03 November 2003
The ‘no-reflow’ phenomenon in cerebral circulation
Isaac Julius Asiedu-Gyekye, Akadii VaktorovichMed Sci Monit 2003; 9(11): BR394-397 :: ID: 13278
Abstract
Background:The purpose of our research was to study the pattern of post-ischemic cerebral hemodynamic changes and observe the impact of enalapril on the course of these changes in cats.Material/Methods:The experiments were carried out on anesthetized cats using the autohemoperfusion method in cerebral and peripheral vessels with a stable volume of blood. Transitional peripheral (lower limb) and brain ischemia was simulated by stopping the autohemoperfusion pump for 15 minutes, tying various anastomoses in the neck region, and reducing arterial blood pressure (ABP) to 40–30 mm Hg, followed by reinfusion of the shed blood.Results:Intravenous administration of enalapril solution in a dosage of 0.25 mg·kg–1 in the early phase of reperfusion (10 minutes into the postischaemic period) prevented the development of long-term ‘no-reflow’ of cerebral blood flow, as observed in the controls. There was a 40.8±3.2% reduction of cerebrovascular tone, 39.3±3.1% in peripheral vessels, and 44.7±1.5% lower arterial blood pressure at the end of 120 minutes.Conclusions:Enalapril caused a reduction of cerebrovascular tone, completely eliminating the ‘no-reflow’ syndrome after brain ischemia and somewhat potentiated the hyperperfusion phase. At the same time, the drug did not aggravate the general hypotension observed after ischemia in the controls.
Keywords: Arteriovenous Anastomosis, Brain Ischemia, Cats, Cerebrovascular Circulation, Enalapril - pharmacology, Extremities - pathology, Ischemia
Editorial
01 January 2025 : Editorial
Editorial: The Human Cell Atlas. What Is It and Where Could It Take Us?DOI: 10.12659/MSM.947707
Med Sci Monit 2025; 31:e947707
In Press
Animal Research
Role of the Dorsal Cortex of the Inferior Colliculus in the Precedence EffectMed Sci Monit In Press; DOI: 10.12659/MSM.945605
Laboratory Research
Comparative Evaluation of the Dimensional Accuracy of Silicone-Based Putty Reline Impressions with Differen...Med Sci Monit In Press; DOI: 10.12659/MSM.946537
Clinical Research
Ankle-Brachial Index as a Predictor of Acute Ischemic Cerebrovascular Event After Central Retinal Artery Oc...Med Sci Monit In Press; DOI: 10.12659/MSM.945937
Review article
COL3A1 Gene Polymorphism and Its Impact on Female Pelvic Organ ProlapseMed Sci Monit In Press; DOI: 10.12659/MSM.946367
Most Viewed Current Articles
17 Jan 2024 : Review article 6,962,174
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
16 May 2023 : Clinical Research 699,683
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Mar 2024 : Editorial 22,873
Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and ...DOI :10.12659/MSM.944204
Med Sci Monit 2024; 30:e944204
28 Jan 2024 : Review article 17,628
A Review of IgA Vasculitis (Henoch-Schönlein Purpura) Past, Present, and FutureDOI :10.12659/MSM.943912
Med Sci Monit 2024; 30:e943912