Validity of fluorescent microspheres method for bone blood flow measurement during intentional arterial hypotension

1 Department of Orthopaedics, 2 Institute for Surgical Research, and 3 Institute for Clinical Chemistry, Klinikum Grosshadern, Ludwig-Maximilians University, 81377 Munich, Germany Submitted 22 March 2003 ; accepted in final form 21 April 2003 In this study, we compared bone blood flow values obtained by simultaneously injected fluorescent (FM) and radiolabeled microspheres (RM) at stepwise reduced arterial blood pressure. Ten anesthetized female New Zealand White rabbits received simultaneous left ventricular injections of FM and RM at 90, 70, and 50 mmHg mean arterial blood pressure (MAP). After the experiments, both kidneys and long bones of all four limbs were removed and dissected in a standardized manner. Radioactivity (corrected for decay, background, and spillover) and fluorescence were determined, and blood flow values were calculated. Relative blood flow values estimated for each bone sample by RM and FM were significantly correlated ( r = 0.98, slope = 0.99, and intercept = 0.04 for 90 mmHg; r = 0.98, slope = 0.94, and intercept = 0.09 for 70 mmHg; r = 0.98, slope = 0.96, and intercept = 0.07 for 50 mmHg). Blood flow values (ml · min - 1 · 100 g - 1 ) of right and left bone samples determined at the different arterial blood pressures were identical. During moderate hypotension (70 mmHg MAP), blood flow in all bone samples remained unchanged compared with 90 mmHg MAP, whereas a significant decrease of bone blood flow was observed at severe hypotension (50 mmHg MAP). Our results demonstrate that the FM technique is valid for measuring bone blood flow. Differences in bone blood flow during altered hemodynamic conditions can be detected reliably. In addition, changes in bone blood flow during hypotension indicate that vasomotor control mechanisms, as well as cardiac output, play a role in setting bone blood flow. radioactive microspheres; animal study Address for reprint requests and other correspondence: H. Anetzberger, Dept. of Orthopaedics, Marchioninistr. 15, 81377 Munich, Germany (E-mail: Hermann.Anetzberger{at}helios.med.unimuenchen.de ).