32P局部照射预防猪冠状动脉再狭窄研究

Prevention of coronary artery restenosis by local (32) phosphate irradiation in swine

  • 摘要: 目的: 评价3 2 P灌注球囊预防再狭窄的有效性、可行性和安全性。方法: 对猪冠状动脉左前降支行过度球囊扩张术后,治疗组以3 2 P作血管内照射,对照组作假照射。术后35d收获目标血管,检测血管形态、细胞增殖百分比等。结果: 治疗组血管腔面积较对照组明显增大(P<0.01),新生内膜面积、血管狭窄程度和各层PCNA阳性细胞明显减小(P均<0.01)。结论: 3 2 P灌注球囊照射预防冠状动脉再狭窄有效、安全而且可行。

     

    Abstract: Objective: To evaluate efficacy,feasibility and safety of 32 P liquid filled balloon irradiation in preventing restenosis in swine. Methods: After overstretch balloon angioplasty injury,the left anterior descending branch(LAD) of coronary artery was treated with 32 P or control 35 days later,the morphometry and histopathologic analyses were carried out in the injured segments. Results: The lumen area was significantly larger (P<0. 01) while the neointima area(P<0. 01),percent area stenosis (P<0. 01) and PCNA positive cells (P<0. 01) reduced sighificantly in the radiotherapeutic animals than in the control animals. Conclusion: The approach was safe,effective and feasible in preventing restenosis.

     

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