Venous occlusion seems to be a potent stimulus to provoke an enhancement of fibrinolytic activity in plasma and in venous endothelium, 2,3,4,5,6,7 In addition Ogston et a1.8 reported on a significantly increased plasminogen activator of the venous blood compared with the arterial blood. Therefore we tried to elucidate the role of tissue activator of the arterial wall in experimental arterial occlusion.
METHODSFive adult full grown rabbits weighing 2.5 to 3.5 kg were used. The proximal part of the arteria femoralis was prepared and ligated for two hours. Immediately proximal and distal of the ligature a piece of 5 mm length was taken. Controls were taken from the contralateral artery. The fibrinolytic activity was assayed by the histochemical method of Todd9 as modified by Pandolfi.l° Rabbit-fibrinogen was prepared by the method of Astrup and Mullertz.ll
RESULTSThe endothelium of the unligated arteries was found to be completely inactive. The pieces of arteries taken immediately distal of the ligature showed a high endothelial lysis (see Fig. 1). Proximal of the ligature 1 rabbit showed one single microscopical pin-hole only, another one a complete endothelial lysis, whereas the endothelium of three other rabbits was completely inactive (see Table 1). The fibrinolytic activity of the adventitia was located around the vasa vasorum and did not differ significantly in all three groups.
DISCUSSIONIn rabbits aorta Astrup and Buluk 12 found no fibrinolytic activity using the KSCN-extraction method. Whereas Warren 13 showed endothelial lysis in frozen &dquo;hdutchen&dquo; preparations using Todd's histochemical method.9 These results may support the theory that mechanical lesions of endothelial cells cause a release of plasminogen activator from the endothelium. Springate et a1.14 injected a suspension of clot emboli into the ear vein of rabbits, and found that approximately 90% of clot-emboli disappear from the pulmonary arterial vasculature within the first four hours. Barnardls injected fibrin-clots into earveins of rabbits and drew blood after V2, 1, 2, 6, and 24 hours. No fibrinolytic activity in rabbit's blood was found. These experiments 14,1' indicate that the From the department of Internal Medicine (Prof. Dr. H. Braunsteiner) and from the department of Surgery (Prof.