Lugrin Jérôme, Parapanov Roumen, Krueger Thorsten, Liaudet Lucas
Service of Adult Intensive Care Medicine, Department of Interdisciplinary Centers and Logistics, Lausanne University Hospital and Faculty of Biology and Medicine, Lausanne University; Service of Thoracic Surgery, Department of Surgery and Anesthesiology Services, Lausanne University Hospital and Faculty of Biology and Medicine, Lausanne University.
Service of Thoracic Surgery, Department of Surgery and Anesthesiology Services, Lausanne University Hospital and Faculty of Biology and Medicine, Lausanne University.
J Vis Exp. 2019 Aug 16(150). doi: 10.3791/59591.
Myocardial infarction (MI) and acute coronary diseases are among the most prominent causes of death in population with western lifestyle. The murine models of MI with permanent ligation of left-anterior descending (LAD) coronary artery closely mimics MI in humans. Murine models benefit from the extensive genetic engineering available nowadays. Here we propose a reproducible murine surgical model of myocardial infarction by permanent LAD coronary ligation. Our technique comprises anesthesia with ketamine/xylazine that can be rapidly reversed by administration of an antagonist, intubation without tracheotomy for mechanical-assisted ventilation, ventilation with application of extrinsic positive end-expiratory pressure (PEEP) to avoid alveolar collapse, a thoracotomy method limiting to the minimum surgical lesions made to skeletal muscles, and lung inflation without thoracentesis. This method is sparsely invasive, reproducible and reduces post-surgery mortality and complications.
心肌梗死(MI)和急性冠状动脉疾病是西方生活方式人群中最主要的死亡原因之一。通过永久结扎左前降支(LAD)冠状动脉建立的小鼠心肌梗死模型与人类心肌梗死极为相似。如今,丰富的基因工程技术让小鼠模型受益匪浅。在此,我们提出一种通过永久结扎LAD冠状动脉建立可重复性小鼠心肌梗死手术模型的方法。我们的技术包括:使用氯胺酮/赛拉嗪麻醉,可通过给予拮抗剂快速逆转;无需气管切开进行插管以实施机械辅助通气;通气时应用外部呼气末正压(PEEP)以避免肺泡塌陷;开胸方法将对骨骼肌造成的手术损伤降至最低;不进行胸腔穿刺进行肺膨胀。该方法侵入性小、可重复,且能降低术后死亡率和并发症。