A novel rabbit thromboembolic occlusion model

© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ..

BACKGROUND: To develop a preclinical thromboembolic occlusion model for studying revascularization strategies.

METHODS: Clot analog with barium sulfate was injected into the distal aorta in 9 New Zealand white rabbits. The situation of aorta occlusion was compared among fibrin-rich (n=4), red blood cell (RBC)-rich (n=3), and whole blood clot analogs (n=2) using digital subtraction angiography. Arterial geometries, histologic features and circumferential stretch of the distal aorta in rabbits were compared with the common carotid artery in swine and the distal internal carotid artery (ICA) in humans. Aspiration thrombectomy and mechanical thrombectomy using a stent retriever were performed in two rabbits.

RESULTS: The aortic bifurcation was occluded after a single delivery of clot in 4 cases. It was occluded after the second clot injection in the 5 remaining rabbits. Fragmentation of RBC-rich clots occurred during clot injection in 2 cases. The mean diameters of the distal aorta and right common iliac artery in rabbits were 3.7±0.4 and 2.8±0.3 mm, respectively; the mean diameters of human ICA, and first and second segments of the middle cerebral artery (M1, M2) were 3.6±0.4, 3.1±0.4, and 2.4±0.4 mm, respectively. Arterial revascularization was achieved in both rabbits. Geometric, mechanical and histological factors of the distal aorta in rabbit were more close to human distal ICA than swine carotid artery.

CONCLUSION: Arterial occlusion can be achieved at the aortic bifurcation in rabbits, which is comparable to human ICA bifurcation. This thrombectomy model has the potential to be used for testing of thrombectomy devices.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Journal of neurointerventional surgery - 13(2021), 11 vom: 20. Nov., Seite 1040-1043

Sprache:

Englisch

Beteiligte Personen:

Ding, Yong-Hong [VerfasserIn]
Fitzgerald, Seán [VerfasserIn]
Liu, Yang [VerfasserIn]
Dai, Daying [VerfasserIn]
Jakaitis, Daniel [VerfasserIn]
Doyle, Karen [VerfasserIn]
Brinjikji, Waleed [VerfasserIn]
Kallmes, David F [VerfasserIn]
Savastano, Luis [VerfasserIn]
Kadirvel, Ramanathan [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Stroke
Thrombectomy

Anmerkungen:

Date Completed 19.10.2021

Date Revised 02.11.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1136/neurintsurg-2020-017073

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM321341422