Background. The method for mouse vascularized heart transplantation ha
ve been described using suture and cuff techniques. Technical problems
have limited its widespread use. Here, we describe our method of modi
fied cervical heterotopic transplantation with the cuff technique. Met
hods. By using a smaller Teflon cuff (external diameter 0.6 mm, intern
al diameter 0.4 mm) and superfine-tip forceps, it became possible to d
irectly pull the edge of the carotid artery and evert the proximal end
of the artery over the cuff. Similarly, the external jugular vein cou
ld be easily everted over a 22-gauge cuff with this direct pulling met
hod. Results. By these modifications, the operation time was reduced.
It usually takes 20 min for the donor harvest, 15 min for preparation
of the cervical vessels, and 15 min for anastomosis. All procedures fr
om the donor harvest through skin closure of the recipient mice can be
completed within 1 hr, and ischemic time is within 25-40 min. Conclus
ions. This method can be used to investigate cyclophosphamide-induced
tolerance and mechanisms of reperfusion injury.