Microsurgical Laboratory, Department of Neurosurgery, Tulane University, New Orleans, Louisiana, USA.
Neurosurgery. 2010 Dec;67(2 Suppl Operative):362-7. doi: 10.1227/NEU.0b013e3181f8c247.
Latex injection of cadaveric heads is an alternative to the standard technique of silicone injection. Thorough injections of the arterial and venous systems can be achieved by analyzing the anatomic and physiological variations of the vascular system of each specimen during the initial irrigation phase to tailor the subsequent latex injection.
To report on an improved method for color latex injection of cadaveric specimens using these techniques.
Thirty-two cadaver heads were injected and preserved for anatomic dissection. The critical steps included (1) cannulation of the cervical arteries and veins with Foley or Coude catheters, (2) "indirect" anatomic study of the vasculature during irrigation with water of the major arteries and veins, (3) fixation of the specimen with either formaldehyde or alcohol, and (4) color injection of the arteries and veins with red and blue latex, respectively. The injected specimens were dissected and assessed qualitatively for the extent and detail of arterial and venous filling. Assessment and recording of flow characteristics from the specimens during water irrigation of the arterial and venous systems dictated the order and technique for subsequent latex injections.
Latex injections resulted in deeper penetration of colored solutions into small cerebral vessels and mesenchymal structures. Of 32 injected specimens, 25 (78%) had outstanding injections and 7 (21.8%) had suboptimal results. Latex solutions are simpler to use than silicone solutions.
Latex injection of cadaveric heads based on indirect anatomic and physiological assessment of the vasculature of the specimen during the water irrigation phase results in outstanding specimens for microanatomical studies.
乳胶注射是对硅橡胶注射的一种替代方法。通过在初始冲洗阶段分析每个标本的血管系统的解剖和生理变化,可以对动脉和静脉系统进行彻底的注射,从而根据标本的血管系统来定制随后的乳胶注射。
报告一种改进的使用这些技术对尸体标本进行彩色乳胶注射的方法。
对 32 个尸体头进行注射和保存以备解剖。关键步骤包括:(1)用 Foley 或 Coude 导管对颈动静脉进行插管;(2)在用水冲洗主要动脉和静脉时进行“间接”血管解剖研究;(3)用甲醛或酒精固定标本;(4)分别用红色和蓝色乳胶对动脉和静脉进行彩色注射。对注射的标本进行解剖,定性评估动脉和静脉充盈的程度和细节。评估和记录在对动脉和静脉系统进行水冲洗时标本的流动特性,决定了随后进行乳胶注射的顺序和技术。
乳胶注射使有色溶液更深入地渗透到小脑血管和间质结构中。在 32 个注射的标本中,25 个(78%)有出色的注射效果,7 个(21.8%)效果不理想。乳胶溶液比硅橡胶溶液更容易使用。
基于在水冲洗阶段对标本血管系统的间接解剖和生理评估,对尸体头进行乳胶注射可以得到用于微观解剖研究的出色标本。