Bu çalışma ve Ethicon Biosurgery, Inc New Jersey, ABD &#39;Viyana Şehir Major Tıbbi Bilimsel Fonu &quot;tarafından desteklendi. Yazarlar, onun değerli mikrocerrahi eğitimi için &#39;Avrupa Atölye ve Mikrocerrahi Serebral Revaskülarizasyon, Avusturya, Viyana, Üniversitesi Tıp Fakültesi Direktörü Profesör Heber Ferraz-Leite için teşekkürlerimi ifade .

1. Konumlandırma ve hayvan hazırlanması Deneyler sorumlu yerel etik kurul tarafından onaylanmış ve Felasa kurallarına göre yapılmıştır. <ol><li> Erkek Yeni Zelanda Beyaz Ketamin intramüsküler enjeksiyon ile tavşan (2.5-3.5 kg) (30mg/kg) ve Xylazine (6mg/kg) genel anestezi başlatın ve (sonra da devam gaz anestezi ile mekanik entübasyon (tüp çapı 4mm, 18mm uzunluk) EKG monitörizasyonu altında İsofluranın). 15 dakika ile ayak tutam acı izleme yapın ve olumlu yanıt durumda anestezi uyum. </li><li> Bodywarm bir plaka üzerinde yatar pozisyonda tavşan sabitleyin. </li><li> Göğüs kafesinin ortasında aşağı çene açısı ulaşan saç kaldırılması için cerrahi alanında hazırlayın. Steril koşullar altında tüm işlemleri gerçekleştirin. </li></ol> 2. Eksternal juguler ven hazırlanması <ol><li> Çene aşağı manubrium sterni açıdan orta hat kesi gerçekleştirin. </li><li> Venöz dallar olmadan operasyon mikroskobu kullanılarak, sol eksternal juguler ven, 1 cm uzun segment seçin ve mikrocerrahi bunu izole (Şekil 1a). Tüm operasyon sırasında sık sık% 4 papaverin HCl çözeltisi ve topikal damarları ve anastomozlar vazospazm ve yerel enfeksiyonları önlemek için antibiyotik solüsyonu (neomisin sülfat 5mg/ml) geçerlidir. </li><li> 4-0 polyfilament dikişlerle (Vicryl, Ethicon Inc, New Jersey, ABD) ile proksimal ve distal damar Arter, o zaman rezeke ve heparinize salin (20 ml% 0.9 &#39;luk tuzlu su ve 1 ml% 4 papaverin HCl 1000 IU heparin tutmak .) </li></ol> 3. Her iki karotis arterler (CCAs) hazırlanması <ol><li> Karotid bifurkasyon aort kemer aşağı ulaşan sol CCA bir segment hazırlayın. Mümkün arter dalları mediale çalışan ve laringeal ve trakeal yapıların yanı sıra tüm sinir yapıları tedarik ettiği kadar koruyun. </li><li> Sağ CCA hazırlayın. Karotid bifurkasyon bracchiocephalic gövde ve aşağı yukarı harekete geçmek. </li><li> Intravenöz 1000 IU heparin yönetin. </li><li> Karotid bifurkasyon aşağıdaki geçici olarak sadece sağ CCA Klip. </li><li> Proksimale doğrudan brakiyosefalik gövde üzerinde sağ CCA Arter. Ligatür üzerinde sağ CCA kesin ve heparinize salin ile güdük sulamak. </li><li> Sağ CCA serbest sonunda adventisya kesin ve dikkatli bir şekilde rezeke. Ücretsiz titizlikle sol CCA segment adventisya anastomoz için planlanan ve distale ve proksimale klibi. </li></ol> 4. Anastomoz, hem CCAs <ol><li> Sol CCA sağ CCA ve venöz kese ile planlanan anastomoz büyüklüğüne göre klipleri arasında eliptik bir arteriyotomi gerçekleştirin. Heparinize