Balloon neck-plasty to create a wide-necked aneurysm in the elastase-induced rabbit model

Purpose The elastase-induced aneurysm (EIA) model in rabbits has been proposed for translational research; however, the adjustment of aneurysm neck size remains challenging. In this study, the technical feasibility and safety of balloon neck-plasty to create a wide-necked aneurysm in rabbit EIA mode...

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Veröffentlicht in:Neuroradiology 2024-05, Vol.66 (5), p.825-834
Hauptverfasser: Won, Dong-Sung, Lee, Ki Baek, Park, Jung-Hoon, Zeng, Chu Hui, Kim, Mi Hyeon, Lee, Deok Hee
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container_issue 5
container_start_page 825
container_title Neuroradiology
container_volume 66
creator Won, Dong-Sung
Lee, Ki Baek
Park, Jung-Hoon
Zeng, Chu Hui
Kim, Mi Hyeon
Lee, Deok Hee
description Purpose The elastase-induced aneurysm (EIA) model in rabbits has been proposed for translational research; however, the adjustment of aneurysm neck size remains challenging. In this study, the technical feasibility and safety of balloon neck-plasty to create a wide-necked aneurysm in rabbit EIA model were investigated. Methods Male New Zealand White rabbits ( N  = 15) were randomly assigned to three groups: group A, EIA creation without neck-plasty; group B, neck-plasty immediately after EIA creation; group C, neck-plasty 4 weeks after EIA creation. The diameter of balloon used for neck-plasty was determined 1 mm larger than origin carotid artery diameter. All rabbits were euthanized 4 weeks after their final surgery. Aneurysm neck, height, dome-to-neck ( D / N ) ratio, and histologic parameters were compared among the groups. Results Aneurysm creation was technically successful in 14 out of 15 rabbits (93.3%), with one rabbit experiencing mortality due to an adverse anesthetic event during the surgery. Saccular and wide-necked aneurysms were successfully created in all rabbits. Aneurysm neck was significantly greater in groups B and C compared to group A (all P  
doi_str_mv 10.1007/s00234-024-03326-x
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In this study, the technical feasibility and safety of balloon neck-plasty to create a wide-necked aneurysm in rabbit EIA model were investigated. Methods Male New Zealand White rabbits ( N  = 15) were randomly assigned to three groups: group A, EIA creation without neck-plasty; group B, neck-plasty immediately after EIA creation; group C, neck-plasty 4 weeks after EIA creation. The diameter of balloon used for neck-plasty was determined 1 mm larger than origin carotid artery diameter. All rabbits were euthanized 4 weeks after their final surgery. Aneurysm neck, height, dome-to-neck ( D / N ) ratio, and histologic parameters were compared among the groups. Results Aneurysm creation was technically successful in 14 out of 15 rabbits (93.3%), with one rabbit experiencing mortality due to an adverse anesthetic event during the surgery. Saccular and wide-necked aneurysms were successfully created in all rabbits. Aneurysm neck was significantly greater in groups B and C compared to group A (all P  &lt; .05). D / N ratio was significantly lower in groups B and C compared to group A (all P  &lt; .05). Additionally, tunica media thickness, vessel area, and luminal area were significantly greater in groups B and C compared to group A (all P  &lt; .05). These variables were found to be significantly greater in group B compared to group C (all P  &lt; .05). Conclusion The creation of a wide-necked aneurysm using balloon neck-plasty after elastase induction in rabbits has been determined to be technically feasible and safe.</description><identifier>ISSN: 0028-3940</identifier><identifier>EISSN: 1432-1920</identifier><identifier>DOI: 10.1007/s00234-024-03326-x</identifier><identifier>PMID: 38438630</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aneurysm ; Aneurysms ; Animals ; Area ; Balloon treatment ; Balloons ; Carotid arteries ; Carotid artery ; Carotid Artery, Common ; Diameters ; Disease Models, Animal ; Elastase ; Feasibility studies ; Imaging ; Interventional Neuroradiology ; Intracranial Aneurysm - pathology ; Male ; Medicine ; Medicine &amp; Public Health ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Pancreatic Elastase - adverse effects ; Rabbits ; Radiology ; Saccule ; Surgery ; Technology assessment</subject><ispartof>Neuroradiology, 2024-05, Vol.66 (5), p.825-834</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-bfd17f4280d90a76b9bdbb0d1019ae85de12f0fba8f3618aa124a617ee41a1a33</cites><orcidid>0000-0003-0355-0449 ; 0000-0001-8856-8335 ; 0000-0003-3021-1151 ; 0000-0002-6953-0582</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00234-024-03326-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00234-024-03326-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38438630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Won, Dong-Sung</creatorcontrib><creatorcontrib>Lee, Ki Baek</creatorcontrib><creatorcontrib>Park, Jung-Hoon</creatorcontrib><creatorcontrib>Zeng, Chu Hui</creatorcontrib><creatorcontrib>Kim, Mi Hyeon</creatorcontrib><creatorcontrib>Lee, Deok Hee</creatorcontrib><title>Balloon neck-plasty to create a wide-necked aneurysm in the elastase-induced rabbit model</title><title>Neuroradiology</title><addtitle>Neuroradiology</addtitle><addtitle>Neuroradiology</addtitle><description>Purpose The elastase-induced aneurysm (EIA) model in