Arterial microsphere concentrations in cats are not affected by changes in hematocrit

Douglas Dewitt, Donald Prough, Dwight D. Deal, Helena M. Hoen

Research output: Contribution to journalArticle

Abstract

Background and Purpose: Acute anemia may lead to erroneously low arterial reference sample concentrations of radioactive microspheres, depending on the sampling rate and the size of the artery from which the reference samples are withdrawn. Because this error would lead to falsely high cerebral blood flow values in studies involving hemodilution caused by hemorrhage and fluid resuscitation, we studied the effects of hematocrit, withdrawal rate, and vessel location and size on arterial microsphere concentrations in anesthetized adult cats. Methods: Cats were anesthetized with ketamine, isoflurane, and nitrous oxide; both brachial arteries were cannulated with polyethylene tubing, as was the abdominal aorta through the femoral artery. Sequential left atrial microsphere injections were made using several doses of each of five isotopes. The rate of reference sample withdrawal from the three sampling catheters was randomized to 1.03 mL · min-1 or 2.06 mL · min-1. We analyzed the ratio of the number of microspheres in paired reference samples using the factors hematocrit, rate of withdrawal, and site. A ratio less than 1 indicates an underestimation of arterial microsphere concentration, which would lead to erroneously high cerebral blood flow values. The procedure was repeated after isovolemic hemodilution with 10% hetastarch to hemoglobin levels approximating 85%, 70%, 55%, and 40% of baseline. Results: No significant effects of hematocrit on ratios of microsphere concentrations existed at any withdrawal rate or site. Ratios of microsphere concentrations in reference samples withdrawn slowly (1.03 mL · min-1) from the aorta and ratios of microsphere concentrations withdrawn either rapidly (2.06 mL · min-1) or slowly from the brachial arteries were significantly (P<.001) less than 1. Conclusions: Hemodilution did not affect microsphere concentrations in arterial reference samples at any withdrawal site or rate and therefore does not affect the accuracy of microsphere blood flow determinations. However, slow withdrawal from a large vessel may underestimate actual microsphere concentrations.

Original languageEnglish (US)
Pages (from-to)1842-1846
Number of pages5
JournalStroke
Volume25
Issue number9
StatePublished - Sep 1994

Fingerprint

Microspheres
Hematocrit
Cats
Hemodilution
Cerebrovascular Circulation
Brachial Artery
Hydroxyethyl Starch Derivatives
Isoflurane
Abdominal Aorta
Nitrous Oxide
Ketamine
Polyethylene
Femoral Artery
Resuscitation
Isotopes
Aorta
Anemia
Hemoglobins
Catheters
Arteries

Keywords

  • cats
  • cerebral blood flow
  • hemodilution
  • hemorrhage
  • resuscitation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)

Cite this

Arterial microsphere concentrations in cats are not affected by changes in hematocrit. / Dewitt, Douglas; Prough, Donald; Deal, Dwight D.; Hoen, Helena M.

In: Stroke, Vol. 25, No. 9, 09.1994, p. 1842-1846.

Research output: Contribution to journalArticle

Dewitt, Douglas ; Prough, Donald ; Deal, Dwight D. ; Hoen, Helena M. / Arterial microsphere concentrations in cats are not affected by changes in hematocrit. In: Stroke. 1994 ; Vol. 25, No. 9. pp. 1842-1846.
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abstract = "Background and Purpose: Acute anemia may lead to erroneously low arterial reference sample concentrations of radioactive microspheres, depending on the sampling rate and the size of the artery from which the reference samples are withdrawn. Because this error would lead to falsely high cerebral blood flow values in studies involving hemodilution caused by hemorrhage and fluid resuscitation, we studied the effects of hematocrit, withdrawal rate, and vessel location and size on arterial microsphere concentrations in anesthetized adult cats. Methods: Cats were anesthetized with ketamine, isoflurane, and nitrous oxide; both brachial arteries were cannulated with polyethylene tubing, as was the abdominal aorta through the femoral artery. Sequential left atrial microsphere injections were made using several doses of each of five isotopes. The rate of reference sample withdrawal from the three sampling catheters was randomized to 1.03 mL · min-1 or 2.06 mL · min-1. We analyzed the ratio of the number of microspheres in paired reference samples using the factors hematocrit, rate of withdrawal, and site. A ratio less than 1 indicates an underestimation of arterial microsphere concentration, which would lead to erroneously high cerebral blood flow values. The procedure was repeated after isovolemic hemodilution with 10{\%} hetastarch to hemoglobin levels approximating 85{\%}, 70{\%}, 55{\%}, and 40{\%} of baseline. Results: No significant effects of hematocrit on ratios of microsphere concentrations existed at any withdrawal rate or site. Ratios of microsphere concentrations in reference samples withdrawn slowly (1.03 mL · min-1) from the aorta and ratios of microsphere concentrations withdrawn either rapidly (2.06 mL · min-1) or slowly from the brachial arteries were significantly (P<.001) less than 1. Conclusions: Hemodilution did not affect microsphere concentrations in arterial reference samples at any withdrawal site or rate and therefore does not affect the accuracy of microsphere blood flow determinations. However, slow withdrawal from a large vessel may underestimate actual microsphere concentrations.",
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AB - Background and Purpose: Acute anemia may lead to erroneously low arterial reference sample concentrations of radioactive microspheres, depending on the sampling rate and the size of the artery from which the reference samples are withdrawn. Because this error would lead to falsely high cerebral blood flow values in studies involving hemodilution caused by hemorrhage and fluid resuscitation, we studied the effects of hematocrit, withdrawal rate, and vessel location and size on arterial microsphere concentrations in anesthetized adult cats. Methods: Cats were anesthetized with ketamine, isoflurane, and nitrous oxide; both brachial arteries were cannulated with polyethylene tubing, as was the abdominal aorta through the femoral artery. Sequential left atrial microsphere injections were made using several doses of each of five isotopes. The rate of reference sample withdrawal from the three sampling catheters was randomized to 1.03 mL · min-1 or 2.06 mL · min-1. We analyzed the ratio of the number of microspheres in paired reference samples using the factors hematocrit, rate of withdrawal, and site. A ratio less than 1 indicates an underestimation of arterial microsphere concentration, which would lead to erroneously high cerebral blood flow values. The procedure was repeated after isovolemic hemodilution with 10% hetastarch to hemoglobin levels approximating 85%, 70%, 55%, and 40% of baseline. Results: No significant effects of hematocrit on ratios of microsphere concentrations existed at any withdrawal rate or site. Ratios of microsphere concentrations in reference samples withdrawn slowly (1.03 mL · min-1) from the aorta and ratios of microsphere concentrations withdrawn either rapidly (2.06 mL · min-1) or slowly from the brachial arteries were significantly (P<.001) less than 1. Conclusions: Hemodilution did not affect microsphere concentrations in arterial reference samples at any withdrawal site or rate and therefore does not affect the accuracy of microsphere blood flow determinations. However, slow withdrawal from a large vessel may underestimate actual microsphere concentrations.

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KW - hemorrhage

KW - resuscitation

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