Abstract

The collateral circulation is crucial for the pathophysiology and outcome of acute cortical ischemia. Current understanding of collateral circulation still remains sparse, largely due to prior limitations of spatial or/and temporal resolution in methods to evaluate these diminutive redistributive routes of cerebral blood flow (CBF) especially in leptomeningeal anastomoses that connected cortical arteries. In the study, based on a mini-stroke model, laser speckle imaging with high spatiotemporal resolution was used to assess the dynamic evolution of the collateral circulation around a mini-ischemia in the rat cortex. We found that the blood flow and diameter in the intra-arterial anastomoses were enhanced immediately after the ligation of one branch of middle cerebral artery and recovered to baseline level as arterial recirculation was performed. Whereas the communicative flow-through of the posterior cerebral artery and the middle cerebral artery anastomoses was not significant enough to be determined. This is the evidence that intra-arterial anastomoses were the primary routes to restore blood flow into the ischemic territory during the acute phase of ischemia, and laser speckle imaging method was proven as a powerful tool to be potential for subserving further investigation of the collateral circulation.

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