salin ile sol CCA yıkayınız. (Şekil 1b) </li><li> 04:56 rezorbe olmayanlar 10-0 PDS (Ethilon 10-0, Ethicon Inc, New Jersey, ABD) kullanılarak, sol CCA arteriyotomi arka sağ CCA-güdük çevresi dikin. </li><li> Venöz kese yarım çevresine uyum sağ CCA güdük bir uzunlamasına kesilmiş olun. 4 ila 5 10-0 sütür tekrar kullanarak, sol CCA arteriyotomi ile ilk venöz kese duvarının arka tarafında anastomoze. Daha sonra 3 ila 4 dikişlerle sağ CCA arka arka tarafında venöz kese anastomoze. (Şekil 1c) </li><li> Ön tarafında aynı sırada anastomoz gerçekleştirin. (Şekil 1d) </li><li> Sağ CCA distal klibi çıkarın. Anevrizma genellikle tamamen kapalı değildir, bu nedenle, sıkışan havayı ve enkaz dışarı yıkayın. </li><li> Bir yağ yastığı ve fibrin yapıştırıcı (Evicel, Ethicon Biosurgery Inc, New Jersey, ABD) ile anastomoz etrafına sütür hatları ve anevrizma boyun Seal. Kalan klipleri çıkarın. </li><li> Çalışan bir perkütan sütür sonra kesintiye subkutan sütür ve 4-0 emilebilir dikişlerle (Monocryl, Ethicon Inc, New Jersey, ABD) kullanın. </li></ol> 5. Ameliyat sonrası yönetimi <ol><li> Yönetici, 10 mg / kg intravenöz asetilsalisilik asit ve subkutan 60 ml% 5 glikoz. </li><li> 12.5 mikrogram / saat, 72 saat boyunca etkili analjezi için hayvanların traş boyun bölgesinde serbest transdermal fentanil matris yamaları uygulayın. </li><li> 2 hafta boyunca günlük 250 IU / kg &#39;dan düşük molekül heparin subkutan yönetin. </li></ol> 6. Temsilcisi Sonuçlar: Prosedürü doğru bir şekilde yapılırsa, anevrizma patent kalacak ve hayvanların yaklaşık 3 gün içinde iyileşir. Bizim tecrübelerimize göre bir görüntüleme işlemlerinin bir hafta sonra en az yapılmalıdır. Aksi takdirde hayvanlar muhtemelen prosedürü tahammül edemez ve kayıp olabilir. Embolizasyon için komple garanti altına almak için yaklaşık 4 hafta beklemeniz tavsiye ederimte sunulan teknikler ve yönetim yazarlar neck.Using anevrizma endothelializasyona son zamanlarda yayınlanan dizi anevrizma% 85.7 açıklık ve mortalite ulaşabilir 14 yüksek oranı% 20&#39;ye kadar barsak komplikasyonlar en aza indirmek için, sağlanan 12 rutin 24 saat analgesia.This yoğunlaştı yönetimi ile karşılaştırıldığında, 72 saatlik analjezi uzun bir bir ameliyat sonrası analjezik yönetim gastrik komplikasyonlar sonuçlandı. Agresif antikoagülasyon yönetimi, yeterli anevrizma açıklık oranları ulaşmak için önemlidir. Bu Grunwald ve ark bulguları ile birlikte gider. kombine antikoagülasyon olumlu etkilerini gösteren 17 agresif antikoagülasyon anastomoz etkin bir sızdırmazlık için çok önemlidir. Biz çok iyi bir deneyim yeni fibrin yapıştırıcı (Evicel, Ethicon Biosurgery Inc, New Jersey, ABD) kullanılarak yapılmıştır. Ayrıca biz genellikle aşırı kilolu konularla ilgili deneyimimiz komplikasyonları gibi, küçük bir tavşan (maksimum 3,5 kg) kullanarak tavsiye ederiz.

