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短暂性大脑中动脉闭塞性中风模型。

Transient Middle Cerebral Artery Occlusion Model of Stroke.

机构信息

Department of Neuroscience and Experimental Therapeutics, Institute for Biomedical Research of Barcelona (IIBB), Spanish National Research Council (CSIC).

Department of Neuroscience and Experimental Therapeutics, Institute for Biomedical Research of Barcelona (IIBB), Spanish National Research Council (CSIC);

出版信息

J Vis Exp. 2023 Aug 11(198). doi: 10.3791/65857.

Abstract

Stroke stands as a major cause of death or chronic disability globally. Nevertheless, existing optimal treatments are limited to reperfusion therapies during the acute phase of ischemic stroke. To gain insights into stroke physiopathology and develop innovative therapeutic approaches, in vivo rodent models of stroke play a fundamental role. The availability of genetically modified animals has particularly propelled the use of mice as experimental stroke models. In stroke patients, occlusion of the middle cerebral artery (MCA) is a common occurrence. Consequently, the most prevalent experimental model involves intraluminal occlusion of the MCA, a minimally invasive technique that doesn't require craniectomy. This procedure involves inserting a monofilament through the external carotid artery (ECA) and advancing it through the internal carotid artery (ICA) until it reaches the branching point of the MCA. After a 45 min arterial occlusion, the monofilament is removed to allow reperfusion. Throughout the process, cerebral blood flow is monitored to confirm the reduction during occlusion and subsequent recovery upon reperfusion. Neurological and tissue outcomes are evaluated using behavioral tests and magnetic resonance imaging (MRI) studies.

摘要

中风是全球范围内主要的死亡或慢性残疾原因。然而,现有的最佳治疗方法仅限于缺血性中风的急性期再灌注治疗。为了深入了解中风病理生理学并开发创新的治疗方法,体内啮齿动物中风模型起着至关重要的作用。具有遗传修饰的动物的可用性特别推动了使用小鼠作为实验性中风模型。在中风患者中,大脑中动脉(MCA)的闭塞是很常见的。因此,最常见的实验模型涉及 MCA 的管腔内闭塞,这是一种微创技术,不需要开颅术。该过程包括通过颈外动脉(ECA)插入单丝,并将其推进颈内动脉(ICA),直到到达 MCA 的分支点。在 45 分钟的动脉闭塞后,取出单丝以允许再灌注。在整个过程中,监测脑血流以确认闭塞期间的减少以及再灌注后的恢复情况。使用行为测试和磁共振成像(MRI)研究评估神经和组织结果。

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