Wang Jianzhen, Ji Xunming, Ling Feng, Luo Yumin, He Xin, Guo Miao, Li Shenmao, Miao Zhongrong, Zhu Fengshui, Xuan Yun
Cerebrovascular Diseases Research Institute, Xuanwu Hospital [corrected] Capital Medical University, 45 Changchun Street, Beijing, 100053, China.
Brain Res. 2007 Nov 21;1181:118-24. doi: 10.1016/j.brainres.2007.08.070. Epub 2007 Sep 8.
To investigate the characteristics of the thrombus at different time points after thrombosis of the intracranial venous sinus, we have developed a new reversible superior sagittal sinus (SSS) model in rats. In this new model, thrombosis was induced by slow injections of the thrombogenic agent into the SSS using a microcatheter. The success of SSS thrombosis was confirmed by magnetic resonance images (MRI), magnetic resonance venographs (MRV), and electron microscopy. T2-weighted MRI and MRV were performed every week for 4 weeks to investigate the process of SSS occlusion. We also examined thrombus formation and the surrounding tissue pathology, as well as endothelial cell injury following SSS occlusion. SSS occlusion occurred at the beginning of the injection of the partial thromboplastin time reagent, and the occluded SSS reopened at the beginning of the second week. MRI images revealed that T2 signals were detected in the parieto-occipital lobes 24 h after SSS thrombosis and disappeared at the end of week two. During week two, the rate of thrombus organization was evident and increased significantly in week three. Thrombus calcification was detected in week three and increased significantly in week four. Electron microscopy examination showed the damaged endothelial cell detected at week three following SSS thrombosis. All of these findings suggest that this reversible SSS thrombosis model is feasible and reproducible. The occlusion state can be maintained for at least 4 weeks, providing an opportunity to study the mechanisms of SSS thrombosis.
为研究颅内静脉窦血栓形成后不同时间点血栓的特征,我们建立了一种新的大鼠可逆性上矢状窦(SSS)模型。在这个新模型中,通过使用微导管将致血栓剂缓慢注入上矢状窦来诱导血栓形成。通过磁共振成像(MRI)、磁共振静脉造影(MRV)和电子显微镜证实了上矢状窦血栓形成的成功。每周进行一次T2加权MRI和MRV检查,持续4周,以研究上矢状窦闭塞的过程。我们还检查了血栓形成及周围组织病理学,以及上矢状窦闭塞后的内皮细胞损伤情况。在注入部分凝血活酶时间试剂开始时发生上矢状窦闭塞,闭塞的上矢状窦在第二周开始时重新开放。MRI图像显示,上矢状窦血栓形成后24小时在顶枕叶检测到T2信号,并在第二周结束时消失。在第二周,血栓机化率明显,在第三周显著增加。在第三周检测到血栓钙化,并在第四周显著增加。电子显微镜检查显示,上矢状窦血栓形成后第三周检测到内皮细胞受损。所有这些发现表明,这种可逆性上矢状窦血栓形成模型是可行且可重复的。闭塞状态可维持至少4周,为研究上矢状窦血栓形成的机制提供了机会。