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DOI: 10.3791/60169-v
Alexander H. Shannon1, J. Michael Cullen1, Jolian J. Dahl1, Erik J. Scott1, Zachary Tyerman1, Michael D. Spinosa1, William G. Montgomery1, W. Forrest Johnston2, Guanyi Lu3, Morgan Salmon*1, Gorav Ailawadi*1,4, Gilbert R. Upchurch Jr.*3
1Department of Surgery,University of Virginia School of Medicine, 2Department of Surgery,Ochsner Medical Center, 3Department of Surgery,University of Florida, 4The Robert M. Berne Cardiovascular Research Center,University of Virginia School of Medicine
This novel model creates robust infrarenal abdominal aortic aneurysms in swine using a combination of balloon angioplasty, elastase/collagenase perfusion, topical elastase application, and oral compound β-aminopropionitrile administration, which interferes with collagen cross-linking.
Few large animal models exist to study abdominal aortic aneurysms, but these models are critical to assessing the viability of novel technologies and treatments for human disease. The combination of elastase and a compound called BAPN creates aneurysms that are large and contain sequelae of chronic aneurysmal disease, such as thrombi, dissections, and ruptures. Demonstrating the procedure with me will be Doctors Jolian Dahl and Erik Scott, fellow surgical residents.
Seven days before the surgery, provide 20 to 30 kilogram non-castrated male swine with standard chow supplemented with BAPN given in weight-based dose and mixed in whole milk plain yogurt. On the day of the procedure, confirm an appropriate level of sedation and drape the pig in the standard fashion. Ensure all of the necessary instruments are organized and ready on a sterile draped table.
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