Background and Purpose-To determine whether the hemodynamic response to functional stimulation is sensitive to proximal arterial occlusion, we measured the activation flow coupling response in a rat model of acute reversible vascular occlusion. Methods-In ␣-chloralose-anesthetized rats (nϭ18), laser Doppler measurements were made through a thinned skull over the somatosensory cortex in response to electrical forepaw stimulation. Signal-averaged responses to 4 and 8 seconds of electrical forepaw stimulation were obtained before, during, and shortly after acute unilateral or bilateral carotid occlusion produced with the use of a surgically placed snare. Results-Baseline cerebral blood flow was significantly decreased over the forepaw region of the somatosensory cortex after both occlusion of the carotid contralateral to the stimulated forepaw and bilateral occlusion compared with preocclusion (PϽ0.05). Postocclusion and ipsilateral occlusion led to a nonsignificant increase in baseline cerebral blood flow compared with preocclusion. Contralateral carotid occlusion and bilateral occlusion significantly prolonged the temporal characteristics of the flow response, especially the delay to peak (PϽ0.05), compared with preocclusion, whereas ipsilateral carotid occlusion significantly shortened the delay to peak (PϽ0.05). Only contralateral carotid occlusion produced a significant reduction in the peak amplitude of the flow response compared with preocclusion (PϽ0.05). Key Words: carotid artery occlusion Ⅲ cerebral blood flow Ⅲ cerebrovascular circulation Ⅲ rats A ctivation flow coupling (AFC), which is the coupling of cerebral blood flow (CBF) with neuronal activity, is the basis for many functional neuroimaging techniques. A variety of techniques, including optical imaging, 1,2 near-infrared spectroscopy, 3 video microscopy, 4,5 and laser Doppler (LD) flowmetry, 6 -11 have been used to determine the spatial and temporal characteristics of the AFC response in animal models under normal conditions. However, the influence of pathophysiological alterations on AFC remains poorly understood.
Conclusions-ThesePrevious studies that have examined the effects of proximal carotid occlusion on resting CBF have demonstrated that acute carotid occlusion leads to a decrease in blood flow in the hemisphere of the occluded side. 12,13 However, with chronic occlusion, baseline flow returns to preoccluded values within a few days. 12 Two studies investigated the effects of transient severe global ischemia (4-vessel occlusion) and reperfusion on the AFC response. Dietrich et al 14 reported that functional activation due to whisker stimulation in the rat was reduced for up to 5 days after 4-vessel occlusion, whereas Ueki et al 15 demonstrated that 30 minutes after
See Editorial Comment, page 960severe forebrain ischemia, the functional activation response was almost completely suppressed, although evoked potentials were present. No studies in animals have investigated the AFC response during mild ischemia induced by acute unilateral or bi...