Cawley C M, Dawson R C, Shengelaia G, Bonner G, Barrow D L, Colohan A R
Department of Neurosurgery, Emory University School of Medicine, Atlanta, Ga, USA.
AJNR Am J Neuroradiol. 1996 Oct;17(9):1761-6.
Saccular aneurysms arising from the common carotid artery in the neck at the origin of the internal carotid artery were created in male rabbits using the stump of a ligated external carotid artery. These stumps were intraluminally perfused with varying concentrations of porcine pancreatic elastase for 45 minutes via a microcatheter introduced into the femoral artery. The aneurysms were allowed to mature for 2 to 12 weeks. Gross examination and histologic studies confirmed the presence of an aneurysm in all 15 experiments. Ninety-two percent (12 of 13) of the aneurysms studied by postoperative angiography were shown to be angiographically patent: 40% of all aneurysms were noted to be patent at harvest; and the remainder showed evidence of intraluminal thrombus. On histologic examination, all aneurysms showed complete loss of elastic lamina without evidence of fibrosis or scarring.
在雄性兔中,利用结扎的颈外动脉残端,在颈总动脉于颈内动脉起始处制造囊状动脉瘤。通过经股动脉插入的微导管,将不同浓度的猪胰弹性蛋白酶腔内灌注到这些残端中45分钟。使动脉瘤成熟2至12周。大体检查和组织学研究证实,在所有15项实验中均存在动脉瘤。术后血管造影研究的动脉瘤中有92%(13个中的12个)在血管造影上显示为通畅:所有动脉瘤中有40%在取材时被发现是通畅的;其余的显示有腔内血栓形成的证据。组织学检查显示,所有动脉瘤的弹性层均完全丧失,没有纤维化或瘢痕形成的迹象。