Table 4:
Primary histopathologic findings after coil embolization of experimental aneurysms
Species, Aneurysm | Neck | Dome | Reaction Around and Inside Coils | Inflammation Reaction |
---|---|---|---|---|
Canine, lateral wall7,41,52,57 | Neointima in the obliterated and recanalized aneurysms (170.00 ± 42.43 μm) | Variably organized connective tissue | Neointima and connective tissue tightly adhering to the coils | Minimal inflammatory reaction |
Canine, bifurcation28,29,43,52 | Very thin neointima (29.80 ± 24.35 μm); frequent endothelialized clefts | Little-to-no residual thrombus; organized vascularized fibrocellular tissue | Coils apparently bare or covered by a neointimal membrane of variable thickness | Minimal degree of inflammation |
Swine, lateral wall35,41,55,56 | Thick fibrous neointimal membrane >1000 μm | Dense fibrotic tissue | Neointima and connective tissue tightly adhering to the coils | Attenuated inflammatory reaction |
Rabbit, bifurcation8,15,18,30,31 | No endothelialization | No evidence of organized thrombus | Uncovered coils in the lumen and no fibrosis between the loops of coils | Severe chronic or no major inflammatory reaction |
Rabbit, elastase10,44–46,72 | Partial or complete thin neointimal coverage | Loose hypocellular vascularized connective tissue; no contractile cells and no collagen deposition | No endothelial layer covering the coils close to the aneurysm neck | Marked-to-mild localized chronic inflammatory infiltration |