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Vascular lesions and s-thrombomodulin concentrations from auricular arteries of rabbits infused with microbubble contrast agent and exposed to pulsed ultrasound.

Abstract
Arterial injury resulting from the interaction of contrast agent (CA) with ultrasound (US) was studied in rabbit auricular arteries and assessed by histopathologic evaluation and s-thrombomodulin concentrations. Three sites on each artery were exposed (2.8 MHz, 5-min exposure duration, 10-Hz pulse repetition frequency, 1.4-mus pulse duration) using one of three in situ peak rarefactional pressures (0.85, 3.9 or 9.5 MPa). Saline, saline/CA, and saline/US infusion groups (n = 28) did not have histopathologic damage. The saline/CA/US infusion group (n = 10) at exposure conditions below the FDA mechanical index limit of 1.9 did not have histopathologic damage, whereas the saline/CA/US infusion group (n = 9) at exposure conditions above the FDA limit did have damage (5 of 9 arteries). Lesions were characteristic of acute coagulative necrosis. Mean s-thrombomodulin concentrations, a marker for endothelial cell injury, were highest in rabbits exposed to US at 0.85 and 3.9 MPa, suggesting that vascular injury may be physiological and not accompanied by irreversible cellular injury.
AuthorsJames F Zachary, James P Blue, Rita J Miller, William D O'Brien Jr
JournalUltrasound in medicine & biology (Ultrasound Med Biol) Vol. 32 Issue 11 Pg. 1781-91 (Nov 2006) ISSN: 0301-5629 [Print] England
PMID17112964 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • Albumins
  • Contrast Media
  • FS 069
  • Fluorocarbons
  • Thrombomodulin
Topics
  • Albumins (toxicity)
  • Animals
  • Arteries (injuries, metabolism, pathology)
  • Contrast Media (toxicity)
  • Disease Models, Animal
  • Ear, External (blood supply)
  • Endothelium, Vascular (injuries, metabolism, pathology)
  • Enzyme-Linked Immunosorbent Assay (methods)
  • Fluorocarbons (toxicity)
  • Microbubbles (adverse effects)
  • Microspheres
  • Rabbits
  • Thrombomodulin (metabolism)
  • Ultrasonography (adverse effects)

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