The effect of pentoxifylline on cerebral vasospasm following experimental subarachnoid hemorrhage

Abstract

Objects

Cerebral vasospasm is an important event that occurs following subarachnoid hemorage which has significant mortality and morbidity. The goal in this study was to investigate the effect of pentoxifylline on vasospasm in an experimental subarachnoid hemorrhage model.

Methods

In this study, 20 male New Zeland White rabbits weighing 3000–3500 g were assigned randomly to four groups. Animals in group 1 served as controls. Animals in group two received only intravenous pentoxifylline injection 3 times in 12 h intervals. In group 3, SAH was induced and no injection was given. Animals in group 4 received intravenous pentoxifylline (6 mg/kg) injections 3 times at 12^th, 24^th and 36^th hours after subarachnoid hemorrhage induction. All animals were sacrificed and basilar arteries were removed at 48th hour. Basilar artery vessel diameters, wall thicknesses and luminal section areas were measured with Spot for Windows version 4.1. Statistical analysis was performed using ANOVA and Kruskall–Wallis tests.

Results

Mean basilar artery luminal section areas and luminal diameters in group 4 were significantly higher compared to group 3 (p < 0.05). Basilar artery wall thicknesses and were found to be higher in group 3 than in other groups and this was also statistically significant (p < 0.05).

Conclusion

Our study demonstrated that intravenous administration of pentoxifylline significantly decreases vasospasm after subarachnoid hemorrhage.

Keywords:

• pentoxifylline
• subarachnoid hemorrhage
• cerebral vasospasm
• basilar artery

Acknowledgements

This study has been presented as an oral presentation at Turkish Nueosurgical Society 33th Scientific Congress, April 11-14, 2019, Antalya, Turkey.

Disclosure statement

No potential conflict of interest was reported by the author(s).