Abstract
We have developed a new liquid material for embolisation of arteriovenous malformations: a mixture of methyl and butyl methacrylate, plus dimethylaminoethyl methacrylate copolymer (Eudragit-E) in a solvent consisting of ethanol and iopamidol. Upon contact with aqueous substances, Eudragit-E precipitates rapidly and forms a soft elastic sponge within 3 s, as the ethanol diffuses. In blood, the positively charged Eudragit-E aggregates the negatively charged blood elements. Transcatheter embolisation of 4 canine and 52 rat renal arteries was feasible. Histological studies revealed no acute inflammatory reaction within 1 week, but mild to moderate reactions in the subacute and chronic stages. No recanalisation was seen. Because of its unique properties and excellent thrombogenicity the Eudragit-E mixture seems a promising embolic material.
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Vinters HV, Galil KA, Lundie Mj, Kaufmann JCE (1985) The hisotoxicity of cyanoacrylates. A selective review. Neuroradiology 27: 279–291
Brothers M, Kaufmann J, Fox A, Deveikis JP (1989)n-Butyl 2-cyanoacrylate-substitute for IBCA in interventional neuroradiology: histopathologic and polymerization time studies AJNR 10: 777–786
Kauffmann GW, Rassweiler J, Richter G, Hanenstein KH, Rohrbach R, Friedburg H (1981) Capillary embolization with Ethibloc: new concept tested in dog kidneys. AJR 137: 1163–1168
Peregrin JH, Kaspar M, Haco M, Vanecek R, Belan A (1984) New occlusive agent for therapeutic embolization tested in dogs. Cardiovasc Intervent Radiol 7: 97–101
Taki W, Yonekawa Y, Iwata H, Uno A, Yamashita K, Amemiya H (1990) A new liquid material for embolization of arteriovenous malformations. AJNR 11: 163–168
Eskridge JM, Scott JA (1989) Preoperative embolization of brain AVMs using surgical silk and polyvinyl alcohol (abstract). AJNR 10: 882
Germano IM, Davis RL, Wilson CB, Hieshima GB (1992) Histopathological follow-up study of 66 cerebral arteriovenous malformations after therapeutic embolization with polyvinyl alcohol. J Neurosurg 76: 607–614
Yang PJ, Halbach VV, Higashida RT, Hieshima GB (1988) Platinum wire: a new transvascular embolic agent. AJNR 9: 547–550
Lehman K, Dreher D (1973) The use of aqueous synthetic-polymer dispersions for coating pharmaceutical dosage forms. Drugs Made Ger 19: 126–136
Bogataj M, Mrhar A, Kristl A, Kozjek F (1991) Eudragit E microspheres containing bacampicillin: preparation by solvent removal methods. J Microencapsul 8: 401–406
Ellman B, Parkhill B, Marcus P, Curry TS, Peters PC (1984) Renal ablation with absolute ethanol. Mechanism of action. Invest Radiol 19: 416–423
Abramson HA (1924) A possible relationship between the current of injury and the white-blood cell in inflammation. Am J Med Sci 167: 702–710
Sawyer PN, Pate JW (1953) Bio-electric phenomena as an etiologic factor in intravascular thrombosis. Am J Physiol 175: 103–107
Miller MD, Johnsrude IS, Limberakis AJ, Jackson DC, Pizzo S, Thompson WM (1978) Clinical use of transcatheter electrocoagulation. Radiology 129: 211–214
Guglielmi G, Viñuela F, Sepetka I, Macellari V (1991) Electrothrombosis of saccular aneurysms via endovascular approach, part 1. Electrochemical basis, technique, and experimental results. J Neurosurg 75: 1–7
Sawyer PN, Pate JW (1953) Electric potential differences across the normal aorta and aortic grafts of dogs. Am J Physiol 175: 113–117
Yamashita K, Taki W, Iwata H, Nakahara I, Nishi S, Sadato A, Matsumoto K, Kikuchi H (1994) Characteristics of ethylene vinyl alcohol copolymer (EVAL) mixtures. AJNR 15: 1103–1105
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Yamashita, K., Taki, W., Kikuchi, H. et al. A cationic polymer, Eudragit-E, as a new liquid embolic material for arteriovenous malformations. Neuroradiology 38 (Suppl 1), S151–S156 (1996). https://doi.org/10.1007/BF02278144
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DOI: https://doi.org/10.1007/BF02278144