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D., O'Reilly, G. V. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Production+of+experimental+aneurysms+at+a+surgically+created+arterial+bifurcation.">Production of experimental aneurysms at a surgically created arterial bifurcation.</a> AJNR Am J Neuroradiol. 10, 400-402 (1989).</li></ol>

Yazarlar, düşünceli, iyi sonuçlar patent anevrizmalar elde etmek için aşağıdaki kritik cerrahi önemli adımlar önermektedir: <ol><li> Sinirler ve küçük damarları tahrip olmadan kolay anastomoz için sol CCA uzun bir segment dikkatli diseksiyon. </li><li> Anastomoz oluşturulması öncesinde, son derece trombojenik periadventitial fibröz doku dikkatli bir şekilde kaldırılması. </li><li> Tansiyonsuz anastomoz oluşturulması. </li><li> Daha az sütür: önceki önerilen prosedürlere göre arka tara...

<table border="1"><tbody><tr><th> Reaktifin Adı </th><th> Şirket </th><th> Katalog numarası </th><th> Yorumlar </th></tr><tr><td> Vicryl4-0 polyfilament geri yüklenebilir sütür </td><td> Ethicon Inc. </td><td> J386H </td><td></td></tr><tr><td> Ethilon 10-0 monofil olmayan emilebilir dikişlerle </td><td> Ethicon Inc. </td><td> 2814 </td><td> konik noktası iğne </td></tr><tr><td> Evicel BioGlue </td><td> Ethicon Biosurgery Inc. </td><td> 3901 </td><td></td></tr><tr><td> Fentanil dermal yama 12.5 mikrogram / h </td><td></td><td></td><td> Herhangi bir genericon </td></tr><tr><td> Heparin </td><td></td><td></td><td> Herhangi bir genericon </td></tr><tr><td> % 0.9 Tuzlu </td><td></td><td></td><td> Herhangi bir genericon </td></tr><tr><td> % 4 papaverin HCl </td><td></td><td></td><td> Herhangi bir genericon </td></tr><tr><td> Neomisin sülfat 5 mg / ml </td><td></td><td></td><td> Herhangi bir genericon </td></tr><tr><td> Ketamin 50mg/ml </td><td></td><td></td><td> Herhangi bir genericon </td></tr><tr><td> Xylazine 20mg/ml </td><td></td><td></td><td> Herhangi bir genericon </td></tr></tbody></table>

microsurgical venous pouch arterial-bifurcation aneurysms in the rabbit model: technical aspects

Rüptüre insan beyin anevrizmalarının endovasküler embolizasyon anevrizma kırpma eşdeğer bir alternatif haline gelmiştir. 1 Ancak, büyük klinik çalışmalarda anevrizma rekanalizasyon ve geç anevrizma rüptürü kabul edilemez yüksek oranları ile uzun vadeli bir hayal kırıklığı yaratan sonuçlar göstermiştir. 2 Bu sorunların üstesinden gelmek için, hayvan deneysel çalışmalar daha iyi endovasküler cihazların gelişimi için çok önemlidir. 3-5 Sıçan, tavşan, köpek ve domuz Çeşitli hayvan modelleri mevcuttur. Hemodinami ve pıhtılaşma sisteminin karşılaştırılabilirliği ve maliyet-etkinlik açısından farklı hayvan modellerinde 6-8 Karşılaştırmalar tavşan modelinde üstünlüğünü gösterdi. 9-11 Tavşanlarda venöz kese arter bifurkasyon modeli hem karotis arter (CCA), yapay olarak oluşturulmuş bir gerçek çatallanma içine sütüre venöz kese oluşur. Bu modelin ana avantajı gerçek bifurcational hemodinamikler 12 büyük sakıncaları sıkın yüksek mikrocerrahi teknik talepleri ve yüksek morbidite ve mortalite oranları% 50 kadar 13 Bu sınırlamalar, son yıllarda bu anevrizma modeli daha az sık kullanılması sonuçlandı yıl. Bu eksiklikler, gelişmiş cerrahi işlemler ile üstesinden ve değiştirilmiş olabilir peri-ve postoperatif analjezik yönetimi ve antikoagülan 14-16 teknikler arter bifurkasyon anevrizmaları mikrocerrahi yaratılması için optimize edilmiş bu tekniği göstermek bu yazıda bildirdi .

Watch this Scientific Journal Video about Microsurgical Venous Pouch Arterial-Bifurcation Aneurysms in the Rabbit Model: Technical Aspects at JoVE.com

Microsurgical Venous Pouch Arterial-Bifurcation Aneurysms in the Rabbit Model: Technical Aspects

Çatallanma insan serebral anevrizmalar taklit arter bifurkasyon anevrizmalarının mikrocerrahi yaratılması için optimize edilmiş bir tekniği tarif edilir. Venöz kese hem de karotis arterlerin yapay olarak oluşturulmuş bir gerçek çatallanma sütüre edilir. Kolaylaştırılmış mikrocerrahi teknikleri ve agresif postoperatif antikoagülasyon ve analjezi minimize morbidite oranları ve yüksek anevrizma açıklık oranları yol.

