Acta Med. 2004, 47: 7-12

Effect of Nimodipine on Histological Alterations in Basilar Artery Following the Bilateral Common Carotid Artery Ligation (Preliminary Study)

Ümit Özkana, Mehmet Dumlu Aydinb, Mustafa Serdar Kemaloglua, Fahri Yilmazc, Ismail Hakkı Aydind

aDicle University, School of Medicine, Department of Neurosurgery, Diyarbakır, Turkey
bSSK Hospital, Clinic of Neurosurgery, Erzurum, Turkey
cDicle University, School of Medicine, Department of Pathology, Diyarbakır, Turkey
dAtatürk University, School of Medicine, Department of Neurosurgery, Erzurum, Turkey

Received July 1, 2003
Accepted November 1, 2003

Background: The blood supply to tissues is reduced as a result of arterial occlusions. Angiogenesis, collateral circulation and reverse flow mechanisms go into operation to restore a continued adequate supply of blood. Ca++ channels undertake the major part of this function. As a result of the increasing tension on the arterial walls, vascular autonomy is affected, and ischemia and even necrosis are observed. Method: Adult 100 male hybrid rabbits were used in this study. The bilateral carotid arteries were ligated at the carotid bifurcation. The rabbits were divided into 2 main groups: treatment and control, and then both groups were further divided into 5 subgroups consisting of 10 rabbits each. The rabbits were sacrificed between the first day and the end of 8 weeks for histopathological examination of the basilar artery in two groups. Results: In control groups, after 24 hours of the occlusion partial swelling and minor endothelial damage were observed in histopathological sections of the basilar artery. Luminal flattening started to decrease, and expanding of the diameter continued. The increase in the diameters of the basilar artery was higher in animals treated by nimodipine, and that difference was statistically significant (P=0,000). Conclusion: This study revealed that the intimal and medial alterations arising from the increased blood flow rate in the basilar artery might be lessened and even partially prevented by the use of nimodipine.


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