This study was performed to establish an experimental model of ischemia for
the investigation of new treatment modality of limb-threatening ischemia.
We produced ischemia in the hindlimbs of 8 New Zealand white rabbits. Under
general anesthesia, the left femoral artery was exposed, freed, and excise
d from distal external iliac artery to proximal popliteal and saphenous art
eries. And then both hindlimbs were serially examined to assess the ischemi
a according to the time table until postoperative 6 weeks. We assessed clin
ical observation, blood pressure, radioisotopic perfusion scan, and angiogr
aphy. Clinical ischemic changes of the operated feet were observed in 63%.
The blood pressure of left calves was measurable on postoperative day 3 (p
< 0.05, vs preoperative day 2) and then gradually increased to reach a plat
eau in postoperative week 6. Radioisotopic arterial perfusion showed simila
r profiles as in blood pressure. Angiography of ischemic hindlimbs demonstr
ated a few collateral vessels arising from the internal iliac artery with t
he reconstitution of the posterior tibial artery in postoperative week 2. I
n postoperative week 6, collaterals remained the same in number. However, t
hese became dilated and tortuous and showed reconstitution in distal hindle
g. In conclusion, this is a reproducible, measurable, and economical animal
model of hind limb ischemia.