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Am J Physiol Heart Circ Physiol 279: H1796-H1803, 2000;
0363-6135/00 $5.00
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Vol. 279, Issue 4, H1796-H1803, October 2000

Methods for assessing hepatic distending pressure and changes in hepatic capacitance in pigs

Harald Kjekshus1, Cecilie Risoe2, Tim Scholz1, and Otto A. Smiseth1

1 Institute for Surgical Research, The National Hospital, University of Oslo, N-0027, and 2 Department of Cardiology, Ullevaal Hospital, 0407 Oslo, Norway

The equilibrium pressure obtained during simultaneous occlusion of hepatic vascular inflow and outflow was taken as the reference estimate of hepatic vascular distending pressure (Phd). Phd at baseline was 1.1 ± 0.2 (mean ± SE) mmHg higher than hepatic vein pressure (Phv) and 0.7 ± 0.3 mmHg lower than portal vein pressure (Ppv). Norepinephrine (NE) infusion increased Phd by 1.5 ± 0.5 mmHg and Ppv by 3.7 ± 0.6 mmHg but did not significantly increase Phv. Hepatic lobar vein pressure (Phlv) measured by a micromanometer tipped 2-Fr catheter closely resembled Phd both at baseline and during NE-infusion. Dynamic pressure-volume (PV) curves were constructed from continuous measurements of Phv and hepatic blood volume increases (estimated by sonomicrometry) during brief occlusions of hepatic vascular outflow and compared with static PV curves constructed from Phd determinations at five different hepatic volumes. Estimates of hepatic vascular compliance and changes in unstressed blood volume from the two methods were in close agreement with hepatic compliance averaging 32 ± 2 ml · mmHg-1 · kg liver-1. NE infusion reduced unstressed blood volume by 110 ± 38 ml/kg liver but did not alter compliance. In conclusion, Phlv reflects hepatic distending pressure, and the construction of dynamic PV curves is a fast and valid method for assessing hepatic compliance and changes in unstressed blood volume.

regional circulation; compliance; unstressed blood volume; resistance; norepinephrine





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