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氯化铁和凝血酶注射建立兔大脑静脉窦血栓模型。

A rabbit model of cerebral venous sinus thrombosis established by ferric chloride and thrombin injection.

机构信息

Department of Neuro-Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, 1 Jianshe Road, Zhengzhou, 450052, China.

Department of Neuro-Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, 1 Jianshe Road, Zhengzhou, 450052, China.

出版信息

Neurosci Lett. 2018 Jan 1;662:205-212. doi: 10.1016/j.neulet.2017.10.041. Epub 2017 Oct 20.

Abstract

OBJECTIVE

Cerebral venous sinus thrombosis (CVST) is a life-threatening disease with high misdiagnosis and mortality rates due to its complex etiology and unknown pathophysiology. The present study aimed to establish an animal model suitable for assessing the pathophysiology of CVST and develop treatment methods.

METHODS

40% ferric chloride (FeCl3) was administered for 5min followed by thrombin injection to induce superior sagittal sinus thrombosis (SSST). Digital subtraction angiography (DSA) was performed to ensure thrombosis and evaluate the recanalization rate 7days post-CVST. Neurological evaluation, Evans blue injection, 2,3,5-Triphenyltetrazolium chloride (TTC), and hematoxylin-eosin (H&E) staining were used to assess thrombosis and the accompanying brain parenchyma.

RESULTS

SSST was detected in all model rabbits, with a thrombus recanalization rate of 10%. Brain infarction, hemorrhage, cell edema, and disruption of the blood-brain barrier (BBB) were also observed.

CONCLUSION

The method of inducing cerebral venous sinus thrombosis by applying 40% FeCl3 and injecting thrombin is feasible and efficient. This experimental model mimics the pathogenesis and pathophysiology of actual CVST.

摘要

目的

脑静脉窦血栓形成(CVST)是一种危及生命的疾病,由于其复杂的病因和未知的病理生理学,误诊率和死亡率都很高。本研究旨在建立一种适合评估 CVST 病理生理学的动物模型,并开发治疗方法。

方法

采用 40%三氯化铁(FeCl3)灌流 5 分钟,然后注射凝血酶诱导上矢状窦血栓形成(SSST)。数字减影血管造影(DSA)用于确保血栓形成,并在 CVST 后 7 天评估再通率。神经功能评估、伊文思蓝注射、2,3,5-三苯基氯化四氮唑(TTC)和苏木精-伊红(H&E)染色用于评估血栓形成和伴随的脑实质情况。

结果

所有模型兔均检测到 SSST,血栓再通率为 10%。还观察到脑梗死、出血、细胞水肿和血脑屏障(BBB)破坏。

结论

应用 40%FeCl3 和注射凝血酶诱导脑静脉窦血栓形成的方法是可行且有效的。该实验模型模拟了实际 CVST 的发病机制和病理生理学。

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