[1]张文俐,杜 润,朱政斌,等. 药物洗脱球囊抑制下肢动脉狭窄性病变的实验研究[J].介入放射学杂志,2014,(05):423-426.
 ZHANG Wen- li,DU Run,ZHU Zheng- bin,et al. The inhibition effect of novel drug- eluting balloon on obstructive peripheral arterial disease of lower extremity: an experimental study in rabbit models[J].journal interventional radiology,2014,(05):423-426.
点击复制

 药物洗脱球囊抑制下肢动脉狭窄性病变的实验研究()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年05期
页码:
423-426
栏目:
实验研究
出版日期:
2014-05-28

文章信息/Info

Title:
 The inhibition effect of novel drug- eluting balloon on obstructive peripheral arterial disease of lower extremity: an experimental study in rabbit models
作者:
 张文俐 杜 润 朱政斌 朱劲舟 应 晨 刘慧竹 张瑞岩
Author(s):
 ZHANG Wen- li DU Run ZHU Zheng- bin ZHU Jin- zhou YING Chen LIU Hui- zhu ZHANG Rui- yan
 Department of Cardiology, Affiliated Ruijin Hospital, Shanghai Jiaotong University, Shanghai 200025, China
关键词:
下肢动脉狭窄性病变 药物洗脱球囊 紫杉醇 内膜增生
文献标志码:
A
摘要:
 【摘要】 目的 探讨新型药物洗脱球囊(DEB)在下肢动脉狭窄性病变(PAD)中可能具有的抑制管腔丢失、减少内膜增生作用。方法 以雄性新西兰纯种兔(体重2.5 ~ 3.0 kg)为实验对象,于兔腹主动脉近心端及远心端各植入Mustang裸支架1枚,模拟PAD模型,并分别用裸球囊(PTA组)及药物洗脱球囊(DEB组)在血管支架段行后扩张,术后28 d处死动物,收集腹主动脉支架标本,塑料包埋并行Masson染色,比较各组内膜增生程度,同时行DEB药物(紫杉醇)靶点β- 微管蛋白免疫组化检测。结果 形态学上,与PTA组比较,DEB组内膜增生及管腔狭窄率明显下降。同时β- 微管蛋白免疫组化检测显示,与PTA组相比,DEB组血管内膜β- 微管蛋白表达量显著增加。结论 动物实验初步显示,DEB具有潜在的有效地抑制管腔丢失、减少内膜增生作用,初步证实该新型DEB的优良性能,提示该新型DEB远期应用于临床治疗PAD的潜在可能性。

参考文献/References:

 [1] 颜荣华, 肖恩华. 下肢动脉闭塞性疾病的血管内介入治疗进展[J]. 介入放射学杂志, 2005, 14: 205 - 209.
[2] 秦永林, 邓 钢, 郭金和, 等. 长球囊治疗重症下肢动脉缺血性病变的近期疗效观察[J]. 介入放射学杂志, 2008, 17: 323 - 327.
[3] Toursarkissian B, D’ayala M, Stefanidis D, et al. Angiographic scoring of vascular occlusive disease in the diabetic foot: relevance to bypass graft patency and limb salvage[J]. J Vasc Surg, 2002, 35: 494 - 500.
[4] Adam DJ, Beard JD, Cleveland T, et al. Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial[J]. Lancet, 2005, 366: 1925 - 1934.
[5] Soder HK, Manninen HI, Jaakkola P, et al. Prospective trial of infrapopliteal artery balloon angioplasty for critical limb ischemia: angiographic and clinical results[J]. JVIR, 2000, 11: 1021 - 1031.
[6] De Labriolle A, Pakala R, Bonello L, et al. Paclitaxel- eluting balloon: from bench to bed[J]. Catheter Cardiovasc Interv, 2009, 73: 643 - 652.
[7] Pósa A, Nyolczas N, Hemetsberger R, et al. Optimization of drug- eluting balloon use for safety and efficacy: evaluation of the 2nd Generation paclitaxel- eluting DIOR- balloon in porcine coronary arteries[J]. Catheter Cardiovasc Interv, 2010, 76: 395 - 403.
[8] Scheinert D, Scheinert S, Sax J, et al. Prevalence and clinical impact of stent fractures after femoropopliteal stenting[J]. J Am Coll Cardiol, 2005, 45: 312 - 315.
[9] Bosiers M, Scheinert D, Peeters P, et al. Randomized comparison of everolimus- eluting versus bare- metal stents in patients with critical limb ischemia and infrapopliteal arterial occlusive disease[J]. J Vasc Surg, 2012, 55: 390 - 398.
[10]姚 康, 葛均波. 药物涂层球囊现状及评价[J]. 疑难病杂志, 2008, 7: 129 - 130.
[11] Werk M, Langner S, Reinkensmeier B, et al. Inhibition of restenosis in femoropopliteal arteries: paclitaxel- coated versus uncoated balloon: femoral paclitaxel randomized pilot trial[J]. Circulation, 2008, 118: 1358 - 1365.
[12] Scheller B, Hehrlein C, Bocksch W, et al. Two year follow- up after treatment of coronary in- stent restenosis with a paclitaxel- coated balloon catheter[J]. Clin Res Cardiol, 2008, 97: 773 - 781.

备注/Memo

备注/Memo:
 (收稿日期:2013-09-15)
更新日期/Last Update: