Details of a canine venous insufficiency model.

Continued study of a chronic deep venous insufficiency (CDVI) model allows optimal comparison with the human condition. This study evaluates the model's long-term stability, its lack of observed clinical effect, and a simulated exercise study as a physiologic estimate of normal hindlimb walking. The time to maximal ankle venous pressure after standing (VFT), and to 90% of the venous refilling time after electrical stimulation, quadripedal, or hindlimb walking (VRT90), and the minimal pressure after exercise (AVP) were measured up to 10 months after CDVI model creation. The animals' intravenous resting pressure was obtained after standing stationary on all four limbs. Analysis of variance was used to determine statistical significance where indicated. VFT, AVP, and VRT90 measurements demonstrated values consistent with CDVI in animals studied up to 10 months after model creation and were statistically different from control limb values (p < or = .002, n = 8). Animals studied during quadripedal walking showed no difference in resting pressure, AVP, and VRT90 between model and control limbs (n = 5). There was no statistical difference in AVP or VRT90 measured under conditions of stimulated exercise or bipedal walking; and both conditions produced hemodynamic changes consistent with CDVI (n = 5). This animal model is a reliable long-term CDVI hemodynamic model. The normal venous hemodynamics recorded during quadripedic walking may explain the lack of clinical sequelae observed in this model. Lastly, the method of simulated exercise used in this study is a reliable test that reflects physiologic measurements obtained during bipedal walking.