Stroke, Vol 21, 467-471, Copyright © 1990 by American Heart Association
WR Selman, RC Crumrine, AJ Ricci, JC LaManna, RA Ratcheson and WD Lust
We examined the consequences of reflow on metabolic recovery following
increasing periods of focal ischemia. The middle cerebral artery of 21
Sprague-Dawley rats was occluded with a snare ligature for 1, 2, or 6 hours
followed by 5, 4, or 0 hours of reflow, respectively (seven rats in each
group). All animals were injected with neutral red for visual confirmation
that the affected regions were reperfused. The brains were frozen in situ,
and the concentrations of adenosine triphosphate, phosphocreatine,
glycogen, and lactate were determined in those areas corresponding to the
normally perfused medial ipsilateral cortex, the perifocal region, and the
ischemic focus. Values for the 6 hours' occlusion with no reflow group
served as a control to demonstrate restoration of metabolite
concentrations. In both groups with reflow, the levels of high-energy
phosphates were greater than control, but this effect of reflow was
primarily significant for the group with 1 hour's occlusion (p less than
0.05). The levels of glycogen and lactate provided additional evidence that
the extent of metabolite restoration was graded; following 2 hours of
occlusion, metabolite recovery was compromised (p less than 0.05). Our data
strongly support the concept that the window of opportunity for effective
treatment of focal ischemia by reperfusion is narrow (of short duration).
ARTICLES
Impairment of metabolic recovery with increasing periods of middle cerebral artery occlusion in rats
Division of Neurosurgery, Case Western Reserve University, Cleveland, Ohio 44106.
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