SUMMARY In lightly anesthetized cats, the left middle cerebral artery was occluded using a transorbital approach. Pial arterial pressure was measured with a feedback-controlled micropressure recording system in the territory of the occluded artery, and compared with changes of cortical blood flow, cortical steady potential and cortical EEG activity. After middle cerebral artery occlusion pial artery pressure fell from 56.2 ± 1.6 to 7.8 ± 0.4 mm Hg; during the following two hours it again slowly rose to about 15 mm Hg. Cortical heat conductance, as a measure of blood flow, decreased from 15.1 ± 0.2 to 11.9 ± 0.2 x 10~4cal x cm -1 X sec -1 x °C -1 , and remained at this level throughout the observation period. Cortical steady potential shifted by 9.1 ± 0.7 mV towards negativity, and EEG amplitude was reduced by about 50%. Pial arterial pressure correlated with blood flow, cortical steady potential and EEG amplitude, but not with EEG frequency. Autoregulation and C0 2 reactivity of blood flow were disturbed after middle cerebral artery occlusion. Calculation of extra-and intracortical vascular resistances revealed that this disturbance was entirely due to intracortical vasoparalysis whereas the collateral vessels supplying the ischemic territory continued to react to both pressure and C0 2 changes. Maintained vascular reactivity of collateral vessels, therefore, is a decisive factor for the efficiency of therapeutic blood flow improvement after acute middle cerebral artery occlusion.
Stroke Vol 14, No 5, 1983ACUTE OCCLUSION OF A MAJOR SUPPLYING ARTERY of the brain results in regional cerebral isch emia, the size and density of which differs consider ably from animal to animal. Following transorbital ligation of the middle cerebral artery in cats, blood flow in the center of the supplying territory of this artery varied between 2 and 50 ml/lOOg/min, and the size of the resulting infarcts between 18 and 62% of the volume of the affected hemisphere.1 Factors responsi ble for this variability are differences in blood pres sure, intracranial pressure, blood viscosity, vascular resistance of the collaterals, and presumably also the resistance of vessels within the ischemic territory. It is obvious that the main denominator for the degree of ischemia is the local blood perfusion pressure in the territory of the occluded vessel. Measurement of this parameter, in consequence, is of great interest, not only for determination of threshold values for the per fusion of an ischemic region but also for determination of vascular resistance distally to the vascular occlu sion.In the present series of experiments cortical blood perfusion pressure was monitored continuously in the territory of the middle cerebral artery of cat brain by measuring pial arterial blood pressure with a feedback controlled micropressure recording system.2 After oc clusion of this artery, the changes observed were com pared with various physiological, hemodynamic and biochemical parameters in order to obtain a detailed picture of the role of local cortical ...