LIU Zheng,HU Jian-lin,LIU Wang,GONG Liang,TANG Chun-lan,YANG He-ping.Development of silicon covered metallic bronchial occlusive device and its efficacy and safety for bronchial closure in dogs[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(08):724-727.
LIU Zheng,HU Jian-lin,LIU Wang,GONG Liang,TANG Chun-lan,YANG He-ping.Development of silicon covered metallic bronchial occlusive device and its efficacy and safety for bronchial closure in dogs[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(08):724-727.DOI:
Development of silicon covered metallic bronchial occlusive device and its efficacy and safety for bronchial closure in dogs
Objective To assess the efficacy and safety of trial-produced bronchial occlusive device made of silicon covered metal for bronchial closure in dogs. Methods Eighteen healthy mongrel dogs were divided into 3 groups (n=6 for each group). Dumbbell-like
ordinary screw-like and compact screw-like bronchial occlusive devices made of silicon covered nickel-titanium alloy
were respectively implanted into the target bronchi by bronchoscope. Each dog was inserted two occlusive devices of the same shape. Then the tolerance of dogs and their hemogram were observed
and bronchoscopy and computer tomography scan of chest were performed regularly. Eight weeks later
the changes of bronchial and lung tissues adjacent to occlusive devices were observed. Results Procedure of operation was simple and successful. During the observation
except for one dog died from swallowing a dumbbell-like device
the others were well-tolerable. At 8 weeks after operation
11 pieces of occlusive device (11/36) shed
including 9 dumbbell-like (9/12) and 2 ordinary screwlike devices (2/12). The computer tomography scan and histopathologic examination showed that some of the lung tissues had collapsed
pulmonary alveolus distal to occlusive device collapsed obviously
the lung interstitial was infiltrated by lymphocytes and monocytes
and the hyperplasia of fibrous tissues developed. Obstructive pneumonia developed in 2 cases
but no lung abscess or tissue necrosis. No obvious deformation
twist or rupture of occlusive devices was found
and the membrane of silicon were not damaged 8 weeks after operation. Conclusion The bronchial occlusive devices made of silicon covered nickel-titanium alloy can be implanted into the target bronchi by bronchoscope conveniently
with good tissue compatibility. The compact screw-like bronchial occlusive device has the best stability and is expected for the treatment of bronchial occlusion.