Tavşan Modelinde Mikrocerrahi Venöz Kılıfı Arter Bifurkasyon Anevrizmalarının: Teknik Yönleri

For ruptured human cerebral aneurysms endovascular embolization has become an equivalent alternative to aneurysm clipping.1 However, large clinical trials ...

microsurgical-venous-pouch-arterial-bifurcation-aneurysms-rabbit

Research

JoVE Journal

Medicine

13.9K Görüntüleme.  Hospital Rudolfstiftung. Çatallanma insan serebral anevrizmalar taklit arter bifurkasyon anevrizmalarının mikrocerrahi yaratılması için optimize edilmiş bir tekniği tarif edilir. Venöz kese hem de karotis arterlerin yapay olarak oluşturulmuş bir gerçek çatallanma sütüre edilir. Kolaylaştırılmış mikrocerrahi teknikleri ve agresif postoperatif antikoagülasyon ve analjezi minimize morbidite oranları ve yüksek anevrizma açıklık oranları yol.

Video: Microsurgical Venous Pouch Arterial-Bifurcation Aneurysms in the Rabbit Model: Technical Aspects

Technical Aspects of the Mouse Aortocaval Fistula

Technical aspects of creating an arteriovenous fistula in the mouse are discussed. Under general anesthesia, an abdominal incision is made, and the aorta and inferior vena cava (IVC) are exposed. The proximal infrarenal aorta and the distal aorta are dissected for clamp placement and needle puncture, respectively. Special attention is paid to avoid dissection between the aorta and the IVC. After clamping the aorta, a 25 G needle is used to puncture both walls of the aorta into the IVC. The surrounding connective tissue is used for hemostatic compression. Successful creation of the AVF will show pulsatile arterial blood flow in the IVC. Further confirmation of successful AVF can be achieved by post-operative Doppler ultrasound.

The goal is to produce an arteriovenous fistula that is simple and reproducible. This method does not use sutures or glue adhesive. Therefore the samples can be used with the least amount of foreign materials for analysis.

Fare Aortocaval Fistül Teknik Yönleri

Technical aspects of creating an arteriovenous fistula in the mouse are discussed. Under general anesthesia, an abdominal incision is made, and the aorta ...

Tıp

The Helsinki Rat Microsurgical Sidewall Aneurysm Model

Experimental saccular aneurysm models are necessary for testing novel surgical and endovascular treatment options and devices before they are introduced into clinical practice. Furthermore, experimental models are needed to elucidate the complex aneurysm biology leading to rupture of saccular aneurysms.
Several different kinds of experimental models for saccular aneurysms have been established in different species. Many of them, however, require special skills, expensive equipment, or special environments, which limits their widespread use. A simple, robust, and inexpensive experimental model is needed as a standardized tool that can be used in a standardized manner in various institutions.
The microsurgical rat abdominal aortic sidewall aneurysm model combines the possibility to study both novel endovascular treatment strategies and the molecular basis of aneurysm biology in a standardized and inexpensive manner. Standardized grafts by means of shape, size, and geometry are harvested from a donor rat&#39;s descending thoracic aorta and then transplanted to a syngenic recipient rat. The aneurysms are sutured end-to-side with continuous or interrupted 9-0 nylon sutures to the infrarenal abdominal aorta.
We present step-by-step procedural instructions, information on necessary equipment, and discuss important anatomical and surgical details for successful microsurgical creation of an abdominal aortic sidewall aneurysm in the rat.

Microsurgical sidewall aneurysms in rats are created by end-to-side anastomosis of an aortic graft to the abdominal aorta. We present step-by-step instructions and discuss anatomical and surgical details for successful experimental saccular aneurysm creation.

Helsinki Rat Mikrocerrahi Yanduvar Anevrizma Modeli

Experimental saccular aneurysm models are necessary for testing novel surgical and endovascular treatment options and devices before they are introduced ...

The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects

Early brain injury and delayed cerebral vasospasm both contribute to unfavorable outcomes after subarachnoid hemorrhage (SAH). Reproducible and controllable animal models that simulate both conditions are presently uncommon. Therefore, new models are needed in order to mimic human pathophysiological conditions resulting from SAH.
This report describes the technical nuances of a rabbit blood-shunt SAH model that enables control of intracerebral pressure (ICP). An extracorporeal shunt is placed between the arterial system and the subarachnoid space, which enables examiner-independent SAH in a closed cranium. Step-by-step procedural instructions and necessary equipment are described, as well as technical considerations to produce the model with minimal mortality and morbidity. Important details required for successful surgical creation of this robust, simple and consistent ICP-controlled SAH rabbit model are described.

