the injection and the material behaved cohesively upon delivery. Best lesion penetration was obtained with the use of proximal microballoon occlusion. Unforeseen overdilution of the test material by DMSO prefilled in the microballoon hub changed the material properties and caused inadvertent cerebral embolization leading to death in five animals. This phenomenon was avoided by practical measures. The casts produced no beam-hardening artefacts on CT scans. Histology showed excellent biocompatibility. Conclusions Embolization with this novel, iodinated, precipitating polymer was feasible and effective. Care should be taken during delivery to avoid over-dilution of the material by prefilled DMSO. The material is promising for embolization of AVMs and hypervascular lesions.

Keywords
  • Animals
  • Arteriovenous Malformations/diagnostic imaging/therapy
  • Disease Models
  • Animal
  • Embolization
  • Therapeutic/methods
  • Feasibility Studies
  • Female
  • Polymers
  • Polyvinyl Alcohol/administration & dosage
  • Swine
  • Tomography
  • X-Ray Computed
Citation (ISO format)
KULCSÁR, Zsolt et al. A novel, non-adhesive, precipitating liquid embolic implant with intrinsic radiopacity: feasibility and safety animal study. In: European Radiology, 2017, vol. 27, n° 3, p. 1248–1256. doi: 10.1007/s00330-016-4463-7
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Article (Published version)
accessLevelRestricted
Identifiers
Journal ISSN0938-7994
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