Coronary artery embolization in closed-chest canines using flexible radiopaque plugs.
A new technique induces localized myocardial infarction in closed-chest dogs by placing discrete plugs in coronary arteries without using cumbersome coaxial catheters or guide wires. Flexible plugs, essential to this method, are formed by extruding a dental impression polymer, rendered radiopaque with sodium iodide, into spaghetti-like strands. Segments of these strands can be injected through a catheter into a selected coronary artery. Contact with blood or saline causes plugs to swell. The mean increase in plug diameter due to swelling was 27 +/- 20%. Eight anesthetized dogs were embolized via carotid approach [6 left anterior descending (LAD), 1 left circumflex (LCX), and 1 LAD and LCX]. Plug positions were monitored fluoroscopically. One animal died at 2 days postembolization. The remaining seven dogs were killed after 14-37 days. Autopsies showed complete vessel occlusion and localized infarction. Infarcts resulting from coronary artery occlusion with one, two, or three plugs involved 2-26% of the left ventricular mass.
Herr
M D
MD
Department of Medicine, Milton S. Hershey Medical Center of Pennsylvania State University 17033.
McInerney
J J
JJ
Copenhaver
G L
GL
Morris
D L
DL
D000818:Animals; D004195:Disease Models, Animal; D004283:Dog Diseases / Q000209:etiology*; D004285:Dogs; D009203:Myocardial Infarction / Q000209:etiology* / Q000662:veterinary