The experimental intracranial pressure-controlled blood shunt subarachnoid hemorrhage (SAH) model in the rabbit combines the standard procedures &#8212; subclavian artery cannulation and transcutaneous cisterna magna puncture, which enables close mimicking of human pathophysiological conditions after SAH. We present step-by-step instructions and discuss key surgical points for successful experimental SAH creation.

Subaraknoid Kanama Akut ve Geç sekeli Çalışmaları Tavşan Kan şant Modeli: Teknik Yönleri

Early brain injury and delayed cerebral vasospasm both contribute to unfavorable outcomes after subarachnoid hemorrhage (SAH). Reproducible and ...

A Murine Model of Arterial Restenosis: Technical Aspects of Femoral Wire Injury

Cardiovascular disease caused by atherosclerosis is the leading cause of death in the developed world. Narrowing of the vessel lumen, due to atherosclerotic plaque development or the rupturing of established plaques, interrupts normal blood flow leading to various morbidities such as myocardial infarction and stroke. In the clinic endovascular procedures such as angioplasty are commonly performed to reopen the lumen. However, these treatments inevitably damage the vessel wall as well as the vascular endothelium, triggering an excessive healing response and the development of a neointimal plaque that extends into the lumen causing vessel restenosis (re-narrowing). Restenosis remains a major cause of failure of endovascular treatments for atherosclerosis. Thus, preclinical animal models of restenosis are vitally important for investigating the pathophysiological mechanisms as well as translational approaches to vascular interventions. Among several murine experimental models, femoral artery wire injury is widely accepted as the most suitable for studies of post-angioplasty restenosis because it closely resembles the angioplasty procedure that injures both endothelium and vessel wall. However, many researchers have difficulty utilizing this model due to its high degree of technical difficulty. This is primarily because a metal wire needs to be inserted into the femoral artery, which is approximately three times thinner than the wire, to generate sufficient injury to induce prominent neointima. Here, we describe the essential surgical details to effectively overcome the major technical difficulties of this model. By following the presented procedures, performing the mouse femoral artery wire injury becomes easier. Once familiarized, the whole procedure can be completed within 20 min.

The mouse femoral artery wire injury model of restenosis is technically challenging. In this protocol we show the key technical details essential for successfully performing wire injury to induce consistent&#160;neointima for studies of restenosis.

Arter Restenozun bir fare modeli: Femur Tel Yaralanma Teknik Yönleri

Cardiovascular disease caused by atherosclerosis is the leading cause of death in the developed world. Narrowing of the vessel lumen, due to ...

Isometric Contractility Measurement of the Mouse Mesenteric Artery Using Wire Myography

The wire myograph technique is used to assess the contractility of vascular smooth muscles in response to depolarization, GPCR agonists/inhibitors and drugs. It is widely used in many studies on the physiological functions of vascular smooth muscle, the pathogenesis of vascular diseases such as hypertension, and the development of smooth muscle relaxant drugs. The mouse is a widely used model animal with a large pool of disease models and genetically modified strains. We introduced this method to measure the isometric contraction of mouse mesenteric artery in detail. A 1.4-mm segment of mouse mesenteric resistance artery was isolated and mounted on a myograph chamber by passing two steel wires through its lumen. After equilibration and normalization steps, the vessel segment was potentiated by a high-K+ solution twice prior to the contraction assay. As an example of the application of this method in drug development, we measured the relaxant effect of a novel natural substance, neoliensinine, isolated from a Chinese herb, embryos of the lotus seed (Nelumbo nucifera Gaertn.) on mouse mesenteric arteries. The vessel segments mounted on the myograph chamber were stimulated with a high-K+ solution. When the force tension reached a stable sustained phase, cumulative doses of neoliensinine were added to the chamber. We found that neoliensinine had a dose-dependent relaxant effect on smooth muscle contraction, thus suggesting that it bears potential activity against hypertension. In addition, as the vessel segment can survive at least 4 hours after mounting and maintain contractility induced by the high-K+ solution for many times, we suggest that the wire myograph system may be used for the time-consuming process of drug screening.

The wire myograph technique is used to investigate vascular smooth muscle functions and screen new drugs. We report a detailed protocol for measuring the isometric contractility of the mouse mesenteric artery and for screening new relaxants of vascular smooth muscle.

