SUMMARY A highly reliable model for the study of focal cerebral ischemia has been developed using a retro-orbital approach to occlude the lateral lenticulostriate arteries of the baboon. An infarction of the caudate, putamen and the anterior limb of the internal capsule has consistently been produced. Reliability has been attained because the anatomical variations of the lenticulostriate arteries of each animal can be fully appraised, permitting selective vessel occlusion. A well-defined clinical and radiographic lesion has also resulted from this procedure which was clinically well tolerated by all animals. Selective lenticulostriate occlusion provides a new approach to the study of focal cerebral ischemia in the sub-human primate, and serves for the evaluation of proposed therapies for treatment of focal cerebral ischemia.Stroke, Vol 12, No 5, 1981 AN IMPORTANT GOAL in the study of focal cerebral ischemia is a lower animal model with a lesion that resembles a stroke in man and permits its careful study.
1-2 If the model is to be used for the evaluation of a proposed therapy for focal cerebral ischemia, it must be highly reproducible. When subhuman primates are used, an even higher level of reproducibility is necessary to minimize the number of observations and, therefore, the number of valuable animals required to be studied, in order to draw a conclusion of significance. We report a technique for creating a highly reliable focal cerebral ischemic lesion in the baboon that fulfills these requirements as well as providing a unique opportunity to study the primate microcirculation. This technique depends upon selective occlusion of only the penetrating, lateral lenticulostriate (LLS) arteries. This is a fundamentally different approach from previous primate focal ischemia models which have all involved middle cerebral artery occlusion.
ProcedureNine baboons (Papio cynocephalus/anubis) weighing between 8 and 10 kg were anesthetized with ketamine hydrochloride (Ketalar*) 5.0 mg/kg I.M. and pancuronium bromide (Pavulonf) .05 mg/kg. The animals were then intubated and ventilated on a respirator as guided by frequent blood gas determinations. Femoral arterial and venous catheters were inserted for monitoring arterial pressure and for the delivery of normal saline solution.• In order to expose the origins of the LLS arteries without brain retractions, we used a modified retroorbital approach. 8 The animals' heads were secured in a stereotaxic frame $ and the sagittal plane tilted 10°t oward the side of the surgery. After the skin about the right eye and temple was shaved and surgically prepared, a curvilinear incision was made around the lateral half of the orbit just cranial to the zygoma for approximately 1W inches. The temporalis and masseter muscles were incised and retracted away from the lateral orbital wall. Subperiosteal dissection was then extended into the lateral orbit. To provide additional space for exposure of the apex of the orbit, the posterior chamber of the eye was entered with a 22 gauge needle, ...