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Updated: Jan 29, 2026

Middle Cerebral Artery Occlusion Allowing Reperfusion via Common Carotid Artery Repair in Mice
Published on: January 23, 2019
Middle Cerebral Artery Occlusion Allowing Reperfusion via Common Carotid Artery Repair in Mice
Melissa Trotman-Lucas1, Michael E Kelly2, Justyna Janus2
1Department of Neuroscience, Psychology and Behaviour, University of Leicester.
Abstract:
The ischemic stroke is a major cause of adult long-term disability and death worldwide. The current treatments available are limited, with only tissue plasminogen activator (tPA) as an approved drug treatment to target ischemic strokes. Current research in the field of ischemic stroke focuses on better understanding the pathophysiology of stroke, to develop and investigate novel pharmaceutical targets. Reliable experimental stroke models are crucial for the progression of potential treatments. The middle cerebral artery occlusion (MCAO) model is clinically relevant and the most frequently used surgical model of ischemic stroke in rodents. However, the outcomes of this model, such as lesion volume, are associated with high levels of variability, particularly in mice. The alternative MCAO model described here allows the reperfusion of the common carotid artery (CCA) and the increased perfusion of the middle cerebral artery (MCA) territory, using a tissue pad with fibrinogen-based sealant to repair the vessel, and the improved welfare of the mice by avoiding external carotid artery (ECA) ligation. This reduces the reliance on the Circle of Willis, which is known to be highly anatomically variable in mice. Representative data show that using this alternative surgical approach decreases the variability in lesion volumes between the traditional MCAO approach and the alternative approach described here.
Insights
This study introduces an improved middle cerebral artery occlusion (MCAO) model for ischemic stroke research in mice. The novel technique reduces variability in lesion volume, enhancing the reliability of experimental stroke studies.
Area of Science:
- Neuroscience
- Cardiovascular Research
- Experimental Neurology
Background:
- Ischemic stroke is a leading cause of adult disability and mortality globally.
- Current treatments, like tissue plasminogen activator (tPA), are limited.
- Reliable experimental models are essential for developing new stroke therapies.
Purpose of the Study:
- To present an alternative middle cerebral artery occlusion (MCAO) surgical model in rodents.
- To reduce variability in lesion volume outcomes observed in traditional MCAO models, particularly in mice.
- To improve mouse welfare during MCAO procedures.
Main Methods:
- An alternative MCAO model is described, involving common carotid artery (CCA) reperfusion and vessel repair with a fibrinogen-based sealant.
- This method avoids external carotid artery (ECA) ligation, reducing reliance on the anatomically variable Circle of Willis.
- The approach aims to enhance middle cerebral artery (MCA) territory perfusion.
Main Results:
- The alternative MCAO surgical approach demonstrated decreased variability in lesion volumes compared to the traditional MCAO method.
- Representative data indicate improved consistency in experimental outcomes.
- The modified procedure enhances mouse welfare by eliminating ECA ligation.
Conclusions:
- The refined MCAO model offers a more reliable and reproducible method for studying ischemic stroke in mice.
- This improved model facilitates the progression of research into novel pharmaceutical targets and treatments for ischemic stroke.
- The enhanced surgical technique contributes to better experimental design and animal welfare in stroke research.
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