1. Assessing the Effects of Geniculate Artery Embolization in a Nonsurgical Animal Model of Osteoarthritis
- Author
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Andre B. Uflacker, Nicole Keefe, Evelyn T. Bruner, Alexandria Avery, Robert Salzar, Kyvory Henderson, Meade Spratley, Nicholas Nacey, Wilson Miller, Sukhdeep Grewal, Jonathan Chahin, Dana Safavian, and Ziv J. Haskal
- Subjects
Male ,Disease Models, Animal ,Sheep ,Synovitis ,Knee Joint ,Animals ,Humans ,Radiology, Nuclear Medicine and imaging ,Arteries ,Osteoarthritis, Knee ,Cardiology and Cardiovascular Medicine ,Embolization, Therapeutic ,Magnetic Resonance Imaging - Abstract
To create a nonsurgical animal model of osteoarthritis (OA) to evaluate the effects of embolotherapy during geniculate artery embolization (GAE).Fluoroscopy-guided injections of 700 mg of sodium monoiodoacetate were performed into the left stifle in 6 rams. Kinematic data were collected before and after induction. At 10 weeks after induction, Subjects 1 and 4-6 underwent magnetic resonance (MR) imaging with dynamic contrast enhancement (DCE) and Subjects 1, 3, and 4-6 underwent angiography with angiographic scoring to identify regions with greatest disease severity for superselective embolization (75-250-μm microspheres). Target vessel size was measured. At 24 weeks after angiography, DCE-MR imaging, angiography, and euthanasia were performed, and bilateral stifles were harvested. Medial/lateral tibial and femoral condylar, patellar, and synovial samples were cut, preserved, decalcified, and scored using the Osteoarthritis Research Society International criteria. The stifle and synovium Whole-Organ Magnetic Resonance Imaging Score and Multicenter Osteoarthritis Study score were determined. The volume transfer constant (KThe mean gross and microscopic pathological scores were elevated at 38 and 61, respectively. Mean synovitis score was elevated at 9.2. Mean pre-embolization and postembolization angiographic scores were 5 and 3.8, respectively. Mean superior, transverse, and inferior geniculate artery diameters were 3.1 mm ± 1.21, 2.0 mm ± 0.50, and 1.6 mm ± 0.41 mm, respectively. Mean pre-embolization and postembolization cartilage and synovitis scores were elevated at 35.13 and 73.3 and 5.5 and 9.2, respectively. The KA nonsurgical ovine animal knee OA model was created, which allowed the collection of angiographic, histopathological, MR imaging, and kinematic data to study the effects of GAE.
- Published
- 2021