Hashimoto Takuya, Yamamoto Kota, Foster Trenton, Bai Hualong, Shigematsu Kunihiro, Dardik Alan
Department of Surgery and the Vascular Biology and Therapeutics Program, Yale University; Department of Vascular Surgery, University of Tokyo; Department of Vascular Surgery, VA Connecticut Healthcare Systems.
Department of Surgery and the Vascular Biology and Therapeutics Program, Yale University.
J Vis Exp. 2016 Mar 4(109):e53905. doi: 10.3791/53905.
Delivery of therapeutic agents to enhance arteriovenous fistula (AVF) maturation can be administered either via intraluminal or external routes. The simple murine AVF model was combined with intraluminal administration of drug solution to the venous endothelium at the same time as fistula creation. Technical aspects of this model are discussed. Under general anesthesia, an abdominal incision is made and the aorta and inferior vena cava (IVC) are exposed. The infra-renal aorta and IVC are dissected for clamping. After proximal and distal clamping, the puncture site is exposed and a 25 G needle is used to puncture both walls of the aorta and into the IVC. Immediately after the puncture, a reporter gene-expressing viral vector was infused in the IVC via the same needle, followed by 15 min of incubation. The intraluminal administration method enabled more robust viral gene delivery to the venous endothelium compared to administration by the external route. This novel method of delivery will facilitate studies that explore the role of the endothelium in AVF maturation and enable intraluminal drug delivery at the time of surgical operation.
给予治疗药物以促进动静脉内瘘(AVF)成熟可通过腔内或外部途径进行。简单的小鼠AVF模型与在创建瘘管的同时向静脉内皮腔内给予药物溶液相结合。讨论了该模型的技术方面。在全身麻醉下,做腹部切口并暴露主动脉和下腔静脉(IVC)。解剖肾下主动脉和IVC以便夹闭。在近端和远端夹闭后,暴露穿刺部位,使用25G针头穿刺主动脉的两层壁并刺入IVC。穿刺后立即通过同一针头将表达报告基因的病毒载体注入IVC,随后孵育15分钟。与通过外部途径给药相比,腔内给药方法能将更强有力的病毒基因递送至静脉内皮。这种新型给药方法将有助于探索内皮在AVF成熟中的作用的研究,并能在手术时进行腔内给药。