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通过颈动脉血管造影术研究大鼠脑动脉的管径:一种用于研究动脉瘤破裂后人类脑动脉狭窄病因的模型系统。

The calibre of cerebral arteries of the rat studied by carotid angiography: a model system for studying the aetiology of human cerebral arterial constriction after aneurysmal rupture.

作者信息

Boullin D J, Aitken V, du Boulay G H, Tagari P

出版信息

Neuroradiology. 1981;21(5):245-52. doi: 10.1007/BF02100154.

DOI:10.1007/BF02100154
PMID:7266859
Abstract

Rupture of human cerebral arterial aneurysms is followed by prolonged cerebral arterial constriction; there is evidence that cerebrospinal fluid (CSF) from such patients contains vasoconstrictor substances which may cause the arterial constriction. The aim of this study was to develop a small animal model for investigating the effects of such CSF on the calibre of cerebral vessels in situ. Carotid angiography of the cerebral arteries of the rat visualizes the internal carotid, middle cerebral, anterior cerebral and stapedial arteries plus the vertebrobasilar system. Prostacyclin was injected during carotid catheterisation to prevent spontaneous and random occlusion of these cerebral arteries; in the presence of prostacyclin there was no arterial occlusion for up to 5 h. The resolution achieved by the angiographic technique, which magnified the cerebral circulations 2.9 times, was sufficient to measure the diameter of the internal carotid and stapedial arteries of the rat. Intracarotid infusion of 1.0 ml CSF collected from patients with ruptured cerebral arterial aneurysms caused a rapidly developing contraction of cerebral arteries lasting up to 5 h. Thus, we consider that the rat may also be used as a model for investigating the aetiology of human cerebral arterial constriction after aneurysmal rupture.

摘要

人脑动脉动脉瘤破裂后会出现长时间的脑动脉收缩;有证据表明,此类患者的脑脊液(CSF)中含有可能导致动脉收缩的血管收缩物质。本研究的目的是建立一种小动物模型,用于研究这种脑脊液对原位脑血管管径的影响。大鼠脑动脉的颈动脉血管造影可显示颈内动脉、大脑中动脉、大脑前动脉和镫骨动脉以及椎基底系统。在进行颈动脉插管时注射前列环素,以防止这些脑动脉自发和随机闭塞;在有前列环素的情况下,长达5小时内没有动脉闭塞。血管造影技术将脑循环放大了2.9倍,其分辨率足以测量大鼠颈内动脉和镫骨动脉的直径。经颈动脉注入从人脑动脉动脉瘤破裂患者收集的1.0 ml脑脊液,会导致脑动脉迅速收缩,持续长达5小时。因此,我们认为大鼠也可作为研究动脉瘤破裂后人脑动脉收缩病因的模型。

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1
The calibre of cerebral arteries of the rat studied by carotid angiography: a model system for studying the aetiology of human cerebral arterial constriction after aneurysmal rupture.通过颈动脉血管造影术研究大鼠脑动脉的管径:一种用于研究动脉瘤破裂后人类脑动脉狭窄病因的模型系统。
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[The dopplerographic diagnosis of arterial spasm in patients with subarachnoid hemorrhages].[蛛网膜下腔出血患者动脉痉挛的多普勒超声诊断]
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Ruptured anterior communicating artery aneurysms associated with fenestration of the anterior cerebral artery.破裂的前交通动脉动脉瘤与大脑前动脉开窗相关。
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本文引用的文献

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接受颅内破裂动脉瘤早期手术患者脑脊液中的血管收缩活性
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The anaesthetist's effect upon the cerebral arteries.麻醉师对脑动脉的影响。
Proc R Soc Med. 1971 Jan;64(1):77-80. doi: 10.1177/003591577106400147.
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Selective vasoconstriction in carotid vascular bed by methysergide: possible relevance to its antimigraine effect.麦角新碱对颈动脉血管床的选择性血管收缩作用:可能与其抗偏头痛作用相关。
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The reactivity of the spastic arteries.痉挛性动脉的反应性。
Neuroradiology. 1973 Feb;5(1):37-9. doi: 10.1007/BF02464628.
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Br Med J. 1976 Sep 11;2(6036):607-9. doi: 10.1136/bmj.2.6036.607.
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Evidence for the presence of a vasoactive substance (possibly involved in the aetiology of cerebral arterial spasm) in cerebrospinal fluid from patients with subarachnoid haemorrhage.蛛网膜下腔出血患者脑脊液中存在血管活性物质(可能与脑动脉痉挛的病因有关)的证据。
J Neurol Neurosurg Psychiatry. 1976 Aug;39(8):756-66. doi: 10.1136/jnnp.39.8.756.
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The vasodilator action of angiography with Urografin 60% on the basal vessels of the brain of the baboon.60%泛影葡胺血管造影术对狒狒脑基底血管的血管舒张作用。
Neuroradiology. 1975 Aug 7;9(3):133-7. doi: 10.1007/BF00332961.
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Vasoconstrictor activity of cerebrospinal fluid from patients with cerebral arterial spasm [proceedings].脑动脉痉挛患者脑脊液的血管收缩活性[会议论文集]
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