• Kazuhide Furuya, Nobutaka Kawahara, Kensuke Kawai, Tomikatsu Toyoda, Keiichiro Maeda, and Takaaki Kirino.
• Department of Neurosurgery, Faculty of Medicine, University of Tokyo and University Hospital, Tokyo, Japan. furuya-nsu@umin.ac.jp
• J. Neurosurg. 2004 Jan 1;100(1):97-105.

ObjectThe intraluminal suture model for focal cerebral ischemia is increasingly used, but not without problems. It causes hypothalamic injury, subarachnoid hemorrhage, and inadvertent premature reperfusion. The patency of the posterior communicating artery (PCoA) potentially affects the size of the infarct. In addition, survival at 1 week is unstable. The authors operated on C57Black6 mice to produce proximal middle cerebral artery occlusion (MCAO) so that drawbacks with the suture model could be circumvented.MethodsThe MCA segment just proximal to the olfactory branch was occluded either permanently or temporarily. After 1 hour of MCAO the infarct volume was significantly smaller than that found after 2 hours or in instances of permanent MCAO. The differences were assessed at 24 hours and 7 days after surgery (p < 0.05 and p < 0.001, respectively). The patency of the PCoA, as visualized using carbon black solution, did not correlate with the infarct size. Neurologically, the 1- and 2-hour MCAO groups displayed significantly less severe deficits than the permanent MCAO group on Days 1, 4, and 7 (p < 0.005 and p < 0.01, respectively). Although the infarct size, neurological deficits, and body weight loss were more severe in the permanent MCAO group, the survival rate at Day 7 was 80%.ConclusionsThis model provides not only a robust infarct size (which is not affected by the patency of the PCoA), but also a better survival rate.

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