Observation of intravascular changes of superabsorbent polymer microsphere (SAP-MS) with monochromatic X-ray imaging

Cardiovasc Intervent Radiol. 2010 Oct;33(5):1016-21. doi: 10.1007/s00270-010-9857-3. Epub 2010 Apr 30.

Abstract

This study was designed to evaluate the intravascular transformation behavior of superabsorbent polymer microsphere (SAP-MS) in vivo macroscopically by using monochromatic X-ray imaging and to quantitatively compare the expansion rate of SAP-MS among different kinds of mixtures. Fifteen rabbits were used for our study and transcatheter arterial embolization (TAE) was performed for their auricular arteries using monochromatic X-ray imaging. We used three kinds of SAP-MS (particle diameter 100-150 mum) mixture as embolic spherical particles: SAP-MS(H) absorbed with sodium meglumine ioxaglate (Hexabrix 320), SAP-MS(V) absorbed with isosmolar contrast medium (Visipaque 270), and SAP-MS(S) absorbed with 0.9% sodium saline. The initial volume of SAP-MS particles just after TAE and its final volume 10 minutes after TAE in the vessel were measured to calculate the expansion rate (ER) (n = 30). Intravascular behavior of SAP-MS particles was clearly observed in real time at monochromatic X-ray imaging. Averaged initial volumes of SAP-MS (H) (1.24 x 10(7) microm(3)) were significantly smaller (p < 0.001) than those of SAP-MS (V) (5.99 x 10(7) microm(3)) and SAP-MS (S) (5.85 x 10(7) microm(3)). Averaged final volumes of SAP-MS (H) were significantly larger than averaged initial volumes (4.41 x 10(7) microm(3) vs. 1.24 x 10(7) microm(3); p < 0.0001, ER = 3.55). There were no significant difference between averaged final volumes and averaged initial volumes of SAP-MS (V) and SAP-MS (S). SAP-MS (H), which first travels distally, reaches to small arteries, and then expands to adapt to the vessel lumen, is an effective particle as an embolic agent, causing effective embolization.

Publication types

  • Comparative Study

MeSH terms

  • Analysis of Variance
  • Angiography / methods*
  • Animals
  • Blood Vessels / drug effects*
  • Blood Vessels / pathology
  • Catheterization / methods
  • Diagnostic Imaging / methods
  • Disease Models, Animal
  • Ear Auricle / blood supply*
  • Embolization, Therapeutic / methods*
  • Female
  • Ioxaglic Acid / administration & dosage*
  • Male
  • Microspheres*
  • Particle Size
  • Polymers / pharmacology
  • Rabbits
  • Random Allocation
  • Reference Values

Substances

  • Polymers
  • Ioxaglic Acid