1. Luminal platelet aggregates in functional deficits in parenchymal vessels after subarachnoid hemorrhage
- Author
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Fatima A. Sehba, Artur Muller, Victor L. Friedrich, and Rowena Flores
- Subjects
Blood Platelets ,Collagen Type IV ,Pathology ,medicine.medical_specialty ,Subarachnoid hemorrhage ,Platelet Aggregation ,Vascular permeability ,Article ,Constriction ,Capillary Permeability ,Rats, Sprague-Dawley ,Random Allocation ,Parenchyma ,Medicine ,Animals ,Platelet ,Molecular Biology ,Analysis of Variance ,business.industry ,Vascular disease ,Platelet Count ,General Neuroscience ,Brain ,Subarachnoid Hemorrhage ,medicine.disease ,Immunohistochemistry ,Rats ,medicine.anatomical_structure ,Cerebrovascular Circulation ,Blood Vessels ,Basal lamina ,Neurology (clinical) ,business ,Perfusion ,Developmental Biology - Abstract
The pathophysiology of early ischemic injury after aneurysmal subarachnoid hemorrhage (SAH) is not understood. This study examined the acute effect of endovascular puncture-induced SAH on parenchymal vessel function in rat, using intravascular fluorescent tracers to assess flow and vascular permeability and immunostaining to assess structural integrity and to visualize platelet aggregates. In sham-operated animals, vessels were well filled with tracer administered 10 seconds before sacrifice, and parenchymal escape of tracer was rare. At ten minutes and 3 hours after hemorrhage, patches of poor vascular filling were distributed throughout the forebrain. Close examination of these regions revealed short segments of narrowed diameter along many profiles. Most vascular profiles with reduced perfusion contained platelet aggregates and in addition showed focal loss of collagen IV, a principal component of basal lamina. In contrast, vessels were well filled at 24 hours post-hemorrhage, indicating that vascular perfusion had recovered. Parenchymal escape of intravascular tracer was detected at 10 minutes post-hemorrhage and later as plumes of fluorescence emanating into parenchyma from restricted microvascular foci. These data demonstrate that parenchymal microvessels are compromised in function by 10 minutes after SAH and identify focal microvascular constriction and local accumulation of luminal platelet aggregates as potential initiators of that compromise.
- Published
- 2010