Microsurgically Induced Pure Arterial Aneurysm Model in Rats

INTRODUCTION The aim of the study was to develop a reliable and reproducible arterial aneurysm model for microsurgical training and further research with dimensions comparable to those encountered in aneurysms in humans. METHODS The arterial aneurysm models were created microsurgically at the bifurcation of the abdominal aorta using a graft of the carotid artery in 20 Wistar rats. RESULTS The aneurysms were created successfully and no complications occurred. The average volume of this arterial aneurysm model was 35.19±5.64 mm (3). The time required to create this kind of aneurysm was 192±14.4 min. The central zone of blood inflow into the aneurysm was not affected by any thrombus formation. CONCLUSION The presented model at the aortic bifurcation in the rat is reliable and immediately available for microsurgical and technical training as well as for scientific studies on aneurysms. Since this kind of model also reproduces arterial aneurysms, basic techniques such as suturing and microtechniques needed for the dissection and repair of vessels can be taught during its creation.

[1]  N. Matsumura,et al.  A newly designed training tool for microvascular anastomosis techniques: Microvascular Practice Card. , 2009, Surgical neurology.

[2]  J. Hernesniemi,et al.  Occlusion of neck remnant in experimental rat aneurysms after treatment with platinum- or polyglycolic-polylactic acid-coated coils. , 2009, Surgical neurology.

[3]  T. Mücke,et al.  Microsurgically Induced Aneurysm Models in Rats, Part I: Techniques and Histological Examination , 2008, Minimally invasive neurosurgery : MIN.

[4]  T. Mücke,et al.  Microsurgically Induced Aneurysm Models in Rats, Part II: Clipping, Shrinking and Micro-Doppler Sonography , 2008, Minimally invasive neurosurgery : MIN.

[5]  Benjamin M. Wu,et al.  Thrombus organization and healing in the swine experimental aneurysm model. Part I. A histological and molecular analysis. , 2007, Journal of neurosurgery.

[6]  B. Sellhaus,et al.  Long-term Histological and Scanning Electron Microscopy Results of Endovascular and Operative Treatments of Experimentally Induced Aneurysms in the Rabbit , 2006, Neurosurgery.

[7]  T. Mücke,et al.  A program of microsurgical training for young medical students: Are younger students better? , 2006, Microsurgery.

[8]  J. Jääskeläinen,et al.  Microsurgical clipping of cerebral aneurysms after the ISAT Study. , 2005, Acta neurochirurgica. Supplement.

[9]  C. Carlotti,et al.  Experimental microaneurysms in rats: I. Model for induction. , 2004, Surgical neurology.

[10]  C. Ogilvy,et al.  A modified technique for using elastase to create saccular aneurysms in animals that histologically and hemodynamically resemble aneurysms in human , 2004, Acta Neurochirurgica.

[11]  T. Krings,et al.  Are the configuration and neck morphology of experimental aneurysms predictable? A technical approach , 2004, Neuroradiology.

[12]  M. Tovi,et al.  Clinical outcome after endovascular coil embolization in elderly patients with subarachnoid hemorrhage , 2004, Neuroradiology.

[13]  Armin Thron,et al.  A refined method for creating saccular aneurysms in the rabbit , 2003, Neuroradiology.

[14]  P. Gailloud,et al.  Artificial cerebral aneurysm model for medical testing, training, and research. , 2003, Neurologia medico-chirurgica.

[15]  M. Yașargil,et al.  New laboratory model for neurosurgical training that simulates live surgery. , 2002, Journal of neurosurgery.

[16]  A. Molyneux International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial , 2002, The Lancet.

[17]  S. Johnston,et al.  Treatment of unruptured cerebral aneurysms in California. , 2001, Stroke.

[18]  T. Menovsky A human skull cast model for training of intracranial microneurosurgical skills , 2000, Microsurgery.

[19]  D. Kallmes,et al.  Histologic evaluation of platinum coil embolization in an aneurysm model in rabbits. , 1999, Radiology.

[20]  D. Owens,et al.  Histologic and morphologic comparison of experimental aneurysms with human intracranial aneurysms. , 1998, AJNR. American journal of neuroradiology.

[21]  U. Spetzger,et al.  Endovascular coil embolization of microsurgically produced experimental bifurcation aneurysms in rabbits. , 1998, Surgical neurology.

[22]  A. Thron,et al.  Microsurgically produced bifurcation aneurysms in a rabbit model for endovascular coil embolization. , 1996, Journal of neurosurgery.

[23]  S. Flock,et al.  Construction of a vein‐pouch aneurysm at a surgically created carotid bifurcation in the rat , 1996, Microsurgery.

[24]  C M Strother,et al.  Aneurysm hemodynamics: an experimental study. , 1992, AJNR. American journal of neuroradiology.

[25]  M. Yașargil,et al.  Microsurgical anatomy of the basal cisterns and vessels of the brain, diagnostic studies, general operative techniques and pathological considerations of the intracranial aneurysms , 1984 .

[26]  H. Handa,et al.  Saccular cerebral aneurysms in rats: a newly developed animal model of the disease. , 1983, Stroke.

[27]  G. Ferguson Physical factors in the initiation, growth, and rupture of human intracranial saccular aneurysms. , 1972, Journal of neurosurgery.