Several types of experimental techniques have been developed for the evaluation of renal microcirculation. Although each methodology possesses excellent and unique characteristics, it requires substantial artificial manipulation that might alter the renal microvascular responsiveness. To circumvent such limitation of previous ex vivo or in vitro approaches to glomerular microcirculation, we have developed a pencil lens-probe charge-coupled device (CCD) intravital videomicroscopic system which allows us to evaluate both systemic hemodynamics and renal microcirculation. Furthermore, real-time images of afferent and efferent arterioles as well as glomeruli can be continuously assessed, which would facilitate the functional characterization of these microvessels in vivo. Finally, the tapered nature of the CCD probe of this videomicroscopy may allow direct observation of the renal microvasculature in small animals (e.g., rats and mice). In conclusion, this novel technique is a valuable tool for unveiling the in vivo, in situ and intact renal microvascular behavior, and may provide further approaches to the understanding of renal microcirculation.

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Direct measurement of nitric oxide during experimental cardiopulmonary bypass.

We developed a system to measure nitric oxide (NO) concentration during cardiopulmonary bypass in anaesthetized pigs (n = 6). A T-shaped connector, attached to an NO sensor, was mounted in the extracorporeal circuit at two measuring sites: proximal to the membrane oxygenator (venous side) and distal to the arterial line filter (arterial side). After performing a preliminary validation study, we measured plasma NO concentration before and during total cardiopulmonary bypass circulation (non-pulsatile flow 1.5 l/min) and without pulmonary ventilation. After establishing bypass, PaO2 was 318 - 393 mmHg; when PaO2 was decreased to 80 - 100 mmHg, plasma NO concentration in the arterial circuit fell by 39.2 +/- 15.6 nM. There was no observable change in plasma NO concentration at the venous circuit. This new system could be useful in monitoring NO concentration during cardiac surgery with cardiopulmonary bypass, and for understanding the possible pathophysiological roles of hyper-nitric oxaemia in cardiopulmonary bypass-related cardiovascular complications.

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PubMedDate not supplied

Characteristics of coronary artery inflow and its significance in coronary pathophysiology.

To obtain insights into transmural myocardial perfusion during coronary artery stenosis, we evaluated the characteristics of septal arterial blood flow velocity using a 20 MHz multichannel pulsed Doppler velocimeter. Septal arterial blood flow velocity was characterized by the presence of a retrograde blood velocity component. Thus, a substantial amount of blood that entered the myocardium during diastole flows backward to the proximal coronary arteries. This is evidence of the coronary slosh phenomenon. With coronary artery stenosis, the systolic retrograde flow was enhanced, and was augmented further by coronary vasodilation. Since the component of blood moving backward in systole does not contribute to the perfusion of the myocardial bed, an augmented coronary slosh phenomenon plays an important role in disturbing myocardial inflow in addition to the stenotic impeding effects on diastolic flow.

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PubMedDate not supplied

Fibre optic laser Doppler measurement of intravascular velocity.

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