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Published in: CardioVascular and Interventional Radiology 12/2018

01-12-2018 | Laboratory Investigation

Effects of Different Mixing Agents on the Stability of Sodium Tetradecyl Sulfate (STS) Foam: An Experimental Study

Authors: Kazuki Hashimoto, MD, Barry Uchida, Masahiro Horikawa, Hidefumi Mimura, Khashayar Farsad

Published in: CardioVascular and Interventional Radiology | Issue 12/2018

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Abstract

Purpose

To evaluate the effect of air, CO2 and contrast medium-air on the dwell time (DT) stability of sodium tetradecyl sulfate (STS) foam.

Materials and Methods

Three types of foam sclerosants (air-foam, CO2-foam, contrast-air-foam) were injected eight times into an inclined straight plastic tube (internal diameters 4 mm and 10 mm) filled with a blood substitute. Injections were captured by CCD camera, and images were transferred for digital analysis and calculation of DT.

Results

Contrast-air-foam and air-foam in a 4-mm tube showed 5.6-/3.3-fold greater DT compared to CO2-foam, respectively (P = 0.001). Contrast-air-foam in a 10-mm tube showed 2.1-fold greater DT compared to CO2-foam (P = 0.0167).

Conclusion

A mixture of air and iodinated contrast improves the stability of STS foam compared to mixtures using only air or CO2. Further, animal and clinical studies are needed to validate this in vitro result.
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Literature
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Metadata
Title
Effects of Different Mixing Agents on the Stability of Sodium Tetradecyl Sulfate (STS) Foam: An Experimental Study
Authors
Kazuki Hashimoto, MD
Barry Uchida
Masahiro Horikawa
Hidefumi Mimura
Khashayar Farsad
Publication date
01-12-2018
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 12/2018
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-018-2049-2

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