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Originally published as JHC exPRESS on January 23, 2006.
doi:10.1369/jhc.5A6824.2006
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Journal of Histochemistry and Cytochemistry
Volume 54 (6): 673-681, 2006
Copyright ©The Histochemical Society, Inc.

Comparison of Processing and Sectioning Methodologies for Arteries Containing Metallic Stents

Peter Rippstein, Melanie K. Black, Marie Boivin, John P. Veinot, Xiaoli Ma, Yong-Xiang Chen, Paul Human, Peter Zilla and Edward R. O'Brien

Core Pathology Laboratory (PR) and Division of Cardiology, Vascular Biology Laboratory (XM,Y-XC,ERO), University of Ottawa Heart Institute, Ottawa, Ontario, Canada; Department of Laboratory Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada (MB,JPV); and Christian Barnard Division of Cardiothoracic Surgery, Cape Heart Center, University of Cape Town, Cape Town, South Africa (MKB,PH,PZ)

Correspondence to: Peter Rippstein, ART, MLT, Core Pathology Laboratory, University of Ottawa Heart Institute, 40 Ruskin Street, Rm H2102, Ottawa, Ontario, Canada K1Y 4W7. E-mail: prippstein{at}ottawaheart.ca

The histological study of arteries with implanted metallic scaffolding devices, known as stents, remains a technical challenge. Given that the arterial response to stent implantation can sometimes lead to adverse outcomes, including the re-accumulation of tissue mass within the stent (or in-stent restenosis), overcoming these technical challenges is a priority for the advancement of research and development in this important clinical field. Essentially, the task is to section the stent–tissue interface with the least amount of disruption of tissue and cellular morphology. Although many methacrylate resin methodologies are successfully applied toward the study of endovascular stents by a variety of research laboratories, the exact formulations, as well as subsequent processing and sectioning methodology, remain largely coveted. In this paper, we describe in detail a methyl methacrylate resin–embedding methodology that can successfully be applied to tungsten carbide blade, as well as saw and grinding sectioning methods and transmission electron microscopy. In addition, we present a comparison of the two sectioning methodologies in terms of their effectiveness with regard to morphological, histochemical, and immunohistochemical analyses. This manuscript contains online supplemental material at http://www.jhc.org. Please visit this article online to view these materials. (J Histochem Cytochem 54:673–681, 2006)

Key Words: stent • artery • restenosis • methyl methacrylate • resin • immunohistochemistry


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