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弹性蛋白酶诱导兔动脉瘤模型的血液动力学和解剖学:与人脑动脉瘤的相似性?

Hemodynamics and anatomy of elastase-induced rabbit aneurysm models: similarity to human cerebral aneurysms?

机构信息

Department of Mechanical Engineering and Materials Sciences, University of Pittsburgh, Pennsylvania, 15261, USA.

出版信息

AJNR Am J Neuroradiol. 2011 Mar;32(3):595-601. doi: 10.3174/ajnr.A2324. Epub 2011 Jan 27.

Abstract

BACKGROUND AND PURPOSE

Animal models provide a mechanism for fundamental studies of the coupling between hemodynamics and pathophysiology in diseases such as saccular aneurysms. In this work, we evaluated the capability of an elastase-induced saccular aneurysm model in rabbits to reproduce the anatomic and hemodynamic features typical for human intracranial aneurysms.

MATERIALS AND METHODS

Saccular aneurysms were created in 51 rabbits at the origin of the RCCA. Twelve weeks' postcreation, the lumen geometry of the aneurysm and surrounding vasculature was acquired by using 3DRA. Geometric features of these models were measured. Pulsatile 3D CFD studies were performed with rabbit-specific inlet profiles.

RESULTS

Geometric features, including aneurysm height, width, neck diameter, aspect ratio, and NSI of all 51 rabbit aneurysm models fell within the range reported for human IAs. The distribution and range in values of pressure, WSS, and OSI were also typical for human IAs. A single recirculation region was observed in 33 (65%) of 51 cases, whereas a second transient recirculation zone was observed in 18 (35%) cases. Both of these flow types are commonly observed in human IAs.

CONCLUSIONS

Most hemodynamic and geometric features in a commonly used elastase-induced rabbit saccular aneurysm model are qualitatively and quantitatively similar to those seen in large numbers of human cerebral aneurysms.

摘要

背景与目的

动物模型为研究例如囊状动脉瘤等疾病中血流动力学与病理生理学之间的耦合提供了一种机制。在这项工作中,我们评估了弹性蛋白酶诱导的兔囊状动脉瘤模型在重现人类颅内动脉瘤特有的解剖学和血流动力学特征方面的能力。

材料与方法

在 51 只兔子的 RCCA 起始处形成囊状动脉瘤。在形成后 12 周,通过 3DRA 获取动脉瘤和周围血管的管腔几何形状。测量这些模型的几何特征。使用兔特异性入口剖面进行脉动 3D CFD 研究。

结果

所有 51 个兔动脉瘤模型的几何特征,包括动脉瘤高度、宽度、颈直径、纵横比和 NSI,均在人类 IAs 报道的范围内。压力、WSS 和 OSI 的分布和值范围也与人类 IAs 典型。在 51 例中有 33 例(65%)观察到单个再循环区,而在 18 例(35%)中观察到第二个瞬态再循环区。这两种流动类型在人类 IAs 中都很常见。

结论

在一种常用的弹性蛋白酶诱导兔囊状动脉瘤模型中,大多数血流动力学和几何特征在定性和定量上与大量人类脑动脉瘤相似。

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