gms | German Medical Science

57th Annual Meeting of the German Society of Neurosurgery
Joint Meeting with the Japanese Neurosurgical Society

German Society of Neurosurgery (DGNC)

11 - 14 May, Essen

Aneurysm models in rats: microsurgical techniques and practicability for neurosurgical training

Aneurysma-Modelle an der Ratte: mikrochirurgische Techniken und praktische Bedeutung für das neurochirurgische Training

Meeting Abstract

  • corresponding author M. Scholz - Neurochirurgische Universitätsklinik, Ruhr-Universität Bochum
  • T. Mücke - Neurochirurgische Universitätsklinik, Ruhr-Universität Bochum
  • I. Pechlivanis - Neurochirurgische Universitätsklinik, Ruhr-Universität Bochum
  • S. Lücke - Neurochirurgische Universitätsklinik, Ruhr-Universität Bochum
  • K. Schmieder - Neurochirurgische Universitätsklinik, Ruhr-Universität Bochum
  • A. Harders - Neurochirurgische Universitätsklinik, Ruhr-Universität Bochum

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. Essen, 11.-14.05.2006. Düsseldorf, Köln: German Medical Science; 2006. DocP 10.156

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2006/06dgnc373.shtml

Published: May 8, 2006

© 2006 Scholz et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Objective: Clipping of aneurysms is decreasing in neurosurgical routine due to novel therapeutic techniques e.g. coiling. Models for neurosurgical clip training are until now not evaluated completely. Aneurysm models in animals are existing in dogs, rabbits and pigs, whereas models in rats are rarely described. Aim of the study was the evaluation of three different aneurysm models in rats and there impact for neurosurgical clip training and training of intraoperative Doppler sonography.

Methods: 22 Whistar rats were operated on. 39 aneurysms were created surgically in three different locations: 14 A. carotis models (pure arterial type), 13 A. femoralis models (arteriovenous fistula type) and 12 A. iliaca models (venous sack type) were built and used for microdopplersonographic examination and clip training. Complete operative room surrounding was simulated with bipolar coagulation and suction. The rats were positioned under a skull model with a 4x4 cm trephination. After clipping with mini-clips (Asculap) aneurysms were examined histologically. Neck/dome ratio and volume was calculated.

Results: The three models showed different surgical difficulties. The fastest model was the femoralis model (95 : 37 min, time for resident in training), the most difficult model the iliaca model (164 : 55 min). Neck/dome ratio was 0,85±0,16 (carotis), 0,31±0,05 (femoralis) and 0,94±0,16 (iliaca). Complications during creation of aneurysms appear only in the iliaca type aneurysm in 5 cases. Ruptur of the created aneurysm in the region of the dome occurred in three cases and could be managed by clipping or suture. All aneurysms could be clipped several times through the skull model without suture insufficiencies at the neck. Histologic examination revealed technical details of suturing and microanatomy of aneurysms.

Conclusions: Microsurgical training could be enhanced by creation of aneurysm models in rats. These models could be used for clipping and dopplersonography with great educational effort.