Effect of hypothermia and delayed thrombolysis in a rat embolic stroke model |
| |
Authors: | P. Meden K. Overgaard H. Pedersen G. Boysen |
| |
Affiliation: | Neurovascular Research Laboratory;Department of Neurology;Department of Neuroradiology, Rigshospitalet;Department of Neurology, Hvidovre Hospital, Copenhagen, Denmark |
| |
Abstract: | Effect of hypothermia on cerebral infarcts was studied in rats embolized in the right carotid territory. Thirty-four served as normothermic controls receiving saline infusion only. In 16 rats hypothermia of 32°C was induced by cooling with a fan, followed by embolization. The rats were kept hypothermic for the following 3 h before body temperature was raised to 37°C. In 26 rats, treatment with human recombinant tissue plasminogen activator (20 mg/kg i.v. during 45 min), started 2 h after embolization. Finally, 14 rats were treated similarly with hypothermia for 3 h followed by additional rt-PA treatment starting after 2 h. Thrombolytic therapy reduced median infarct volume from 19.5% of affected hemisphere among controls to 4.6% (p = 0.006) in the treated group. Three hours of hypothermia reduced infarct volume to 1.6% (p = 0.0007). Additional rt-PA could not demonstrate further improvement in this experimental setting. |
| |
Keywords: | thrombolytic therapy recombinant tissue plasminogen activator stroke experimental thromboembolism cerebral blood flow hypothermia. |
|
|