Key result
Onset of pulsatile pressure increased experimental filtration volumes in rabbit carotid arteries compared with steady pressure at 60- and 80-mmHg baseline pressures.
Why the study?
Does pulsatile pressure increase fluid filtration through artery walls compared to steady pressure in rabbit carotid arteries?
Does pulsatile pressure increase fluid filtration through artery walls compared to steady pressure in rabbit carotid arteries?
The sudden onset of pulsatile pressure transiently increases fluid filtration through artery walls compared to steady pressure, suggesting changes in arterial interstitial hydration.
Answers are grounded in this paper and cite their sources.
Pulsatile pressure may increase arterial filtration in this rabbit model; leaves open relevance to human vascular interstitial dynamics.
Convective fluid motion through artery walls aids in the transvascular transport of macromolecules. Although many measurements of convective filtration have been reported, they were all obtained under constant transmural pressure. However, arterial pressure in vivo is pulsatile. Therefore, experiments were designed to compare filtration under steady and pulsatile pressure conditions. Rabbit carotid arteries were cannulated and excised from male New Zealand White rabbits anesthetized with pentobarbitol sodium (30 mg/kg i.v. administered). Hydraulic conductance was measured in cannulated excised rabbit carotid arteries at steady pressure. Next, pulsatile pressure trains were applied within the same vessels, and, simultaneously, arterial distension was monitored using Optical coherence tomography (OCT). For each pulse train, the volume of fluid lost through filtration was measured (subtracting volume change due to residual distension) and compared with that predicted from steady pressure measurements. At 60- and 80-mmHg baseline pressures, the experimental filtration volumes were significantly increased compared with those predicted for steady pressure (P < 0.05). OCT demonstrated that the excess fluid volume loss was significantly greater than the volume that would be lost through residual distension (P < 0.05). After 30 s, the magnitude of the excess of fluid loss was reduced. These results suggest that sudden onset of pulsatile pressure may cause changes in arterial interstitial hydration.
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Alberding et al. (2004) studied this question. Pulsatile pressure vs. Steady pressure was evaluated on Volume of fluid lost through filtration (p=<0.05). Onset of pulsatile pressure increased experimental filtration volumes in rabbit carotid arteries compared with steady pressure at 60- and 80-mmHg baseline pressures.
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