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Proceedings Paper

In Vivo Measurements Of Coronary Blood Volumi By Dye And Inert Gas Dilution Technic
Author(s): A. Hoeft; H. Korb; H. G. Wolpers
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Paper Abstract

The application of a double fiberoptic device for measurements of arterial and coronary venous dye dilution curves facilitates the determination of coronary mean transit times even under clinical conditions. Since the dye, indocyanine green, is an intravascular tracer, the calculation of tissue blood flow would be possible if the intracoronary blood volume per unit of muscular weight is known. This study was therefore designed to investigate the physiologic range and the influence of coronary vasodilation and different hemodynamic conditions on the amount of myocardial blood volume. All experiments were carried out on anaesthetized close chest mongrel dogs in heart catheterization technic. Myocardial preload, afterload and inotropism and coronary vascular tone were varied by induction of hypo-, normo- and hypervolemia as well as by intravenous application of catecholamines, 13-blocking agents and vasodilating drugs. The determination of coronary blood volume was based on arterial and coronary venous kinetics of the intravascular tracer indocyanine green and the freely diffusible tracers helium and argon. Simultaneous measurements of the dye and the inert gases were obtained by a double fiberoptic system and a twin mass spectrometer, respectively. The intravascular and the tissue mean transit times as well as the coronary blood volume per unit of tissue weight were computed from the impulse response functions obtained by numerical deconvolution of the arterial and coronary venous indicator dilution curves. In contrast to reports of other authors coronary blood volume did not increase to a major extend during coronary vasodilation or elevated afterload. These new results suggest that the variation of coronary blood volume described in the literature is mainly due to methodological errors resulting from monoexponential extrapolation and distortion of the dye signal by the sampling catheter. These systematic errors, which, in particular, lead to an overestimation of coronary blood volume during high values of coronary flow are avoided by the described fiberoptic device and the deconvolution technic.

Paper Details

Date Published: 24 October 1984
PDF: 4 pages
Proc. SPIE 0494, Novel Optical Fiber Techniques for Medical Applications, (24 October 1984); doi: 10.1117/12.943904
Show Author Affiliations
A. Hoeft, Universitt Gottingen (W-Germany)
H. Korb, Universitt Gottingen (W-Germany)
H. G. Wolpers, Universitt Gottingen (W-Germany)

Published in SPIE Proceedings Vol. 0494:
Novel Optical Fiber Techniques for Medical Applications
Abraham Katzir, Editor(s)

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