İzometrik Contractility ölçüm tel Myography kullanarak fare mezenterik arter

The wire myograph technique is used to assess the contractility of vascular smooth muscles in response to depolarization, GPCR agonists/inhibitors and ...

Transthoracic Echocardiographic Examination in the Rabbit Model

Large animal models such as the rabbit are valuable for translational preclinical research. Rabbits have a similar cardiac electrophysiology compared to that of humans and that of other large animal models such as dogs and pigs. However, the rabbit model has the additional advantage of lower maintenance costs compared to other large animal models. The longitudinal evaluation of cardiac function using echocardiography, when appropriately implemented, is a useful methodology for preclinical assessment of novel therapies for heart failure with reduced ejection fraction (e.g. cardiac regeneration). The correct use of this non-invasive tool requires the implementation of a standardized examination protocol following international guidelines. Here we describe, step by step, a detailed protocol supervised by veterinary cardiologists for performing echocardiography in the rabbit model, and demonstrate how to correctly obtain the different echocardiographic views and imaging planes, as well as the different imaging modes available in a clinical echocardiography system routinely used in human and veterinary patients.

Here we describe, step by step, a detailed protocol for performing echocardiography in the rabbit model. We show how to correctly obtain the different echocardiographic views and imaging planes, as well as the different imaging modes available in a clinical echocardiography system routinely used in human and veterinary patients.

Tavşan modelinde transtortik ekokardiyografi sınavı

Large animal models such as the rabbit are valuable for translational preclinical research. Rabbits have a similar cardiac electrophysiology compared to ...

A Rabbit Venous Interposition Model Mimicking Revascularization Surgery using Vein Grafts to Assess Intimal Hyperplasia under Arterial Blood Pressure

Although vein grafts have been commonly used as autologous grafts in revascularization surgeries for ischemic diseases, the long-term patency remains poor because of the acceleration of intimal hyperplasia due to the exposure to arterial blood pressure. The present protocol is designed for the establishment of experimental venous intimal hyperplasia by interposing rabbit jugular veins to the ipsilateral carotid arteries. The protocol does not require surgical procedures deep in the body trunk and the extent of the incision is limited, which is less invasive for the animals, allowing long-term observation after implantation. This simple procedure enables researchers to investigate strategies to attenuate the progression of intimal hyperplasia of the implanted vein grafts. Using this protocol, we reported the effects transduction of microRNA-145 (miR-145), which is known to control the phenotype of vascular smooth muscle cells (VSMCs) from the proliferative to the contractile state, into harvested vein grafts. We confirmed the attenuation of intimal hyperplasia of vein grafts by transducing miR-145 before implantation surgery through the phenotype change of the VSMCs. Here we report a less invasive experimental platform to investigate the strategies that can be used to attenuate intimal hyperplasia of vein grafts in revascularization surgeries.

The present protocol aims to experimentally create venous intimal hyperplasia by subjecting veins to arterial blood pressure for developing strategies to attenuate venous intimal hyperplasia following revascularization surgery using vein grafts.

Arteriyel Kan Basıncı Altında İntimal Hiperplazi değerlendirmek için Ven Greftleri kullanarak Revaskülarizasyon Cerrahisi Taklit Bir Tavşan Venöz Interposition Modeli

Although vein grafts have been commonly used as autologous grafts in revascularization surgeries for ischemic diseases, the long-term patency remains poor ...

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit

Preclinical animal models with hemodynamic, morphologic, and histologic characteristics close to human intracranial aneurysms play a key role in the understanding of the pathophysiological processes and the development and testing of new therapeutic strategies. This study aims to describe a new rabbit aneurysm model that allows the creation of two elastase-digested saccular aneurysms with different hemodynamic conditions within the same animal.
Five female New Zealand white rabbits with a mean weight of 4.0 (&#177; 0.3) kg and mean age of 25 (&#177;5) weeks underwent microsurgical stump and bifurcation aneurysm creation. One aneurysm (stump) was created by right common carotid artery (CCA) exposure at its origin at the brachiocephalic trunk. A temporary clip was applied at the CCA origin and another, 2 cm above. This segment was treated with a local injection of 100 U of elastase for 20 min. A second aneurysm (bifurcation) was created by suturing an elastase-treated arterial pouch into the end-to-side anastomosis of the right CCA to left CCA. Patency was controlled by fluorescence angiography immediately after creation.
The average duration of surgery was 221 min. The creation of two aneurysms in the same animal was successful in all rabbits without complication. All aneurysms were patent immediately after surgery except for one bifurcation aneurysm, which showed an extreme tissue reaction due to elastase incubation and an immediate intraluminal thrombosis. No mortality was observed during surgery and up to one-month follow-up. Morbidity was limited to a transient vestibular syndrome (one rabbit), which recovered spontaneously within one day.
Demonstrated here for the first time is the feasibility of creating a two-aneurysm rabbit model with stump and bifurcation hemodynamic characteristics and highly degenerated wall conditions. This model allows the study of the natural course and potential treatment strategies on the basis of aneurysm biology under different flow conditions.

