不同血管损伤法对小型猪实验性髂动脉内膜增生病变形成的影响

Effect of different vessel injury methods on the formation of proliferation lesions in the illiac arteries in microswine

  • 摘要: 目的:观察实验性内膜损伤后的增生性改变,探索制作适合于介入性治疗的具有高度狭窄病变的动物模型。方法:21头贵州小型猪分高血脂球囊组、正常血脂球囊组和钽丝支架组,通过球囊扩张和钽丝支架移置法损伤其髂动脉。结果:12周后病理检查显示:三组管腔狭窄率≥Ⅲ级者分别为46.9%、20.8%和42.9%,前两组间比较,P<0.05;球囊损伤后共有4例发生急性血管闭塞,而钽丝支架组无1例。新生内膜组织主要由增生的平滑肌细胞组成。结论:(1)两种方法均可产生严重程度的内膜增生病变,球囊损伤后易出现急性血管闭塞;(2)病变与人类典型动脉粥样硬化(AS)构成有明显的差异。

     

    Abstract: Objective:To investigate a methods as an animal model of advanced vascular atherosclerosis (AS) suitable for testing catheterbased interventions by observing the degree of luminul proliferation after artery injury.Methods:The iliac arteries in 21 Guizhou microswines were subjected to injury with use of balloon overexpanded and delivered tantalum wire coils. Results:The vessels were studied microcopically 12 weeks after injury. The lesions showed that the luminal diameter narrowing≥Ⅲ were 46.9% in hypercholesterolemia balloon group, 20.8% in nomal level cholesterolemia balloon group (P<0.05) and 42.9% in hypercholesterolemia tantalum wires group. The arteries of 5 swines occurred acute total occlusion after balloon injury. no one was occluded in tantalum wires group. Both the lesions consist largerly of the proliferative smooth muscle cells.Conclusion:(1)both the mathods of injury induced forming of severe luminul narrowing. It easily occurres acute vessel occlusion afetr balloon injury. (2)although the lesions appeared histologically similar to human lesions, it is different from typical of human AS.

     

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