Document Detail


Ethiodized oil-ethanol capillary embolization in rabbit kidneys: temporal histopathologic findings.
MedLine Citation:
PMID:  15220499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To determine the temporal histopathologic findings associated with selective arterial injection of a 1:1 ethiodized oil-ethanol mixture (EEM) in normal rabbit kidney followed by administration of pure ethanol into the main renal artery. MATERIALS AND METHODS: In five rabbits, the EEM was injected sequentially into each segmental renal artery of the right kidney until capillary stasis occurred. Pure ethanol was then injected into the main renal artery to achieve complete arterial stasis. Before sacrifice, the left kidney in each animal was acutely (ie, with a short follow-up period) embolized by using the same technique. The 10 kidneys of the five rabbits were evaluated microscopically at 1 (n = 3), 1(1/2) (n = 1), and 3 hours (n = 1) and 1 (n = 1), 3 (n = 1), 5 (n = 1), 7 (n = 1), and 14 days (n = 1) after embolization. RESULTS: Injection of the EEM (mean volume, 0.46 mL +/- 0.14 [SD]) followed by ethanol alone (mean volume, 0.25 mL +/- 0.09) led to complete stasis in all kidneys. There was no recanalization in the chronically (ie, with a longer follow-up period) embolized kidneys. Microscopically, uniform distribution of the EEM was evident in all slices at all time points. From 1 to 3 hours, sloughing of endothelium, formation of thrombi, and deposition of eosinophilic material along the renal, interlobar, and arcuate arteries were observed, without evidence of parenchymal damage. Within 24 hours, complete coagulative necrosis of the entire kidney occurred as a result of an occluding thrombus in the main renal artery. Analysis at subsequent time points revealed liquefaction of necrotic tissue and replacement with granulation tissue. CONCLUSION: In the rabbit, selective renal arterial injection of EEM followed by administration of ethanol produces vascular endothelial damage initiating thrombosis that results in renal infarction and ablation within 24 hours.
Authors:
András Kónya; Carolyn S Van Pelt; Kenneth C Wright
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Radiology     Volume:  232     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-06-28     Completed Date:  2004-07-29     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  147-53     Citation Subset:  AIM; IM    
Copyright Information:
Copyright RSNA, 2004
Affiliation:
Section of Vascular and Interventional Radiology, Division of Diagnostic Imaging, University of Texas M. D. Anderson Cancer Center, Unit 057, 1515 Holcombe Blvd, Houston, TX 77030, USA. akonya@mdanderson.org
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MeSH Terms
Descriptor/Qualifier:
Animals
Aortography
Capillary Permeability
Embolization, Therapeutic*
Endothelium, Vascular / pathology
Ethanol / administration & dosage*
Ethiodized Oil / administration & dosage*
Injections, Intra-Arterial
Kidney / pathology*
Rabbits
Radiography, Interventional
Renal Artery* / pathology,  radiography
Renal Circulation
Time Factors
Grant Support
ID/Acronym/Agency:
CA 16672/CA/NCI NIH HHS
Chemical
Reg. No./Substance:
64-17-5/Ethanol; 8008-53-5/Ethiodized Oil
Comments/Corrections
Comment In:
Radiology. 2004 Jul;232(1):1-2   [PMID:  15220486 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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