- 혈관내 삽입된 Gianturcl형 스텐트가 혈관 구조에 미치는 영향에 관한 실험적 연구
- ㆍ 저자명
- 최연현
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1991년|27권 4호|pp.431-440 (10 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Twenty-seven Gianturco-type self-expandable stainless steel intravascular stents were placed into the infrarenal abdominal aortas(n=17) and inferior venae cavae(n=10) in 14 mongrel dogs. In 8 aortas, stents were delivered after balloon catheter-induced denudation of the intima, and in 4 out of the 8 aortas, the stents were also placed into the normal sites to compare the neointimal thickness of the normal and denuded sites. Angiography, light microscopic, and scanning electron microscopic examinations were performed after 1 week. Nearly complete transparent neointimal covering was found in the aortas and caval veins after 2 weeks. There was no significant difference in intimal thickness between the denuded and normal aortas after 2 weeks (p=0.51) and 3 weeks(p=0.56). In 4 dogs with caval vein stents, there was evidence of hemorrhagic infarction in the lungs. The thrombosis rate of 12 stents with a stent-artery ratio(SAR) of 1.5 or higher was 41%, while there was no thrombus on the 4 stents with SAR 1.2 or lower, except for 1 specimen after 1 week. It is suggested that stents with SAR 1.2 or lower are more suibtable. The high thrombosis rate of the inferior vanae cavae may be related with slow blood flow.