Effect of hematocrit variations on cerebral blood flow and basilar artery diameter in vivo.
Despite observations that pial arterioles constrict with decreased blood viscosity or hemodilution, several investigators have found an inverse relationship between cerebral blood flow (CBF) and hematocrit (Hct) under physiological conditions. To investigate whether this is due to a dilation of the more proximal large cerebral arteries, in vivo responses of CBF and basilar artery to hemodilution and hemoconcentration were studied in 21 anesthetized normal cats, using a closed clival window model. An inverse correlation between Hct and CBF was found, but CBF responses were smaller than previously reported data suggest. Varying Hct between 60 and 120% of baseline caused CBF to vary between 140 and 90%, approximately. Moderate hemodilution was associated with a significant decrease (-4.4%) in basilar artery diameter (P less than 0.05), but other Hct manipulations had no consistent effect on basilar artery diameter. It is concluded that dilation of large cerebral arteries cannot account for the decreased cerebrovascular resistance following hemodilution but that a disproportionate reduction of in vivo viscosity must be responsible. Pial arteriolar constriction after hemodilution therefore probably reflects a normal autoregulatory adjustment of vasomotor tone to altered blood rheology, whereas changes in large artery caliber may serve to modulate microvascular pressure.
Muizelaar
J P
JP
Division of Neurosurgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298.
Bouma
G J
GJ
Levasseur
J E
JE
Kontos
H A
HA
D000818:Animals; D001488:Basilar Artery / Q000502:physiology*; D002415:Cats; D002560:Cerebrovascular Circulation / Q000502:physiology*; D005260:Female; D006400:Hematocrit; D008297:Male; D014664:Vasodilation / Q000502:physiology*