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Am J Physiol Heart Circ Physiol 289: H258-H262, 2005. First published February 25, 2005; doi:10.1152/ajpheart.01021.2004
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Radionuclide plethysmography for noninvasive evaluation of peripheral arterial blood flow

François Harel, Jocelyn Dupuis, Ahmed Benelfassi, Nathalie Ruel, and Jean Grégoire

Montreal Heart Institute, Montreal, Quebec, Canada

Submitted 6 October 2004 ; accepted in final form 23 February 2005

We validated a noninvasive radionuclide plethysmography technique to evaluate peripheral arterial blood flow during reactive hyperemia. This method, based on the measurement of blood volume variations during repetitive venous occlusions, was compared with strain-gauge venous impedance plethysmography. The technique uses 99mTc-labeled autologous red blood cells scintigraphy to determine the rate of change of forearm scintigraphic counts during venous occlusion. Thirteen subjects were simultaneously evaluated with radionuclide and impedance plethysmography. Six baseline flow measurements were performed to evaluate the reproducibility of each method. Twenty-seven serial measurements were then made to evaluate flow variation during forearm reactive hyperemia. After 30 min of recovery, resting forearm blood flows were again evaluated. Impedance and radionuclide methods showed excellent reproducibility with intraclass correlation coefficients of 0.96 and 0.93, respectively. There was also good correlation of flows between both methods during reactive hyperemia (r = 0.87). Resting flows at 30 min after reactive hyperemia were slightly lower than at baseline with both methods. We conclude that radionuclide plethysmography could be used for the noninvasive evaluation of forearm blood flow and its dynamic variations during reactive hyperemia.

endothelium; radioisotope; reactive hyperemia



Address for reprint requests and other correspondence: F. Harel, Montreal Heart Institute, 5000 Belanger St., Montreal, Quebec, Canada H1T 1C8 (E-mail: fran\|[ccedil]\|ois_harel{at}hotmail.com)







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