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In vivo canine study of three different coatings applied to p64 flow-diverter stents: initial biocompatibility study.
European Radiology Experimental ( IF 3.7 ) Pub Date : 2019-01-22 , DOI: 10.1186/s41747-018-0084-z Rosa Martínez Moreno 1 , Pervinder Bhogal 2 , Tim Lenz-Habijan 3 , Catrin Bannewitz 3 , Adnan Siddiqui 4 , Pedro Lylyk 5 , Ralf Hannes 3 , Hermann Monstadt 3 , Hans Henkes 6, 7
中文翻译:
应用于p64分流器支架的三种不同涂层的体内犬科动物研究:初始生物相容性研究。
更新日期:2019-01-22
European Radiology Experimental ( IF 3.7 ) Pub Date : 2019-01-22 , DOI: 10.1186/s41747-018-0084-z Rosa Martínez Moreno 1 , Pervinder Bhogal 2 , Tim Lenz-Habijan 3 , Catrin Bannewitz 3 , Adnan Siddiqui 4 , Pedro Lylyk 5 , Ralf Hannes 3 , Hermann Monstadt 3 , Hans Henkes 6, 7
Affiliation
Background
Flow-diverter stents (FDSs) have revolutionised the treatment of intracranial aneurysms. However, associated dual antiplatelet treatment is mandatory. We investigated the biocompatibility of three proprietary antithrombogenic coatings applied to FDSs.Methods
After Institutional Animal Care and Use Committee approval, four domestic juvenile female dogs (weight 19.9 ± 0.9 kg, mean ± standard deviation) were commenced on three different oral antiplatelet regimes: no medication (n = 1), acetylsalicylic acid (n = 2), and acetylsalicylic acid and clopidogrel (n = 1). Four p64 FDSs were randomly implanted into the subclavian, common carotid, and external carotid arteries of each dog, including both uncoated p64 stents and p64 stents coated with three different antithrombogenic hydrophilic coating (HPC). Angiography and histological examinations were performed. Wilcoxon/Kruskal-Wallis and ANOVA were used with p value < 0.05 considered as significant.Results
Minimal inflammatory cell infiltration and no device-associated granulomatous cell inflammation were observed. No significant difference in adventitial inflammation (p = 0.522) or neointimal/medial inflammation (p = 0.384) between coated and uncoated stents as well as between the different stent groups regarding endothelial cell loss, surface fibrin/platelet deposition, medial smooth muscle cell loss, or adventitial fibrosis were found. Acute self-limiting thrombus formed on 6/16 implants (37.5%), and all of the thrombi were noted on devices implanted in the common or external carotid artery irrespective of the surface coating. Two of 12 p64 HPC-coated stents (16.7%) and 1/4 uncoated p64 stents (25%) showed severe or complete stenosis at delayed angiography.Conclusions
In these preliminary in vivo experiments, HPC-coated p64 FDSs appeared to be biocompatible, without acute inflammation.中文翻译:
应用于p64分流器支架的三种不同涂层的体内犬科动物研究:初始生物相容性研究。