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Stroke, Vol 19, 594-597, Copyright © 1988 by American Heart Association

ARTICLES

Autoregulatory capacity and the effect of isovolemic hemodilution on local cerebral blood flow

R von Kummer, J Scharf, T Back, H Reich, HG Machens and B Wildemann
Neurologische Universitatsklinik, Heidelberg, Federal Republic of Germany.

The effect of isovolemic hemodilution with dextran 40 on local cerebral blood flow was measured in eight cats by means of the hydrogen clearance technique. Under normotension the decrease of hematocrit from 35% to 25% causes a sudden increase of up to 30% in local cerebral blood flow. After lowering the mean arterial blood pressure from 140 to 80 mm Hg, hemodilution did not alter cerebral blood flow significantly. From this observation it is concluded that the increase of cerebral blood flow following hemodilution is caused by compensatory vasodilatation and not by reduction of blood viscosity. This could imply that hemodilution cannot improve blood flow in areas of impaired autoregulation.

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