Sugawara Yuji, Kumagai Hajime, Sueda Taijiro
Department of Surgery, Division of Clinical Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, Minami-ku, Hiroshima 734-8551, Japan.
Surg Today. 2005;35(8):649-52. doi: 10.1007/s00595-005-2994-7.
To develop a canine model of spinal cord ischemia (SCI) with highly reproducible neurologic outcomes.
Spinal cord ischemia was induced by cross-clamping the proximal descending aorta. To produce substantial ischemia in the critical lumbar region, the proximal aortic blood pressure (PAP) was reduced to 80 mmHg by withdrawing blood into a reservoir connected to the left subclavian artery. We conducted an intraischemia spinal cord electrophysiologic study and a postischemia assessment of hindlimb motor function in six animals subjected to this procedure with an aortic occlusion time of 40 min, and in six animals subjected only to aortic occlusion for 60 min.
All the animals subjected to this procedure exhibited a significant decrease in motor-evoked spinal cord potentials to transcranial electric stimulation (MEPs) during the acute ischemic phase, and they were paraplegic 48 h after ischemia. In contrast, two of the animals not subjected to PAP reduction showed complete functional recovery with intact MEP findings.
This model is feasible for experimental SCI studies because it can reliably and easily reproduce substantial ischemia.
建立一种具有高度可重复性神经学结果的脊髓缺血(SCI)犬模型。
通过交叉夹闭降主动脉近端诱导脊髓缺血。为了在关键的腰段区域产生实质性缺血,通过将血液抽入连接左锁骨下动脉的储液器,使近端主动脉血压(PAP)降至80 mmHg。我们对6只接受此操作且主动脉阻断时间为40分钟的动物进行了缺血期脊髓电生理研究和缺血后后肢运动功能评估,以及对6只仅接受主动脉阻断60分钟的动物进行了同样的研究。
所有接受此操作的动物在急性缺血期经颅电刺激诱发的脊髓运动诱发电位(MEPs)均显著降低,且缺血48小时后出现截瘫。相比之下,未进行PAP降低的两只动物显示出完全功能恢复且MEP结果正常。
该模型对于实验性SCI研究是可行的,因为它能够可靠且容易地重现实质性缺血。