Background and Purpose Although it is often assumed in experimental st
roke studies that cautery-induced occlusion is permanent, surgeons com
monly expect cauterized vessels to recanalize spontaneously. We used t
he rat middle cerebral artery to determine if electrocoagulation would
produce a permanent occlusion in this preparation. Methods and Result
s A standard bipolar coagulator, calibrated to determine actual power
output, was adjusted to induce platelet aggregation in the middle cere
bral artery of anesthetized Sprague-Dawley rats without inducing bleed
ing through the arterial wall. A reliable temporary thrombosis was ind
uced by a Malls Bipolar Coagulator set to deliver 10 bursts of 1.5 sec
onds each at a rate of 24 min(-1) and a power setting of 3 W. This thr
ombus was responsive to the antithrombotic agent flunarizine. An appar
ently permanent occlusion was produced by 30 bursts at 3 W followed by
20 bursts at 5 W. To our surprise, seven of seven such occlusions rec
analized spontaneously within 4 hours. Conclusions The electrocoagulat
ion process commonly used in experimental stroke studies may produce o
nly a temporary occlusion of the rat middle cerebral artery.