Stroke, Vol 24, 1983-1991, Copyright © 1993 by American Heart Association
N Futrell and JM Riddle
BACKGROUND AND PURPOSE: Photochemical techniques, currently used in stroke
and cancer research, produce endothelial damage and thrombosis. To further
characterize these thrombi and to determine whether they embolize, we
studied the ultrastructure of photochemically damaged carotid arteries and
small vessels distal to the irradiated carotid. METHODS: The right carotid
artery of 9 Wistar rats was irradiated with a laser (632 nm, 200 mW/cm2, 15
minutes) after the injection of the photosensitizing dye Photofrin II, 12.5
mg/kg. There were 6 additional control rats: laser only, 2 rats; dye only,
2; carrier only (5% dextrose), 1; and normal, 1. The carotid artery and
cerebral arterioles were studied using scanning and transmission electron
microscopy. RESULTS: Endothelial damage was present in all irradiated
carotid arteries, and consisted of exposure of the subendothelium and the
formation of a nonocclusive thrombus. Although most cerebral arterioles
were normal, 32 of these vessels contained peripheral blood elements, with
platelet or red blood cell aggregates present in 15. The endothelium
adjacent to the aggregates was intact. A few scattered endothelial cells
had been lost in the carotid artery of control animals (compatible with
normal cell turnover), with a few platelets adhering to the exposed
subendothelium. CONCLUSIONS: Aggregates of blood cells and platelets in
cerebral vessels in the absence of endothelial denudation verifies embolism
as the mechanism for cerebral vascular occlusion in this experimental
model. The possibility of embolization distal to the site of photochemical
irradiation has implications for potential applications of photochemistry
for cancer treatment and the ablation of vascular malformations and/or
aneurysms.
ARTICLES
The ultrastructure of photochemically induced thrombi with embolization in a rat model
Department of Neurology, Henry Ford Health Sciences Center, Detroit, Mich.
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