External beam irradiation in angioplasted arteries of hypercholesterolemic rabbits. The dose and time effect

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Ημερομηνία

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Εκδότης

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peer-reviewed

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Όνομα περιοδικού

Cardiovasc Radiat Med

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Έκδοση βιβλίου

Συμπληρωματικός/δευτερεύων τίτλος

Περιγραφή

PURPOSE: To study the dose and time effect of external beam irradiation on the morphometry of both angioplasted and nonangioplasted arteries in a hypercholesterolemic rabbit model. METHODS AND MATERIALS: Eight groups of rabbit femoral arteries were studied: arteries (a) with no intervention, (b) irradiated with a 12-Gy 6 MV X-ray dose, (c) with a 18-Gy, (d) treated with balloon angioplasty, (e) dosed with 12-Gy half an hour post-angioplasty, (f) dosed with 18-Gy half an hour post-angioplasty, (g) dosed with 12-Gy 48 h post angioplasty, (g) dosed with 18-Gy 48 h post angioplasty. RESULTS: External irradiation at either 12 or 18 Gy was not found to change vessel morphometry in noninjured arteries. The 12-Gy dose given soon after angioplasty further increased percentage stenosis (63% on the average), despite the preservation of the lumen cross-sectional area. Positive remodeling was not observed in arteries given 18-Gy half an hour post angioplasty to counterbalance the increased neointimal formation. Therefore, this treatment resulted in a drastic reduction in lumen area and in enhancement of percentage stenosis (84% on the average). On the contrary, the delayed irradiation of the angioplasted arteries at either 12 or 18 Gy was not found to influence any of the studied morphometric parameters 5 weeks after angioplasty. CONCLUSIONS: Uniform external beam irradiation up to 18 Gy was well tolerated by intact femoral arteries. Prompt 12- or 18-Gy irradiations accentuated percentage stenosis. However the lumen cross-sectional area was preserved only at the lower dose point. Delayed irradiation at any dose did not influence the restenosis process.

Περιγραφή

Λέξεις-κλειδιά

*Angioplasty, Balloon, Animals, Arterial Occlusive Diseases/etiology, Disease Models, Animal, Dose-Response Relationship, Radiation, Femoral Artery/*radiation effects/*surgery, Hypercholesterolemia/complications/*therapy, Male, Postoperative Complications/etiology, Rabbits, Radiotherapy Dosage, Time Factors, Treatment Outcome, Tunica Intima/radiation effects/surgery, Tunica Media/radiation effects/surgery, *X-Ray Therapy

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Σύνδεσμος

http://www.ncbi.nlm.nih.gov/pubmed/12479912
http://ac.els-cdn.com/S1522186502001439/1-s2.0-S1522186502001439-main.pdf?_tid=2b7c9935c7e7078341b3fc66d45956c3&acdnat=1337844416_1bc327c02bda6c780a459948ab02e940

Γλώσσα

en

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Γενική Περιγραφή / Σχόλια

Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος

Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής

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Χορηγός

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