Retrograde cerebral perfusion provides limited distribution of blood to the brain: A study in pigs

J. Ye, L. Yang, M. R. Del Bigio, R. Summers, D. Jackson, R. L. Somorjai, Tomas Salerno, R. Deslauriers

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Objective: The objective of this study was to investigate flow distribution during retrograde and antegrade cerebral perfusion with India ink as a marker. Methods: Ten pigs received cerebral perfusion with a solution containing 50% filtered India ink for 5 minutes either antegradely through both internal carotid arteries at a flow of 180 to 200 ml/min (n = 5) or retrogradely via the superior vena cava at a flow of 300 to 500 ml/min (n = 5). The brains were then fixed for quantitative measurement of the density of ink-filled capillaries (reported as a percentage of the total selected area). The assessment was done with the use of an in-house software program. Results: In the antegrade cerebral perfusion group, the intracranial arterial and venous systems were completely filled with ink. The gray matter was colored uniformly black, and light coloring was observed in the white matter. During retrograde cerebral perfusion, the majority of ink was returned to the inferior vena cava, and only a small amount of ink was found in the innominate artery draining from the brain. Massive ink filling was observed in the sagittal sinus and other venous sinuses in all the pigs. Vessels on the surface of the brain and large vessels in the brain were also well filled with ink. However, only 10% of capillaries were filled with ink during retrograde cerebral perfusion relative to the number observed with antegrade cerebral perfusion. Conclusions: Retrograde cerebral perfusion supplies a limited amount of blood to brain tissue, which flows mainly through superficial and large deep cerebral vessels.

Original languageEnglish
Pages (from-to)660-665
Number of pages6
JournalJournal of Thoracic and Cardiovascular Surgery
Volume114
Issue number4
DOIs
StatePublished - Oct 25 1997
Externally publishedYes

Fingerprint

Ink
Swine
Perfusion
Brain
Brachiocephalic Trunk
Superior Vena Cava
Inferior Vena Cava
Internal Carotid Artery
Software
Light

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Ye, J., Yang, L., Del Bigio, M. R., Summers, R., Jackson, D., Somorjai, R. L., ... Deslauriers, R. (1997). Retrograde cerebral perfusion provides limited distribution of blood to the brain: A study in pigs. Journal of Thoracic and Cardiovascular Surgery, 114(4), 660-665. https://doi.org/10.1016/S0022-5223(97)70057-6

Retrograde cerebral perfusion provides limited distribution of blood to the brain : A study in pigs. / Ye, J.; Yang, L.; Del Bigio, M. R.; Summers, R.; Jackson, D.; Somorjai, R. L.; Salerno, Tomas; Deslauriers, R.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 114, No. 4, 25.10.1997, p. 660-665.

Research output: Contribution to journalArticle

Ye, J. ; Yang, L. ; Del Bigio, M. R. ; Summers, R. ; Jackson, D. ; Somorjai, R. L. ; Salerno, Tomas ; Deslauriers, R. / Retrograde cerebral perfusion provides limited distribution of blood to the brain : A study in pigs. In: Journal of Thoracic and Cardiovascular Surgery. 1997 ; Vol. 114, No. 4. pp. 660-665.
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abstract = "Objective: The objective of this study was to investigate flow distribution during retrograde and antegrade cerebral perfusion with India ink as a marker. Methods: Ten pigs received cerebral perfusion with a solution containing 50{\%} filtered India ink for 5 minutes either antegradely through both internal carotid arteries at a flow of 180 to 200 ml/min (n = 5) or retrogradely via the superior vena cava at a flow of 300 to 500 ml/min (n = 5). The brains were then fixed for quantitative measurement of the density of ink-filled capillaries (reported as a percentage of the total selected area). The assessment was done with the use of an in-house software program. Results: In the antegrade cerebral perfusion group, the intracranial arterial and venous systems were completely filled with ink. The gray matter was colored uniformly black, and light coloring was observed in the white matter. During retrograde cerebral perfusion, the majority of ink was returned to the inferior vena cava, and only a small amount of ink was found in the innominate artery draining from the brain. Massive ink filling was observed in the sagittal sinus and other venous sinuses in all the pigs. Vessels on the surface of the brain and large vessels in the brain were also well filled with ink. However, only 10{\%} of capillaries were filled with ink during retrograde cerebral perfusion relative to the number observed with antegrade cerebral perfusion. Conclusions: Retrograde cerebral perfusion supplies a limited amount of blood to brain tissue, which flows mainly through superficial and large deep cerebral vessels.",
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