Histological changes of vascular clipping in Wistar rats

Author:

Córdova Jonathan Samuel Zúñiga1,Demichelis Mickaela Echavarría2,Valeria Forlizzi3,Garavaglia Gustavo4,Chaddad Feres5,Rangel Carlos Castillo1,Ordóñez-Granja Jaime1,Campero Alvaro6,Marín Gerardo7,Baldoncini Matias8

Affiliation:

1. Department of Neurosurgery, ISSSTE, Mexico City, Mexico,

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

3. Laboratory of Microsurgical Neuroanatomy, Second Chair of Gross Anatomy, School of Medicine, University of Buenos Aires, Buenos Aires,

4. Department of Pathology of the Faculty of Medicine, Buenos Aires University, Buenos Aires, Argentina,

5. Department of Neurosurgery, Sao Paulo Federal University, Sao Paulo, Brazil,

6. Department of Neurosurgery, Hospital Padilla de Tucuman, San Miguel de Tucuman, Argentina,

7. Neural Dynamics and Modulation Lab, Cleveland Clinic, Ohio, United States,

8. Laboratory of Microsurgical Neuroanatomy, Second Chair of Gross Anatomy, University of Buenos Aires, Buenos Aires, Argentina.

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.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

Reference15 articles.

1. An experimental study for the effect of interrupted (intermittently-repeated) versus continuous temporary clipping on the change of arterial wall of rat;Bae;Korean J Cerebrovasc Surg,2000

2. Atlas of nervous system vascular malformations: A systematic review;Castillo-Rangel;Life,2022

3. Report of an epicranial arteriovenous malformation;Castillo-Rangel;Cesk Slov Neurol,2021

4. Aneurysmal subarachnoid hemorrhage;D’Souza;J Neurosurg Anesthesiol,2015

5. Acute ultrastructural changes in the middle cerebral artery due to the injury and ischemia of surgical clamping;Dodson;Can J Neurol Sci,1976

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