Morphological Assessment of Microcirculation


Surface microcirculation

Pial arterial RBC flow

Biomicroscopic observation

Microcinematography

High-speed microcinematography

Television biomicroscopy

Photoelectric method

Pial arterial plasma flow

Fluorescence angiography

Coomassie blue infusion technique

Infrared absorption angiography

Pial arterial blood flow

Laser-Doppler flowmetry

Pial arterial pressure

Micropipet method

Parenchymal microcirculation

Regional hemoglobin content and mean transit time: photoelectric method

Regional hemoglobin oxygen saturation: absorption spectrophotometry

Regional RBC and plasma content: radioisotope technique



In addition, the evaluation of capillary density has been performed in the research for cerebral ischemia. Capillary density can be evaluated through alkaline phosphatase staining method (1), infusion of fluorescent dextran or plasma (2), and Evans blue infusion (3). However, these techniques are explained in section dealing with cerebral ischemia in this book and so they have been skipped in this chapter.



2 Materials




1.

Direct observation of microcirculatory vessel wall as mentioned in Chapters 46, 48, and 49.

 

2.

Observation of microvascular architecture.

(a)

Casting method.



  • Polyester resin (Mercox): kept at room temperature.

    Slightly harmful for inhalation.


  • 20% NaOH: dissolved before use.

    Harmful for contact.

 

(b)

Carbon black injection.



  • Gelatin: powder. dissolved before use.


  • India ink: kept at room temperature.


  • Methyl salicylate: kept at room temperature.


  • Glycerol: kept at room temperature.

 

(c)

Microangiography.



  • Microbarium (micropaque, baroperse, chromopaque, etc.): powder.

    Dissolves before use.


  • Gelatin.

 

 


3 Methods




1.

Direct observation of microcirculatory vessel wall (4, 5).

Out of intraparenchymal vessels, the arteriole can be an object for evaluation, since capillary had better be observed as its density. Evaluation should be done taking the depth from brain surface into account since intraparenchymal microvessels are distributed as shown in Fig. 1.

A194894_1_En_38_Fig1_HTML.gif


Fig. 1.
Distribution of intraparenchymal microvessels.

In light microscopy, paraffin-embedded brain is sliced from the brain surface with the brain surface on the top. The depth from the brain surface is grossly calculated by slice counts and slice thickness (Fig. 2a).
Jul 10, 2016 | Posted by in INTERNAL MEDICINE | Comments Off on Morphological Assessment of Microcirculation

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