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Saccular Aneurysm Models Featuring Growth and Rupture: A Systematic Review
Serge Marbacher1,2, Stefan Wanderer1,2, Fabio Strange1,2
1Department of Neurosurgery, Kantonsspital Aarau, Aarau 5000, Switzerland.
Brain Sciences
|February 20, 2020
Summary
Rare extracranial saccular aneurysm models exhibit growth and rupture, often requiring aneurysm wall degradation. These models are crucial for preclinical testing of novel endovascular therapies.
Area of Science:
- Biomedical Engineering
- Vascular Surgery
- Preclinical Research
Background:
- Most large animal extracranial aneurysm models have stable pouches and heal well after endovascular treatment.
- A small subset of models exhibit aneurysm growth and potential rupture during follow-up.
- This review focuses on these rare, growth-prone extracranial aneurysm models.
Purpose of the Study:
- To identify and characterize in vivo extracranial saccular aneurysm models that demonstrate growth and rupture.
- To evaluate the potential of these models for preclinical testing of endovascular therapies.
Main Methods:
- Literature search in Medline/PubMed using PRISMA guidelines.
- Inclusion of studies on experimentally created extracranial saccular aneurysm models with growth/rupture.
- Extraction of data on aneurysm creation, characteristics, growth/rupture rates, histology, and outcomes.
Main Results:
- Twenty articles described growth and/or rupture in experimental extracranial saccular aneurysms.
- Growth was most frequent in rats, followed by swine, rabbits, and dogs.
- The highest growth rate (10-fold increase) was observed in a rat abdominal aortic sidewall aneurysm model.
Conclusions:
- Extracranial saccular aneurysm models with growth and rupture are uncommon.
- Aneurysm wall degradation appears necessary for growth and potential rupture.
- These models are valuable for preclinical evaluation of new endovascular treatments.
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