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Research ArticleINTERVENTIONAL

Endovascular Treatment of Experimental Aneurysms with Use of Fibroblast Transfected with Replication-Deficient Adenovirus Containing Bone Morphogenetic Protein-13 Gene

D. Dai, Y.H. Ding, M.A. Danielson, R. Kadirvel, G.A. Helm, D.A. Lewis, H.J. Cloft and D.F. Kallmes
American Journal of Neuroradiology April 2008, 29 (4) 739-744; DOI: https://doi.org/10.3174/ajnr.A0892
D. Dai
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Y.H. Ding
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M.A. Danielson
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R. Kadirvel
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G.A. Helm
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D.A. Lewis
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H.J. Cloft
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D.F. Kallmes
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  • Fig 1.
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    Fig 1.

    Gross photographs of neck tissue coverage. A, The 14-day coil loops in Ad-BMP-13–treated aneurysms are embedded within thin translucent membranous tissue, which completely covers the orifice of the neck. B, The Ad-BMP-13 1-month coil loops are embedded within a moderately thick membranous tissue, which completely covers the neck. C–D, The 14-day and 1-month PAs, respectively, show that the coil loops are barely visible at the neck orifice, and no membranous tissue is visible..

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    Fig 2.

    Photomicrographs of aneurysmal necks at 3 months. A, From the PA group, a thin neointima completely transverses the neck. The tissue appears to be concave to the aneurysm cavity (H&E, original magnification 40×). B, From the FBC group, there is a thin collagenous tissue that completely covers the neck (H&E, original magnification 60×). C, From the Ad-BMP-13 group, there is moderately thick collagenous tissue completely across the neck. (H&E, original magnification 60×). All of the tissue traversing the necks is lined with a monolayer of cells contiguous with the endothelium of the parent arteries.

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    Fig 3.

    Photomicrographs of collagen formation. A, From the PA group, there is scant collagen within the aneurysm dome at 1 month (Masson trichrome, original magnification 100×). B, from the FBC group, there is local collagen deposition at 3 months (Masson trichrome, original magnification 100×). C–D, Both from the Ad-BMP-13 group, C shows diffuse, collagenous fibers within the dome at 1 month (Masson trichrome, original magnification 100×), and D shows a denser, more mature collagen within the dome at 6 months (Masson trichrome, original magnification 150×)..

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    Fig 4.

    A bar chart of percent fibrosis or collagen with time and between groups. The asterisk (*) above a group indicates that it is significantly less (P < .05) than the Ad-BMP-13 group within that same time period.

Tables

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    Table 1:

    Summary of aneurysmal sizes and volume by group*

    GroupNeck (mm)Width (mm)Height (mm)Volume (cm3)
    PA (n = 18)2.7 ± 0.93.2 ± 0.97.3 ± .40.07 ± 0.05
    FBC (n = 18)2.9 ± 1.03.8 ± 1.07.7 ± 2.40.10 ± 0.07
    Ad-BMP-13 (n = 20)3.1 ± 0.93.5 ± 0.77.8 ± 1.30.08 ± 0.03
    • Note:—PA indicates the bare platinum coil group; FBC, fibroblast-coated platinum coil group; Ad-BMP-13, bone morphogenetic protein-13 gene transfected fibroblast-coated coil group.

    • * Data are represented as mean±SD. There were no significant differences between groups.

    • View popup
    Table 2:

    Angiographic outcomes among different groups

    GroupCoil CompactionStable OcclusionProgressive Occlusion
    PA (n = 18)4140
    FBC (n = 18)2115
    Ad-BMP-13 (n = 20)4151
    • Note:—PA indicates the bare platinum coil group; FBC, fibroblast-coated platinum coil group; Ad-BMP-13, bone morphogenetic protein-13 gene transfected fibroblast-coated coil group. There were no significant differences between groups.

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    Table 3:

    Summarized histologic scores*

    Group14 Days1 Month3 Months6 MonthsGroup Total Score (All Time Points)
    PA (n = 18)2.5 ± 1.13.1 ± 2.55.4 ± 1.46.8 ± 1.64.7 ± 2.4†
    FBC (n = 18)7.3 ± 1.94.7 ± 2.87.4 ± 2.56.7 ± 2.06.3 ± 2.4
    Ad-BMP-13 (n = 20)6.0 ± 1.66.6 ± 1.88.0 ± 1.36.7 ± 1.06.8 ± 1.6
    • Note:—PA indicates the bare platinum coil group; FBC, fibroblast-coated platinum coil; Ad-BMP-13, bone morphogenetic protein-13 gene transfected fibroblast-coated coil group.

    • * Data are represented as mean±SD.

    • † PA significantly less than FBC or Ad-BMP-13.

    • View popup
    Table 4:

    Fibrosis ratio by time

    Group14 Days1 Month3 Months6 Months
    PA (n = 18)0.21.410.328.6
    FBC (n = 18)1.21.21715.1†
    Ad-BMP-13 (n = 20)0.729.5*62.2*45.1†
    • Note:—PA indicates the bare platinum coil group; FBC, fibroblast-coated platinum coil group; Ad-BMP-13, bone morphogenetic protein-13 gene transfected fibroblast-coated coil group.

    • * Variable is significantly different from other groups (P < .05) at 4 weeks and 3 months.

    • † Difference among groups is significant (P < .05) at 6 months.

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American Journal of Neuroradiology: 29 (4)
American Journal of Neuroradiology
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Cite this article
D. Dai, Y.H. Ding, M.A. Danielson, R. Kadirvel, G.A. Helm, D.A. Lewis, H.J. Cloft, D.F. Kallmes
Endovascular Treatment of Experimental Aneurysms with Use of Fibroblast Transfected with Replication-Deficient Adenovirus Containing Bone Morphogenetic Protein-13 Gene
American Journal of Neuroradiology Apr 2008, 29 (4) 739-744; DOI: 10.3174/ajnr.A0892

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Endovascular Treatment of Experimental Aneurysms with Use of Fibroblast Transfected with Replication-Deficient Adenovirus Containing Bone Morphogenetic Protein-13 Gene
D. Dai, Y.H. Ding, M.A. Danielson, R. Kadirvel, G.A. Helm, D.A. Lewis, H.J. Cloft, D.F. Kallmes
American Journal of Neuroradiology Apr 2008, 29 (4) 739-744; DOI: 10.3174/ajnr.A0892
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