Topical administration of tranexamic acid for prevention of postoperative epidural fibrosis: insights from a rabbit laminectomy model
Volume 16, Issue 3, March 2025, Pages 181-187
Arian Rahmani, Soroush Mohitmafi, Fariborz Moayer, Mohammad Molazem
Abstract Significant advancements in imaging and surgical methodologies have led to more frequent performance of neurosurgical procedures such as laminectomy in both animal and human patients. Epidural fibrosis (EF) is defined as the excessive formation of scar tissue in the epidural space after lumbar laminectomy, often resulting in recurring postoperative pain. Given the association between postoperative hematoma accumulation at the laminectomy site and the development of EF, the present study aimed to evaluate the preventive impact of tranexamic acid (TXA), an antifibrinolytic agent with well-recognized hemostatic properties across various surgical fields. A rabbit laminectomy model was constructed to assess its effectiveness in reducing EF formation. A total number of 18 adult New Zealand White male rabbits were randomly divided into two groups: The control (saline) group and the treatment (topical TXA) group. Each rabbit underwent a two-level laminectomy at L3-L4. The treatment group received 5.00 mL of 100 mg mL-1 TXA solution applied topically to the laminectomy site, while the control group received 5.00 mL of saline. Postoperative evaluations included magnetic resonance imaging at week six to assess EF, followed by histopathological examinations to evaluate fibroblast cell density in scar tissue, EF grading and thickness of the dura mater. The analysis of magnetic resonance imaging and histopathologic data revealed significant differences between the two groups indicating that topical administration of TXA might be a promising approach for preventing EF.
Evaluation of right ventricle echocardiographic variables in apparently healthy domestic shorthair cats
Volume 14, Issue 9, September 2023, Pages 501-506
Saeed Heydaryan, Seyed Javad Ahmadpanahi, Dariush Shirani, Mohammad Molazem, Yasamin Vali
Abstract Right ventricular structural and functional changes result from many cardiovascular disorders in cats. Accordingly, echocardiographic evaluation of the size and function of the right ventricle (RV) provides important prognostic information in many conditions affecting the right heart. Therefore, detection of these changes is clinically important and needs reference values to ease the diagnosis. The present study was designed to calculate structural and fanctional right ventricular variables in 10 apparently healthy cats (six males and four females, averege age 1 year old and body weight 2.70 - 4.80 kg) with no sedation. For this purpose, The minimum, maximum, mean ± standard error of the mean of right ventricle internal dimention in systole and diatole (cm), right ventricle free wall thickness in systole and diastole (cm), fractional shortening (%), right ventricle volume in systole and diastole (mL), right ventricle area in systole and diastole (cm2), ejection fraction (%) and fractional area change (%) were measured and reported. Descriptive statistics were provided for all calculated variables. Statistical correlation of the collected variables with body weight, gender and heart rate were analyzed. Results showed that there is a significant correlation between heart rate with body weight and between systolic and diastolic RV volumes with gender. The results of the present study would help clinicians in the diagnosis of the right heart changes in DSH cats.
Echocardiographic assessment of right ventricular blood flow and tricuspid annular plane systolic excursion in apparently healthy domestic short-haired cats
Volume 14, Issue 5, May 2023, Pages 275-279
Zahra Darabizadeh, Keivan Keramati, Dariush Shirani, Mohammad Molazem, Saeed Heydaryan, Yasamin Vali
Abstract Right ventricular parameters change in many cardiovascular diseases; so, the presence of normal right ventricular parameters is necessary to diagnose these diseases. Ten clinically healthy adult domestic short-haired cats including six males and four females in the range of 2.70 to 4.80 kg were studied using echocardiography without sedation. The speed and pressure of blood flow through the tricuspid and pulmonary valves, speed of the movement of tricuspid valve and tricuspid annular plane systolic excursion (TAPSE) were recorded using conventional pulsed-wave (PW) Doppler, tissue Doppler imaging (TDI) and M-mode, respectively. No significant statistical differences were observed between the measured values and sex, heart rate and body weight. A positive correlation was observed between the maximum velocity of the right ventricular outflow tract and heart rate and also between TAPSE slope and body weight. With determining the normal values of PW-TDI of the right ventricle in apparently healthy domestic short-haired cats, it is expected that with providing normal reference values, the diagnosis of heart diseases especially asymptomatic heart disease be achieved as soon as possible to provide the best appropriate therapeutic management and monitoring decision about them.
