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NEUROLOGY 1982;32:970
© 1982 American Academy of Neurology

Experimental cerebral ischemia produced by extracranial vascular injury

Protection with indomethacin and prostacyclin

John H. Dougherty, Jr., M.D., David E. Levy, M.D., Donald G. Rawlinson, M.D., Robert Ruff, M.D., Ph.D., Babette B. Weksler, M.D. and Fred Plum, M.D.

Research Center in Cerebrovascular Disease and the Department of Neurology (Drs. Dougherty. Levy. Rawlinson, Ruff, and Plum) and the Division of Hematology. Department of Medicine (Dr. Wekslerl, the New York Hospital-Cornell Medical Center, New York, NY.

To determine whether the production of brain ischemia is modified by antiplatelet agents administered at the time of extracranial endothelial injury, we modified a four-vessel occlusion rat model so that an electrogenic platelet thrombus in one carotid artery produced cerebral ischemia. DC current was passed through an anode around the left carotid artery of 11 rats with preoccluded vertebral and contralateral carotid arteries. Five of six untreated rats became unresponsive because of carotid occlusion and resultant cerebral ischemia; none of five animals pretreated with indomethacin and infused with prostacyclin (PGI2) were clinically affected. Light-and electronmicroscopic studies showed arterial platelet-fibrin thrombi and ischemic brain damage in untreated rats. All rats had received radiolabeled platelets; radioactivity was increased in the electrogenically injured left carotid arteries from treated and untreated rats, but counts were reduced by more than 80% in indomethacin/ PGL2-treated rats (p < 0.01).

Address correspondence and reprint requests to Dr. Levy, Department of Neurology, the New York Hospital-Cornell Medical Center, 1300 York Avenue. New York, NY 10021.

This work was supported by NIH Grants Nos. NS-03346 and HL-18828, with additional assistance from NIH Grants Nos. NS-06069 (Dr. Dougherty) and NS-00498 (Dr. Ruff) and an Established Investigator ship from the American Heart Association with funds contributed in part by the New York Heart Association (Dr. Levy).

Presented in part at the thirty-second annual meeting of the American Academy of Neurology. New Orleans. LA, April 1980, and the Tenth Symposium on Cerbral Blood Flow and Metabolism, St. Louis, MO, June 1981.

Accepted for publication February 19, 1982.




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