Rapid saccular aneurysm induction by elastase application in vitro

László Miskolczi, R. L. Guterman, James D. Flaherty, I. Szikora, L. Nelson Hopkins

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

OBJECTIVE: To develop a new saccular aneurysm model in vitro using elastase to study aneurysm initiation, growth, and rupture and to create a new in vivo aneurysm model to test endovascular therapies. METHODS: Seventeen common carotid arteries excised from freshly killed pigs and sheep were treated with seven different methods of elastase delivery. The arteries were mounted in a saline-filled flow chamber. They received pulsatile flow for 48 hours, or until the resulting aneurysms ruptured. Changes were continuously monitored with video camera recordings and validated with histological sections. RESULTS: All eight arteries treated topically, either on the intimal or on the adventitial surface, with elastase concentrations greater than 1 U/mm2, developed saccular aneurysms; five of them ruptured within 48 hours. All four arteries treated with surface concentrations of 0.1 U/mm2 via microcatheter infusion into the lumen developed fusiform aneurysms. None of the arteries that received surface concentrations less than 0.1 U/mm2 developed aneurysms. Histological sections revealed a reduced number of cellular elements in a stretched collagen matrix at the dome of the saccular aneurysms. CONCLUSION: After empirically testing several methods of elastase delivery, we were able to induce saccular, bifurcation-type aneurysms in animal arterial specimens. These aneurysms are histologically similar and more authentic than surgical models. The procedure is easy and reproducible. Our results suggest a possible enzymatic role in aneurysm formation and highlight the dramatic effects of selective arterial elastic damage. Also, the rapid growth of our experimental aneurysms may reflect the speed of the natural process.

Original languageEnglish
Pages (from-to)220-229
Number of pages10
JournalNeurosurgery
Volume41
Issue number1
DOIs
Publication statusPublished - 1997

Fingerprint

Pancreatic Elastase
Aneurysm
Arteries
In Vitro Techniques
Tunica Intima
Anatomic Models
Pulsatile Flow
Adventitia
Video Recording
Ruptured Aneurysm
Common Carotid Artery
Growth
Rupture
Sheep
Swine
Collagen

Keywords

  • Aneurysm
  • Aneurysmal growth
  • Elastase
  • Model

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Miskolczi, L., Guterman, R. L., Flaherty, J. D., Szikora, I., & Nelson Hopkins, L. (1997). Rapid saccular aneurysm induction by elastase application in vitro. Neurosurgery, 41(1), 220-229. https://doi.org/10.1097/00006123-199707000-00034

Rapid saccular aneurysm induction by elastase application in vitro. / Miskolczi, László; Guterman, R. L.; Flaherty, James D.; Szikora, I.; Nelson Hopkins, L.

In: Neurosurgery, Vol. 41, No. 1, 1997, p. 220-229.

Research output: Contribution to journalArticle

Miskolczi, L, Guterman, RL, Flaherty, JD, Szikora, I & Nelson Hopkins, L 1997, 'Rapid saccular aneurysm induction by elastase application in vitro', Neurosurgery, vol. 41, no. 1, pp. 220-229. https://doi.org/10.1097/00006123-199707000-00034
Miskolczi, László ; Guterman, R. L. ; Flaherty, James D. ; Szikora, I. ; Nelson Hopkins, L. / Rapid saccular aneurysm induction by elastase application in vitro. In: Neurosurgery. 1997 ; Vol. 41, No. 1. pp. 220-229.
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