CardioVascular and Interventional Radiology

, Volume 32, Issue 2, pp 303–312

Experimental Liver Embolization with Four Different Spherical Embolic Materials: Impact on Inflammatory Tissue and Foreign Body Reaction

  • Ulrike Stampfl
  • Sibylle Stampfl
  • Nadine Bellemann
  • Christof-Matthias Sommer
  • Ruben Lopez-Benitez
  • Heidi Thierjung
  • Boris Radeleff
  • Irina Berger
  • Goetz M. Richter
Laboratory Investigation

DOI: 10.1007/s00270-008-9495-1

Cite this article as:
Stampfl, U., Stampfl, S., Bellemann, N. et al. Cardiovasc Intervent Radiol (2009) 32: 303. doi:10.1007/s00270-008-9495-1

Abstract

We sought to describe and compare material specific inflammatory and foreign body reactions after porcine liver embolization with spherical embolic agents. In 40 animals, superselective liver embolization was performed with four different spherical embolic agents of various sizes: 40–120 μm (Embozene, Embosphere), and 100–300 μm, 500–700 μm, and 700–900 μm (Embozene, Embosphere, Bead Block, and Contour SE, respectively). After 4 or 12 weeks, inflammatory reactions were evaluated microscopically according to the Banff 97 classification. For investigation of foreign body reactions, a newly designed giant cell score was applied. Banff 97 and giant cell scores closely correlated. At 4 weeks, small Embosphere particles (100–300 μm) had a significantly higher Banff 97 score than Embozene, Bead Block, and Contour SE of the corresponding size. After 12 weeks, the calculated differences were not statistically significant. Comparison between the 4-week results and the 12-week results revealed a statistically higher Banff 97 score for Embosphere 100–300 μm after 4 weeks than after 12 weeks (P = 0.02). The overall foreign body reaction was pronounced after embolization with smaller particles, especially in small Embosphere particles. Giant cell numbers with Embosphere 100–300 μm were statistically higher compared with the other materials of corresponding size (P < 0.0001). Inflammatory and giant cell reactions after embolization procedures depend on the embolic material. The overall inflammatory reaction was low. However, marked inflammation was associated with small Embosphere particles at 4 weeks, a finding that might be caused by the allogeneic overcoat. Correspondingly, giant cells indicating a foreign body reaction were more frequently associated with small particle sizes, especially after embolization with small Embosphere particles.

Keywords

EmbolizationInflammationForeign body reactionPolyzene-FLiver

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Ulrike Stampfl
    • 1
  • Sibylle Stampfl
    • 1
  • Nadine Bellemann
    • 1
  • Christof-Matthias Sommer
    • 1
  • Ruben Lopez-Benitez
    • 1
  • Heidi Thierjung
    • 1
  • Boris Radeleff
    • 1
  • Irina Berger
    • 2
  • Goetz M. Richter
    • 1
  1. 1.Department of Diagnostic and Interventional RadiologyUniversity of HeidelbergHeidelbergGermany
  2. 2.Department of PathologyUniversity of HeidelbergHeidelbergGermany