Journal article
The Stroke Preclinical Assessment Network Multi-laboratory Model of Thromboembolic Stroke with Thrombolysis: TE-MCAo
Journal of visualized experiments, Vol.226(226), e69522
12/19/2025
DOI: 10.3791/69522
PMID: 41490186
Abstract
Current translational rodent stroke models induce middle cerebral artery occlusion (MCAo) using nylon filaments, injected emboli, intraluminal thrombin, or perivascular endothelin-1 to simulate human stroke. Among these methods, thromboemboli injection followed by thrombolysis best mimics the neuroinflammatory events seen in human patients and may be preferable to the inert nylon filament method most widely used. The standard thromboembolic models, used in leading single laboratories, however, can be time-consuming, produce variable results, and require considerable skill to master. To address these limitations, we developed a thromboembolic MCAo model that targets vessel occlusion and uses intravenous thrombolysis to achieve recanalization, paralleling the systemic thrombolysis administered in clinical scenarios. To reduce the number of animals, we developed a method to store blood from donor animals for later emboli preparation for multiple subjects. Our utilization of prefabricated Doccol microcatheters simplifies thrombus preparation and injection by pre-loading thromboemboli into the microcatheters that are then inserted into the internal carotid artery. To achieve recanalization, we infused intravenous Tenecteplase at a dose of 1.5 mg/kg. To promote reproducibility, we prepared and field-tested standard operating procedures, training videos, and hands-on surgical training workshops. The model uses a standard surgical approach that should be familiar to all investigators who use the widely accepted nylon filament model. Passage of the microcatheter into the distal internal carotid artery, avoiding the pterygopalatine artery, is accomplished in a manner similar to the nylon filament insertion. Recovery and post-stroke assessments may be done with typical behavioral, radiographic, and histologic protocols. This model offers a practical, reproducible, and accessible approach for investigators seeking a thromboembolic MCAo model with controlled recanalization.
Details
- Title: Subtitle
- The Stroke Preclinical Assessment Network Multi-laboratory Model of Thromboembolic Stroke with Thrombolysis: TE-MCAo
- Creators
- Mozammel Bhuiyan - Keck Hospital of USCMichelle Lin - Keck Hospital of USCCarly McCurry - Keck Hospital of USCJessica Lamb - Keck Hospital of USCMarcio A Diniz - Icahn School of Medicine at Mount SinaiKarni Bedirian - Icahn School of Medicine at Mount SinaiAnil Chauhan - University of IowaAbhishek Jha - University of Iowa, Internal MedicineAditi Jain - University of IowaEnrique Leira - University of IowaMohammad B Khan - Augusta UniversityPradip K Kamat - Augusta UniversityDavid C Hess - Augusta UniversityHuaxin Sheng - Duke University HospitalBingren Hu - University of California San DiegoLauren H Sansing - Yale UniversityCenk Ayata - Massachusetts General HospitalTakahiko Imai - Massachusetts General HospitalKirsten Lynch - Laboratory of NeuroImaging, USC Mark and Mary Stevens Neuroimaging and Informatics Institute of the Keck School of Medicine of USCPatrick Lyden - Keck Hospital of USC
- Resource Type
- Journal article
- Publication Details
- Journal of visualized experiments, Vol.226(226), e69522
- DOI
- 10.3791/69522
- PMID
- 41490186
- NLM abbreviation
- J Vis Exp
- ISSN
- 1940-087X
- eISSN
- 1940-087X
- Publisher
- JoVE
- Grant note
- US National Institutes of Health (NIH): U24 NS113452, U24 NS130600, U01NS113388, UE5 RPPR 5UE5NS099008, U01NS130588, U01NS130590, U01NS130598, 1U01NS130557, U01NS130585
This work was supported by grants from the US National Institutes of Health (NIH) : U24 NS113452 and U24 NS130600 (PL) ; U01NS113388 (AKC and ECL) ; UE5 RPPR 5UE5NS099008 (ML) ; U01NS130588 (CA) ; U01NS130590, (DH, MK, KD) ; U01NS130598 (HS) ; 1U01NS130557 (BH) ; U01NS130585 (LS) .
- Language
- English
- Date published
- 12/19/2025
- Academic Unit
- Neurology; Hematology, Oncology, and Blood & Marrow Transplantation; Epidemiology; Iowa Neuroscience Institute; Neurosurgery; Internal Medicine
- Record Identifier
- 9985116067702771
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