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Wistar大鼠血管夹闭的组织学变化。

Histological changes of vascular clipping in Wistar rats.

作者信息

Córdova Jonathan Samuel Zúñiga, Demichelis Mickaela Echavarría, Valeria Forlizzi, Garavaglia Gustavo, Chaddad Feres, Rangel Carlos Castillo, Ordóñez-Granja Jaime, Campero Alvaro, Marín Gerardo, Baldoncini Matias

机构信息

Department of Neurosurgery, ISSSTE, Mexico City, Mexico.

Department of Neurosurgery, Hospital Petrona V. de Cordero, San Fernando.

出版信息

Surg Neurol Int. 2022 Dec 2;13:561. doi: 10.25259/SNI_1022_2022. eCollection 2022.

Abstract

BACKGROUND

During aneurysm microsurgery, the aneurysmal sac is excluded from circulation by placing one or more clips at the base of the aneurysm. In some cases of complex aneurysms or subarachnoid hemorrhage history, transient clipping before definitive clipping is necessary. The closing force of the transient clip is less than the permanent clip; however, it is sufficient to stop circulation to the aneurysmal sac. The aim of the following work is to analyze and describe histological changes caused by transient and permanent clipping of the abdominal aorta in Wistar-type rats, to study the correlation between the closing force of the clip and the time, it remains on the vascular tissue structures.

METHODS

Six groups were formed, with 10 rats each, whereby temporary clipping of the abdominal aorta was performed with subsequent sampling of the site where the vascular clip was placed. The groups were: control and temporary clipping with: 2, 5, 10, and 15 and permanent clipping with 5 min.

RESULTS

Resection samples of the 3 μm thick aorta were obtained through the routine histological technique and special histochemical techniques (Masson's Trichrome and orcein) from the six groups. Transmural changes were found from Group II-VI.

CONCLUSION

There is a vascular histological effect after both transient and permanent clipping. The sum of time and strength of the clip induce vascular changes visible at 5 min.

摘要

背景

在动脉瘤显微手术中,通过在动脉瘤底部放置一个或多个夹子,将动脉瘤囊排除在循环之外。在一些复杂动脉瘤或有蛛网膜下腔出血病史的病例中,在进行确定性夹闭之前需要进行临时夹闭。临时夹的闭合力小于永久夹;然而,它足以阻止血液流向动脉瘤囊。以下工作的目的是分析和描述Wistar型大鼠腹主动脉临时夹闭和永久夹闭引起的组织学变化,研究夹子闭合力与夹子作用于血管组织结构的时间之间的相关性。

方法

将大鼠分为六组,每组10只,对腹主动脉进行临时夹闭,随后对放置血管夹的部位进行取样。分组如下:对照组以及临时夹闭2分钟、5分钟、10分钟、15分钟组和永久夹闭5分钟组。

结果

通过常规组织学技术和特殊组织化学技术(Masson三色染色法和地衣红染色法)从六组中获取了3μm厚的主动脉切除样本。在第二组至第六组中发现了全层变化。

结论

临时夹闭和永久夹闭后均存在血管组织学效应。夹子的时间和强度总和在5分钟时会引起可见的血管变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4900/9805646/e3f4131aadcc/SNI-13-561-g001.jpg

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