Original Research: Establishment of an early embolus-related cerebral injury model after cardiopulmonary bypass in miniature pigs

Exp Biol Med (Maywood). 2016 Oct;241(16):1819-24. doi: 10.1177/1535370216648804. Epub 2016 May 5.

Abstract

Embolus-related cerebral injury is still a serious adverse event after cardiopulmonary bypass (CPB). But there is no stable animal model for basic and clinical research purposes. We chose miniature pig to establish a stable animal model of embolus-related cerebral injury after CPB and verified the validity of results by correlating the histopathological findings with those of diffusion-weighted magnetic resonance imaging (DW-MRI). Based on different treatment regimens, 24 male miniature pigs were randomly assigned into four groups: Control, CPB, embolus, and CPB-embolus groups. DW-MRI was performed before and after surgery to diagnose and locate the brain lesions. Histopathological changes in brain tissues were examined using H&E and Nissl staining. All surgical procedures were uneventful with 100% postoperative survival of pigs. Two animals in the Embolus group and six animals in the CPB-embolus group showed signs of ischemic penumbra on DW-MRI performed 6 h after surgery. Consistent with the results of DW-MRI, histopathological examination showed necrosis and ischemic lesions. In this paper, we demonstrate the feasibility and validity of a pig model of embolus-related cerebral injury associated with CPB. This model may be used in the future for basic and translational research.

Keywords: Animal models; cardiopulmonary bypass; cerebral injury; diffusion-weighted magnetic resonance imaging; embolus; miniature pig.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Brain / diagnostic imaging
  • Brain / pathology
  • Brain Injuries / diagnostic imaging
  • Brain Injuries / etiology*
  • Brain Injuries / pathology
  • Cardiopulmonary Bypass / adverse effects*
  • Diffusion Magnetic Resonance Imaging
  • Disease Models, Animal
  • Intracranial Embolism / complications
  • Intracranial Embolism / diagnostic imaging
  • Intracranial Embolism / etiology*
  • Intracranial Embolism / pathology
  • Male
  • Neuroimaging
  • Swine
  • Swine, Miniature