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Table 4 Fixative solutions reported by the included studies

From: Perfusion fixation in brain banking: a systematic review

Study

Fixative solution

Buffer

Drive

Time

Amount

Flow rate

Pressure

Adickes 1996 [2]

10% buffered formalin

NR

Gravity

15–20 min

2 l

100–133 ml/min

75.6 mmHg (height of 1 m)

Adickes 1997 [1]

10% buffered formalin

Phosphate

Gravity

15–20 min

2 l

100–133 ml/min

75.6 mmHg (height of 1 m)

Alvernia 2010 [3]

Formaldehyde 37% and ethyl alcohol 10%

NR

Syringe (60 ml)

NR

NR

NR

NR

Beach 1987 [7]

4% paraformaldehyde (ice cold)

0.1 M phosphate buffer (pH 7.4)

Pump

40–80 min

4 l

50–100 ml/min

NR

Benet 2014 [9]

10% formaldehyde

NR

NR

NR

0.7 l

NR

NR

Benet 2014 [9]

Custom solution: ethanol 62.4%, glycerol 17%, phenol 10.2%, formaldehyde 2.3%, and water 8.1%

NR

NR

NR

0.7 l

NR

NR

Böhm 1983 [12]

2% glutaraldehyde

0.2 M phosphate buffer

Gravity

5–10 min

5–10 l

~ 1000 ml/min

25.7–47.8 mmHg

Coveñas 2003 [20]

4% paraformaldehyde

0.15 M PBS (pH 7.2)

NR

NR

3 l

NR

“Normal mean arterial pressure”

de Oliveira 2012 [23]

20% formalin

NR

Gravity

NR

5 Ll

NR

NR

Donckaster 1963 [24]

Cajal fixative: formalin and ammonium bromide

NR

NR

NR

900 ml (300 ml in children < 12 years old)

NR

<  200 mmHg

Feekes 2005 [28]

10% formalin

NR

NR

NR

NR

NR

NR

Feekes 2005 [28]

2.5% formaldehyde, 6% isopropyl alcohol, 1% glycerin

NR

NR

NR

NR

NR

NR

Grinberg 2008 [34]

10% formalin

None

Gravity

NR

5 l

NR

147.4 mmHg (height of 2 m*)

Grinberg 2008 [34]

20% formalin

None

Gravity

NR

5 l

NR

147.4 mmHg

Grinberg 2008 [34]

70% ethanol

None

Gravity

NR

5 l

NR

147.4 mmHg

Grinberg 2008 [34]

Acetic acid-alcohol-formalin

None

Gravity

NR

5 l

NR

147.4 mmHg

Halliday 1988 [35]

4% formaldehyde, 2% picric acid; followed by 10% sucrose in fixative

0.1 M sodium phosphate

Pump

NR

10 l fixative only; 4 l 10% sucrose in fixative

NR

“Normal mean arterial pressure”

Huang 1993 [40]

4% paraformaldehyde

0.1 M phosphate buffer

NR

83 mins

10 l

120 ml/min

NR

Insausti 1995 [42]

4% paraformaldehyde (4 °C) or 4% paraformaldehyde, 0.02% picric acid (4 °C)

NR

NR

120 mins

4 l or 8 l

33 or 67 ml/min

NR

Istomin 1994 [43]

10–12% formalin

Neutral buffered

Syringe or Gravity

NR

NR

NR

150 mmHg

Kalimo 1974 [45]

1.0% paraformaldehyde, 2.0% glutaraldehyde (37 °C)

0.1 M cacodylate (pH 7.4)

Gravity

NR

1.5 l (adult), 0.7 l (newborn)

NR

132 mmHg

Latini 2015 [53]

12% formalin

NR

Infusion device (compressed air mechanism)*

15–20 min

2 l

100–133 ml/min

1500 mmHg (200 kPa)

Lin 2000 [57]

4% paraformaldehyde, 0.2% picric acid, and 0.1% glutaraldehyde

0.1 M phosphate buffer (pH 7.4)

NR

NR

NR

NR

NR

Lyck 2008 [58]

4% formalin

75 mM phosphate buffer (pH 7.0)

NR

NR

NR

NR

NR

Masawa 1993 [59]

4% formalin, 1% glutaraldehyde

0.1 M phosphate buffer (pH 7.4)

NR

NR

400 ml

NR

100 mmHg

Masawa 1994 [60]

10% buffered formalin

NR

NR

NR

NR

NR

100 mmHg

McGeer 1988 [62]

4% paraformaldehyde, 0.1% glutaraldehyde

0.1% phosphate buffer (pH 7.4)

NR

NR

NR

NR

NR

McKenzie 1994 [64]

10% formalin

Neutral buffered

Gravity

60 mins

12–14 l

200–233 ml/min

75.6 mmHg (height of 1 m)

Nakamura 1991 [69]

4% paraformaldehyde, 0.1% glutaraldehyde (ice cold)

0.1 M phosphate buffer (pH 7.4)

Pump

15 mins

1 l

70–80 ml/min

NR

Pakkenberg 1966 [70]

Alcohol 80% 9 parts, formalin 4% 1 part

NR

NR

NR

NR

NR

NR

Sharma 2006 [79]

20% formalin

Neutral buffered

NR

NR

NR

NR

NR

Shinkai 1976 [81]

2.5% glutaraldehyde containing 0.2 M sucrose

0.1 M phosphate buffer (pH 7.4)

NR

NR

NR

NR

NR

Sutoo 1994 [85]

4% paraformaldehyde, 0.2% glutaraldehyde

PBS

NR

90 mins

6 l

67 ml/min

NR

Suzuki 1979 [86]

2.5% glutaraldehyde

Phosphate buffer (pH 7.4)

NR

5–10 min

NR

NR

NR

Tanaka 1975 [87]

2% glutaraldehyde, 1% paraformaldehyde (pH 7.2)

0.1 M sodium cacodylate

NR

NR

0.7 l

NR

NR

Torack 1990 [90]

4% paraformaldehyde (4 °C)

0.1 M phosphate buffer (pH 7.4)

NR

30 mins

1.68 l (560 ml in each artery)

50 ml/min

“40 lbs. of pressure”

Turkoglu 2014 [92]

10% formaldehyde

NR

Gravity

60 mins

NR

NR

110.4 mmHg (height of 1.5 m)

von Keyserlingk 1984 [93]

1% paraformaldehyde, 1% glutaraldehyde, 1.65% potassium dichromate

0.1 M cacodylate buffer (pH 7.4)

NR

NR

5 l

NR

NR

Waldvogel 2006 [96]

15% formalin

0.1 M phosphate buffer (pH 7.4)

Pump

30–45 min

2 l

~  33 ml/min

NR

Welikovitch 2018 [99]

4% paraformaldehyde, 0.05% glutaraldehyde, and 0.2% picric acid

0.1 M phosphate buffer

Gravity*

90–120 min

4–5 l

33–56 ml/min

NR

  1. This table lists the fixatives solutions and their buffers, amounts, times for perfusion, flow rates, methods for driving perfusate, and/or perfusion pressures that are reported by the included studies. If gravity was used to drive perfusate, we used the formula P = ρgh, where P = hydrostatic pressure, ρ = density of substance (assumed equal to water), g = gravitational acceleration, and h = height, to calculate the pressure. Asterisks indicate personal communications. NR: Not reported, PBS: Phosphate-buffered saline