Skip to main content
Log in

In Vivo Evaluation of a New Embolic Spherical Particle (HepaSphere) in a Kidney Animal Model

  • Laboratory Investigation
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

HepaSphere is a new spherical embolic material developed in a dry state that absorbs fluids and adapts to the vessel wall, leaving no space between the particle and the arterial wall. The aim of this study was to elucidate the final in vivo size, deformation, final location, and main properties of the particles when reconstituted with two different contrast media (Iodixanol and Ioxaglate) in an animal model. Two sizes of “dry-state” particles (50–100 and 150–200 μm) were reconstituted using both ionic and nonionic contrast media. The mixture was used to partly embolize both kidneys in an animal model (14 pigs). The animals were sacrificed 4 weeks after the procedure and the samples processed. The final size of the particles was 230.2 ± 62.5 μm for the 50- to 100-μm dry-state particles and 314.4 ± 71 μm for the 150- to 200-μm dry-state particles. When the contrast medium (ionic versus nonionic) used for the reconstitution was studied to compare (Student’s t-test) the final size of the particles, no differences were found (p > 0.05). The mean in vivo deformation for HepaSphere was 17.1% ± 12.3%. No differences (p > 0.05) were found in the deformation of the particle regarding the dry-state size or the contrast medium (Mann-Whitney test). We conclude that HepaSphere is stable, occludes perfectly, and morphologically adapts to the vessel lumen of the arteries embolized. There is no recanalization of the arteries 4 weeks after embolization. Its final in vivo size is predictable and the particle has the same properties in terms of size and deformation with the two different contrast media (Iodixanol and Ioxaglate).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Pelage JP, Cazejust J, Pluot E, et al. (2005) Uterine fibroid vascularization and clinical relevance to uterine fibroid embolization. Radiographics 25:S99–S117

    Article  PubMed  Google Scholar 

  2. Pinto I, Chimeno P, Romo A, et al. (2003) Uterine fibroids: uterine artery embolization versus abdominal hysterectomy for treatment—a prospective, randomized, and controlled clinical trial. Radiology 226:425–431

    Article  PubMed  Google Scholar 

  3. Lee KH, Sung KB, Lee DY, Park SJ, Kim KW, Yu JS (2002) Transcatheter arterial chemoembolization for hepatocellular carcinoma: anatomic and hemodynamic considerations in the hepatic artery and portal vein. Radiographics 22:1077–1091

    PubMed  Google Scholar 

  4. Winkelbauer FW, Niederle B, Pietschmann F, et al. (1995) Hepatic artery embolotherapy of hepatic metastases from carcinoid tumors: value of using a mixture of cyanoacrylate and ethiodized oil. AJR 165:323–327

    PubMed  CAS  Google Scholar 

  5. Therasse E, Breittmayer F, Roche A, et al. (1993) Transcatheter chemoembolization of progressive carcinoid liver metastasis. Radiology 189:541–547

    PubMed  CAS  Google Scholar 

  6. Laurent A, Wassef M, Saint Maurice JP, et al. (2006) Arterial distribution of calibrated tris-acryl gelatin and polyvinyl alcohol microspheres in a sheep kidney model. Invest Radiol 41:8–14

    Article  PubMed  CAS  Google Scholar 

  7. Pelage JP, Laurent A, Wassef M, et al. (2002) Uterine artery embolization in sheep: comparison of acute effects with polyvinyl alcohol particles and calibrated microspheres. Radiology 224:436–445

    Article  PubMed  Google Scholar 

  8. Beaujeux R, Laurent A, Wassef M (1996) Trisacryl gelatin microesphere for therapeutic embolization. II. Preliminary clinical evaluation in tumors and arteriovenous malformations. Am J Neuroradiol 17:541–548

    PubMed  CAS  Google Scholar 

  9. White RI Jr, Strandberg JV, Gross GS, Barth KH (1977) Therapeutic embolization with long-term occluding agents and their effects on embolized tissues. Radiology 125:677–687

    PubMed  Google Scholar 

  10. Siskin GP, Dowling K, Virmani R, Jones R, Todd D (2003) Pathologic evaluation of a spherical polyvinyl alcohol embolic agent in a porcine renal model. J Vasc Interv Radiol 14:89–98

