Changes of the Renal Arteries Accordding to Various Embolic Materials.
10.12701/yujm.1995.12.1.96
- Author:
Jae Ho CHO
;
Kil Ho CHO
;
Jae Chung CHANG
;
Bok Hwan PARK
;
Dong Sug KIM
- Publication Type:Original Article
- MeSH:
Abscess;
Adhesiveness;
Aneurysm;
Arteries;
Arteriovenous Malformations;
Carcinoma, Hepatocellular;
Enbucrilate;
Hemorrhage;
Humans;
Hypertrophy;
Infarction;
Kidney;
Modems;
Palliative Care;
Polyvinyls;
Renal Artery*
- From:Yeungnam University Journal of Medicine
1995;12(1):96-104
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The transarterial embolization has been widely used to control bleeding. It has a variety of clinical utility; to reduce bleeding on the surgical field, to reduce the size of malignant tumor as a preopearative treatment, to treat arteriovenous malformation or arterial aneurysm as a curative method and to promote life qua' ity of patient with diffuse or multiple hepatocellular carcinoma as a palliative treatment, etc. With the advance of modem technology, various embolic materials have been also developed. IIowever, it has not- been -fully investigated of histopathologic changes of the embolized organs according to the embolic materials used. This study was undertaken to investigate the histopathologic changes of embolized renal artery in rabbit by various embolic materials, according to each embolic material and to time passed by after embolization. Of the 5 arteries embolized by ethylene vinyl alcohol copolymer(EVAL), one showed abscess formation in embolized kidney. The other 4 allowed to perform further pathologic study: within a week after embolization there was no any specific change in vessels, however, r,unimal endothelial hypertrophy was observed following 2 weeks of embolization. Of the 8 renal arteries embolized by N-buthyl-2-cyanoacrylate(Histoacryl), 4 showed total occlusion of the main renal arteries as well as renal infarction, which reflects the strong adhesiveness of Histoacryl to vascular wall. The other 4 showed fibrinoid degeneration in vascular wall within a week. However, further change was not observed thereafter. In all the 5 renal arteries embolized by polyvinyl
