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Circ Shock. 1987;22(4):323-32.

White blood cell plugging and blood flow maldistribution in the capillary network of cat cerebral cortex in acute hemorrhagic hypotension: an intravital microscopic study.

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National Cardiovascular Center Research Institute, Osaka, Japan.


The behavior of white blood cells (WBCs) in the capillary network of the cat brain was studied under normal conditions and during acute hemorrhagic hypotension. A small transilluminated area of the cerebral cortex was observed directly, and blood cells flowing through the capillary network were recorded on cinefilm using a high-speed cinecamera. The cell motion was analyzed on the projection screen using a frame-by-frame method. The time during which a single WBC remained at a capillary branching, ie, stagnant time (ST) was examined in detail. In hemorrhagic hypotension, ST was much longer than that in the normal condition. WBC plugging occurred at capillary branchings, and a nonuniform flow pattern (plasma-WBC-accumulated red blood cells [RBCs]) appeared in perfused capillaries. RBC velocity in capillaries was reduced. The ST level was increased significantly with a decrease in RBC velocity. These findings suggest that acute hemorrhagic hypotension may induce flow maldistribution in cerebral microcirculation.

[Indexed for MEDLINE]

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