Stroke, Vol 20, 84-91, Copyright © 1989 by American Heart Association
EZ Longa, PR Weinstein, S Carlson and R Cummins
To develop a simple, relatively noninvasive small-animal model of
reversible regional cerebral ischemia, we tested various methods of
inducing infarction in the territory of the right middle cerebral artery
(MCA) by extracranial vascular occlusion in rats. In preliminary studies,
60 rats were anesthetized with ketamine and different combinations of
vessels were occluded; blood pressure and arterial blood gases were
monitored. Neurologic deficit, mortality rate, gross pathology, and in some
instances, electroencephalogram and histochemical staining results were
evaluated in all surviving rats. The principal procedure consisted of
introducing a 4-0 nylon intraluminal suture into the cervical internal
carotid artery (ICA) and advancing it intracranially to block blood flow
into the MCA; collateral blood flow was reduced by interrupting all
branches of the external carotid artery (ECA) and all extracranial branches
of the ICA. In some groups of rats, bilateral vertebral or contralateral
carotid artery occlusion was also performed. India ink perfusion studies in
20 rats documented blockage of MCA blood flow in 14 rats subjected to
permanent occlusion and the restoration of blood flow to the MCA territory
in six rats after withdrawal of the suture from the ICA. The best method of
MCA occlusion was then selected for further confirmatory studies, including
histologic examination, in five additional groups of rats anesthetized with
halothane. Seven of eight rats that underwent permanent occlusion of the
MCA had resolving moderately severe neurologic deficits (Grade 2 of 4) and
unilateral infarcts averaging 37.6 +/- 5.5% of the coronal sectional area
at 72 hours after the onset of occlusion.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Reversible middle cerebral artery occlusion without craniectomy in rats
Department of Neurological Surgery, School of Medicine, University of California, San Francisco.
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