    PubMed  Google Scholar 

  11. Kwak BK, Shim HJ, Han S (2005) Chitin-based embolic materials in the renal artery of rabbits: pathologic evaluation of an absorbable particulate agent. Radiology 236:151–158

    Article  PubMed  Google Scholar 

  12. Rand T, Loewe C, Schoder M, et al. (2005) Arterial embolization of unresectable hepatocellular carcinoma with use of microspheres, lipiodol, and cyanoacrylate. CardioVasc Interv Radiol 28:313–318

    Article  Google Scholar 

  13. Khankan AA, Osuga K, Hori S, Morii E, Murakami T, Nakamura H (2004) Embolic effects of superabsorbent polymer microspheres in rabbit renal model: comparison with tris-acryl gelatin microspheres and polyvinyl alcohol. Radiat Med 22:384–390

    PubMed  Google Scholar 

  14. Hori S, Okada A, Sakamoto K (1996) A new embolic material: superabsorbent polymer microsphere and its embolic effects. Jpn J Interv Radiol 11:375–381, (in Japanese)

    Google Scholar 

  15. Osuga K, Khankan AA, Hori S, et al. (2002) Transarterial embolization for large hepatocellular carcinoma with use of superabsorbent polymer microspheres: initial experience. J Vasc Interv Radiol 13:929–934

    Article  PubMed  Google Scholar 

  16. Osuga K, Hori S, Kitayoshi H, et al. (2002) Embolization of high flow arteriovenous malformations: experience with use of superabsorbent polymer microspheres. J Vasc Interv Radiol 13:1125–1133

    Article  PubMed  Google Scholar 

  17. Stampfl S, Stampfl C, Rehnitz C, Schnabel Ph, Satzl S, Cristoph P, Henn C, Thomas F, Kauffmann GW, Richter GM (2007) Experimental evaluztion of early and long-term effects of microparticle embolization in two different mini-pigs models. Part I: Kidney. CardioVasc Interv Radiol 30:257–267

    Article  CAS  Google Scholar 

  18. Gobin YP, Viñuela F, Vinters HV, Ji C, Chow K (2000) Embolization with radiopaque microbeads of polyacrylonitrile hydrogel: evaluation in swine. Radiology 214:113–119

    PubMed  CAS  Google Scholar 

  19. Choe DH, Han MH, Kan GH, Yeon KM, Han MC (1997) An experimental study of embolic effect according to infusion rate and concentration suspension in transarterial particulate embolization. Invest Radiol 32:260–267

    Article  PubMed  CAS  Google Scholar 

  20. Cromwell LD, Freeny PC, Kerber CW, Kunz LL (1986) Histologic analysis of tissue response to bucrylate-pantopaque mixture. AJR 147:627–631

    PubMed  CAS  Google Scholar 

  21. Castaneda-Zuniga WR, Sanchez R, Amplazt K (1978) Experimental observations on short and long term effects of arterial occlusion with Ivalon. Radiology 126:783–785

    PubMed  CAS  Google Scholar 

  22. Bates WD, Davies DR, Welsh K, Gray DWR, Fuggle SV, Morris PJ (1999) An evaluation of the Banff classification of early renal allograft biopsies and correlation with outcome. Nephrol Dial Transplant 14:2364–2369

    Article  PubMed  CAS  Google Scholar 

  23. Laurent A, Wassef M, Chapot R, Houdart E, Merland JJ (2004) Location of vessel occlusion of calibrated tris-acryl gelatin microspheres for tumor and arteriovenous malformation embolization. J Vasc Interv Radiol 15:491–496

    PubMed  Google Scholar 

Download references

Acknowledgment

This study was supported by a grant from the Sociedad Española de Radiología Médica (SERAM).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Esther de Luis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

de Luis, E., Bilbao, J.I., de Ciércoles, J.A.G.J. et al. In Vivo Evaluation of a New Embolic Spherical Particle (HepaSphere) in a Kidney Animal Model. Cardiovasc Intervent Radiol 31, 367–376 (2008). https://doi.org/10.1007/s00270-007-9240-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-007-9240-1

Keywords

Navigation