Venous Pouch Technique

The venous pouch technique is a microsurgical method for creating an experimental saccular aneurysm model, enabling controlled study of cerebrovascular disease and its treatment. In this approach, a segment of autologous vein is fashioned into a pouch and anastomosed to an artery, where arterial blood flow produces aneurysm-like geometry, wall stress, and disturbed hemodynamics. Neuroscience researchers use the model to investigate aneurysm growth, thrombosis, inflammation, and vascular remodeling, as well as to evaluate endovascular devices such as coils, stents, and flow diverters. Because the pouch can be examined after treatment, it supports assessment of occlusion, healing, and device performance under physiologically relevant flow conditions.

Venous Pouch Technique - Related Videos

Research

JoVE Journal - Medicine

Microsurgical Venous Pouch Arterial-Bifurcation Aneurysms in the Rabbit Model: Technical Aspects

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Cited by 11 •

2011

An optimized technique for the microsurgical creation of arterial bifurcation aneurysms mimicking bifurcation human cerebral aneurysms is described. A venous pouch is sutured into an artificially created true bifurcation of both common carotid arteries. Facilitated microsurgical techniques and aggressive postoperative anticoagulation and analgesia lead to minimized morbidity rates and high aneurysm patency rates.

Developing an Experimental Aneurysm Model in a Rabbit Using an Elastase-Treated Vessel Pouch

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2025

Source: Wanderer, S., et al. Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit. J. Vis. Exp. (2020)This video demonstrates the creation of an experimental aneurysm model in a rabbit using an elastase-treated vessel pouch. After excising a segment of the right CCA, the pouch is treated with elastase, then sutured to the left CCA to restore blood flow. The resulting stress on the weakened pouch walls induces aneurysm formation.

An Air Pouch Mouse Model for Lipopolysaccharide-Induced Inflammatory Exudate Collection

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2025

This video describes the procedure for generating an air pouch in the subcutaneous tissue of mice and collecting inflammatory exudates in response to lipopolysaccharide administration in vivo. This video also covers the analysis of the neutrophil infiltration in the air pouch.

Education

JoVE Science Education - Clinical Skills

Central Venous Catheter Insertion: Subclavian Vein

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2023

Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA Central venous access is necessary in a multitude of clinical situations for hemodynamic monitoring, medication delivery, and blood sampling. There are three veins in the body that are accessed for central venous cannulation: the internal jugular, the subclavian, and the femoral vein. Central venous access via the subclavian vein has several advantages over other possible locations. The subclavian...

Central Venous Catheter Insertion: Femoral Vein

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2023

Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA Central venous access is necessary in a multitude of clinical situations, including vascular access, vasopressor and caustic medication delivery, central venous pressure monitoring, volume resuscitation, total parental nutrition, hemodialysis, and frequent phlebotomy. There are three veins in the body that are accessed for central venous cannulation: the internal jugular, the subclavian, and the...

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