Literature DB >> 12147840

Uterine artery embolization in sheep: comparison of acute effects with polyvinyl alcohol particles and calibrated microspheres.

Jean-Pierre Pelage1, Alexandre Laurent, Michel Wassef, Michel Bonneau, Delphine Germain, Roland Rymer, Patrice Flaud, Jacques Martal, Jean-Jacques Merland.   

Abstract

PURPOSE: To compare the effects on the myometrium of polyvinyl alcohol (PVA) particles and calibrated microspheres (MS) in embolization of the uterine arteries in sheep.
MATERIALS AND METHODS: Superselective and bilateral embolization of the uterine arteries was performed with PVA particles and calibrated MS within 24 hours after artificial ovulation in 26 adult nonpregnant sheep. PVA particles of four diameters, 150-250, 250-400, 400-600, and 600-1,000 microm, were compared with calibrated MS of similar diameters, 100-300, 300-500, 500-700, and 700-900 microm, in eight groups of sheep. Evaluation was based on histopathologic study of uterus, ovaries, and vascular pedicles after sacrifice 5 days after embolization. The scores of necrosis, the diameter of occluded arteries, and the number of particles were determined. The scores of uterine necrosis were compared by using nonparametric tests (Mann-Whitney U and Kruskal-Wallis). Spearman rank test was used for correlations.
RESULTS: PVA particles clumped more readily than did MS. Small particles had a higher score (P =.02) of uterine necrosis than did large particles. PVA particles produced more necrosis than did MS. Size of MS and diameter of occluded arteries showed significant correlation (rho = 0.762, P <.001). Size of PVA particles and diameter of occluded arteries showed no correlation. PVA particles occluded vessels of a wider range of size than did calibrated MS.
CONCLUSION: PVA particles are associated with intense uterine necrosis and extensive arterial occlusion regardless of size. Calibrated MS, which are associated with less uterine necrosis, permit a segmental arterial occlusion correlated with size. Copyright RSNA, 2002

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Year:  2002        PMID: 12147840     DOI: 10.1148/radiol.2242010847

Source DB:  PubMed          Journal:  Radiology        ISSN: 0033-8419            Impact factor:   11.105


  13 in total

Review 1.  [Risk and complication rate of uterine fibroid embolization (UFE)].

Authors:  B Radeleff; S Rimbach; G W Kauffmann; G M Richter
Journal:  Radiologe       Date:  2003-08       Impact factor: 0.635

Review 2.  Advances in Biomaterials and Technologies for Vascular Embolization.

Authors:  Jingjie Hu; Hassan Albadawi; Brian W Chong; Amy R Deipolyi; Rahul A Sheth; Ali Khademhosseini; Rahmi Oklu
Journal:  Adv Mater       Date:  2019-06-06       Impact factor: 30.849

Review 3.  Polymeric materials for embolic and chemoembolic applications.

Authors:  Azadeh Poursaid; Mark Martin Jensen; Eugene Huo; Hamidreza Ghandehari
Journal:  J Control Release       Date:  2016-02-26       Impact factor: 9.776

4.  MRI traceability of superparamagnetic iron oxide nanoparticle-embedded chitosan microspheres as an embolic material in rabbit uterus.

Authors:  Sun Young Choi; Byung Kook Kwak; Hyung Jin Shim; Jaehwi Lee; Soon Uk Hong; Kyung Ah Kim
Journal:  Diagn Interv Radiol       Date:  2015 Jan-Feb       Impact factor: 2.630

5.  Fertility after uterine artery embolization for symptomatic multiple fibroids with no other infertility factors.

Authors:  Antoine Torre; Arnaud Fauconnier; Vanessa Kahn; Olivier Limot; Laurence Bussierres; Jean Pierre Pelage
Journal:  Eur Radiol       Date:  2016-12-13       Impact factor: 5.315

6.  Characterisation of physico-mechanical properties and degradation potential of calcium alginate beads for use in embolisation.

Authors:  Richard E J Forster; Frank Thürmer; Christine Wallrapp; Andrew W Lloyd; Wendy Macfarlane; Gary J Phillips; Jean-Pierre Boutrand; Andrew L Lewis
Journal:  J Mater Sci Mater Med       Date:  2010-04-22       Impact factor: 3.896

Review 7.  [Technique and methods in uterine leiomyoma embolization].

Authors:  T K Helmberger; T F Jakobs; M F Reiser
Journal:  Radiologe       Date:  2003-08       Impact factor: 0.635

8.  Tri-acryl gelatin microsphere is better than polyvinyl alcohol in the treatment of uterine myomas with uterine artery embolization.

Authors:  Yu Gao; Fang Jiang; Xinbo Wang
Journal:  Int J Clin Exp Med       Date:  2015-06-15

9.  Diffusion-weighted MR imaging of uterine leiomyomas following uterine artery embolization.

Authors:  Olivier Sutter; Philippe Soyer; Eimad Shotar; Raphael Dautry; Youcef Guerrache; Vinciane Placé; Raluca Opréa; Aude Ricbourg; Olivier Le Dref; Mourad Boudiaf; Marc Sirol; Anthony Dohan
Journal:  Eur Radiol       Date:  2016-01-22       Impact factor: 5.315

10.  Effect of renal embolization with trisacryl and PAVc.

Authors:  Leandro de Assis Barbosa; Jose Guilherme Mendes Pereira Caldas; Mario Luiz Conti; Denise Maria Avancini Costa Malheiros; Francisco Ferreira Ramos
Journal:  Clinics (Sao Paulo)       Date:  2009       Impact factor: 2.365

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