Reversible MCAO without craniectomy in rats.

Reversible MCAO without craniectomy in rats.

ID:39973762

大小:4.67 MB

页数:9页

时间:2019-07-16

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1、ReversiblemiddlecerebralarteryocclusionwithoutcraniectomyinratsEZLonga,PRWeinstein,SCarlsonandRCumminsStroke1989;20;84-91StrokeispublishedbytheAmericanHeartAssociation.7272GreenvilleAvenue,Dallas,TX7251484ReversibleMiddleCerebralArteryOcclusionWithoutCraniectomyinRatsEnriqueZeaLonga,MD,PhilipR.We

2、instein,MD,SaraCarlson,BS,andRobertCummins,MSTodevelopasimple,relativelynoninvasivesmall-animalmodelofreversibleregionalcerebralischemia,wetestedvariousmethodsofinducinginfarctionintheterritoryoftherightmiddlecerebralartery(MCA)byextracranjalvascularocclusioninrats.Inpreliminarystudies,60ratswere

3、anesthetizedwithketamineanddifferentcombinationsofvesselswereoccluded;bloodpressureandarterialbloodgasesweremonitored.Neurologicdeficit,mortalityrate,grosspathology,andinsomeinstances,electroencephalogramandhistochemicalstainingresultswereevaluatedinallsurvivingrats.Theprincipalprocedureconsisted

4、ofintroducinga4-0nylonintraluminalsutureintothecervicalinternalcarotidirtery(ICA)andadvancingitintracra-niallytoblockbloodflowintotheMCA;collateralbloodflowwasreducedbyinterruptingallbranchesoftheexternalcarotidartery(ECA)andallextracranialbranchesoftheICA.Insomegroupsofrats,bilateralvertebralorc

5、ontralateralcarotidarteryocclusionwasalsoperformed.Indiainkperfusionstudiesin20ratsdocumentedblockageofMCAbloodflowin14ratssubjectedtopermanentocclusionandtherestorationofbloodflowtotheMCAterritoryinsixratsafterwithdrawalofthesuturefromtheICA.ThebestmethodofMCAocclusionwasthenselectedforfurtherco

6、nfirmatorystudies,includinghistologicexamination,infiveadditionalgroupsofratsanesthetizedwithhalothane.SevenofeightratsthatunderwentpermanentocclusionoftheMCAhadresolvingmoderatelysevereneurologicdeficits(Grade2of4)andunilateralinfarctsaveraging37.6±5.5%ofthecoronalsectionalareaat72hoursaftertheo

7、nsetofocclusion.Fiveratsunderwentthesameprocedureafterbilateralvertebralarteryocclusionwasperformedtoreducecollateralbloodflow.Onlytwoofthesefiveratssurvived72hours;theneurologicdeficitsprogressedfromGrade2.5to3,andthe

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