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1 Dipartimento di Medicina, Chirurgia e Odontoiatria, Università degli Studi, 20133 Milan; 2 Dipartimento di Bioingegneria, Politecnico di Milano, 20133 Milan; and 3 Dipartimento di Medicina Sperimentale, Ambientale e Biotecnologie Mediche, Università di Milano-Bicocca, 20052 Monza, Italy
To study pulmonary
arteriolar vasomotion in control conditions and in the transition to
hydraulic edema, changes in subpleural pulmonary arteriolar diameter
and perivascular interstitial volume were evaluated in anesthetized
spontaneously breathing rabbits. Images of subpleural pulmonary
microvessels were recorded in control conditions and for up to 180 min
during a 0.5 ml · kg
1 · min
1 intravenous
saline infusion through an intact parietal pleural window. Images were
digitized and analyzed with a semiautomatic procedure to determine
vessel diameter and perivascular interstitial thickness from which
interstitial fluid volume was derived. In control vessels, the diameter
of ~30-, ~50-, and ~80-µm arterioles and the perivascular
interstitial thickness were fairly stable. During infusion, the
diameter increased maximally by 20% in ~30-µm vessels, was
unchanged in ~50-µm vessels, and decreased by 25% in ~80-µm
arterioles; the perivascular interstitial volume increased by 54% only
around 30-µm microvessels. In papaverine-treated rabbits, all
arterioles dilated and a larger increase in perivascular interstitial thickness was observed. The data suggest that the opposite vasomotor behavior of 30- and 80-µm arterioles during development of mild edema
may represent a local specific response of the pulmonary microcirculation to reduce capillary pressure in the face of an increased transendothelial fluid filtration, thus counteracting progression toward severe edema.
pulmonary arteriolar vasomotion; perivascular interstitial volume; mild interstitial edema
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