rabbits has been proposed for translational research; however, the adjustment of aneurysm neck size remains challenging. In this study, the technical feasibility and safety of balloon neck-plasty to create a wide-necked aneurysm in rabbit EIA model were investigated. Methods Male New Zealand White rabbits ( N  = 15) were randomly assigned to three groups: group A, EIA creation without neck-plasty; group B, neck-plasty immediately after EIA creation; group C, neck-plasty 4 weeks after EIA creation. The diameter of balloon used for neck-plasty was determined 1 mm larger than origin carotid artery diameter. All rabbits were euthanized 4 weeks after their final surgery. Aneurysm neck, height, dome-to-neck ( D / N ) ratio, and histologic parameters were compared among the groups. Results Aneurysm creation was technically successful in 14 out of 15 rabbits (93.3%), with one rabbit experiencing mortality due to an adverse anesthetic event during the surgery. Saccular and wide-necked aneurysms were successfully created in all rabbits. Aneurysm neck was significantly greater in groups B and C compared to group A (all P  &lt; .05). D / N ratio was significantly lower in groups B and C compared to group A (all P  &lt; .05). Additionally, tunica media thickness, vessel area, and luminal area were significantly greater in groups B and C compared to group A (all P  &lt; .05). These variables were found to be significantly greater in group B compared to group C (all P  &lt; .05). 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Lee, Ki Baek ; Park, Jung-Hoon ; Zeng, Chu Hui ; Kim, Mi Hyeon ; Lee, Deok Hee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-bfd17f4280d90a76b9bdbb0d1019ae85de12f0fba8f3618aa124a617ee41a1a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aneurysm</topic><topic>Aneurysms</topic><topic>Animals</topic><topic>Area</topic><topic>Balloon treatment</topic><topic>Balloons</topic><topic>Carotid arteries</topic><topic>Carotid artery</topic><topic>Carotid Artery, Common</topic><topic>Diameters</topic><topic>Disease Models, Animal</topic><topic>Elastase</topic><topic>Feasibility studies</topic><topic>Imaging</topic><topic>Interventional Neuroradiology</topic><topic>Intracranial Aneurysm - pathology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Pancreatic Elastase - adverse effects</topic><topic>Rabbits</topic><topic>Radiology</topic><topic>Saccule</topic><topic>Surgery</topic><topic>Technology assessment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Won, Dong-Sung</creatorcontrib><creatorcontrib>Lee, Ki Baek</creatorcontrib><creatorcontrib>Park, Jung-Hoon</creatorcontrib><creatorcontrib>Zeng, Chu Hui</creatorcontrib><creatorcontrib>Kim, Mi Hyeon</creatorcontrib><creatorcontrib>Lee, Deok Hee</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; 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however, the adjustment of aneurysm neck size remains challenging. In this study, the technical feasibility and safety of balloon neck-plasty to create a wide-necked aneurysm in rabbit EIA model were investigated. Methods Male New Zealand White rabbits ( N  = 15) were randomly assigned to three groups: group A, EIA creation without neck-plasty; group B, neck-plasty immediately after EIA creation; group C, neck-plasty 4 weeks after EIA creation. The diameter of balloon used for neck-plasty was determined 1 mm larger than origin carotid artery diameter. All rabbits were euthanized 4 weeks after their final surgery. Aneurysm neck, height, dome-to-neck ( D / N ) ratio, and histologic parameters were compared among the groups. Results Aneurysm creation was technically successful in 14 out of 15 rabbits (93.3%), with one rabbit experiencing mortality due to an adverse anesthetic event during the surgery. Saccular and wide-necked aneurysms were successfully created in all rabbits. Aneurysm neck was significantly greater in groups B and C compared to group A (all P  &lt; .05). D / N ratio was significantly lower in groups B and C compared to group A (all P  &lt; .05). Additionally, tunica media thickness, vessel area, and luminal area were significantly greater in groups B and C compared to group A (all P  &lt; .05). These variables were found to be significantly greater in group B compared to group C (all P  &lt; .05). Conclusion The creation of a wide-necked aneurysm using balloon neck-plasty after elastase induction in rabbits has been determined to be technically feasible and safe.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38438630</pmid><doi>10.1007/s00234-024-03326-x</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0355-0449</orcidid><orcidid>https://orcid.org/0000-0001-8856-8335</orcidid><orcidid>https://orcid.org/0000-0003-3021-1151</orcidid><orcidid>https://orcid.org/0000-0002-6953-0582</orcidid></addata></record>
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subjects Aneurysm
Aneurysms
Animals
Area
Balloon treatment
Balloons
Carotid arteries
Carotid artery
Carotid Artery, Common
Diameters
Disease Models, Animal
Elastase
Feasibility studies
Imaging
Interventional Neuroradiology
Intracranial Aneurysm - pathology
Male
Medicine
Medicine & Public Health
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Pancreatic Elastase - adverse effects
Rabbits
Radiology
Saccule
Surgery
Technology assessment
title Balloon neck-plasty to create a wide-necked aneurysm in the elastase-induced rabbit model
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