Experimental subarachnoid hemorrhage causes early and long-lasting microarterial constriction and microthrombosis: an in-vivo microscopy study

J Cereb Blood Flow Metab. 2012 Mar;32(3):447-55. doi: 10.1038/jcbfm.2011.154. Epub 2011 Dec 7.

Abstract

Early brain injury (EBI) after subarachnoid hemorrhage (SAH) is characterized by a severe, cerebral perfusion pressure (CPP)-independent reduction in cerebral blood flow suggesting alterations on the level of cerebral microvessels. Therefore, we aimed to use in-vivo imaging to investigate the cerebral microcirculation after experimental SAH. Subarachnoid hemorrhage was induced in C57/BL6 mice by endovascular perforation. Pial arterioles and venules (10 to 80 μm diameter) were examined using in-vivo fluorescence microscopy, 3, 6, and 72 hours after SAH. Venular diameter or flow was not affected by SAH, while >70% of arterioles constricted by 22% to 33% up to 3 days after hemorrhage (P<0.05 versus sham). The smaller the investigated arterioles, the more pronounced the constriction (r(2)=0.92, P<0.04). Approximately 30% of constricted arterioles were occluded by microthrombi and the frequency of arteriolar microthrombosis correlated with the degree of constriction (r(2)=0.93, P<0.03). The current study demonstrates that SAH induces microarterial constrictions and microthrombosis in vivo. These findings may explain the early CPP-independent decrease in cerebral blood flow after SAH and may therefore serve as novel targets for the treatment of early perfusion deficits after SAH.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Arterioles / physiopathology
  • Cerebral Arteries / physiopathology*
  • Cerebrovascular Circulation / physiology
  • Disease Models, Animal
  • Intracranial Thrombosis / etiology*
  • Intracranial Thrombosis / physiopathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Microcirculation / physiology
  • Microscopy, Fluorescence
  • Microvessels / physiopathology*
  • Pia Mater / blood supply
  • Severity of Illness Index
  • Subarachnoid Hemorrhage / complications*
  • Subarachnoid Hemorrhage / physiopathology
  • Vasoconstriction / physiology*