This protocol describes the steps for the creation of a rabbit model with two elastase-digested aneurysms with different hemodynamics (stump and bifurcation constellation). This allows the testing of novel endovascular devices in aneurysms with different angioarchitecture and hemodynamic conditions within a single animal.

Bir tavşanda farklı hemodinamiğe sahip iki sakküler elastaz sindirilmiş anevrizmanın oluşturulması

Preclinical animal models with hemodynamic, morphologic, and histologic characteristics close to human intracranial aneurysms play a key role in the ...

Isolated Lung Perfusion System in the Rabbit Model

The isolated lung perfusion system has been widely used in pulmonary research, contributing to elucidate the lungs&#39; inner workings, both micro and macroscopically. This technique is useful in the characterization of pulmonary physiology and pathology by measuring metabolic activities and respiratory functions, including interactions between circulatory substances and the effects of inhaled or perfused substances, as in drug testing. While in vitro methods involve the slicing and culturing of tissues, the isolated ex vivo lung perfusion system allows to work with a complete functional organ making possible the study of a continuous physiological function while recreating ventilation and perfusion. However, it should be noted that the effects of the absence of central innervation and lymphatic drainage still have to be fully assessed. This protocol aims to describe the assembly of the isolated lung apparatus, followed by the surgical extraction and cannulation of lungs and heart from experimental lab animals, as well as to display the perfusion technique and signal processing of data. The average viability of the isolated lung ranges between 5-8 h; during this period, the pulmonary capillary permeability increases, causing edema and lung injury. The functionality of preserved pulmonary tissue is measured by the capillary filtration coefficient (Kfc), used to determine the extent of pulmonary edema through time.

The isolated rabbit lung preparation is a gold standard tool in pulmonary research. This publication aims to describe the technique as developed for the study of physiological and pathological mechanisms involved in airway reactivity, lung preservation, and preclinical research in lung transplantation and pulmonary edema.

Tavşan Modelinde İzole Akciğer Perfüzyon Sistemi

The isolated lung perfusion system has been widely used in pulmonary research, contributing to elucidate the lungs&#39; inner workings, both micro and ...

A Rabbit Aortic Valve Stenosis Model Induced by Direct Balloon Injury

Animal models are emerging as an important tool to understand the pathologic mechanisms underlying aortic valve stenosis (AVS) because of the lack of access to reliable sources of diseased human aortic valves. Among the various animal models, AVS rabbit models are one of the most commonly used in large animal studies. However, traditional AVS rabbit models require a long-term period of dietary supplementation and genetic manipulation to induce significant stenosis in the aortic valve, limiting their use in experimental studies. To address these limitations, a new AVS rabbit model is proposed, in which stenosis is induced by a direct balloon injury to the aortic valve. The present protocol describes a successful technique for inducing AVS in New Zealand white (NZW) rabbits, with step-by-step procedures for the preparation, the surgical procedure, and the post-operative care. This simple and reproducible model offers a promising approach for studying the initiation and progression of AVS and provides a valuable tool for investigating the underlying pathological mechanisms of the disease.

An appropriate animal model is needed to understand the pathologic mechanisms underlying aortic valve stenosis (AVS) and to evaluate the efficacy of therapeutic interventions. The present protocol describes a new procedure for developing the AVS rabbit model via a direct balloon injury in vivo.

Doğrudan Balon Yaralanmasının Neden Olduğu Bir Tavşan Aort Kapak Darlığı Modeli

Animal models are emerging as an important tool to understand the pathologic mechanisms underlying aortic valve stenosis (AVS) because of the lack of ...