Pial arterial response to topical verapamil in acute closed cranial windows in rabbits.

Publication Type	Academic Article
Authors	Hartl R, Joshi S, Levine S, Wang M, Sciacca R
Journal	Anesth Analg
Volume	100
Issue	4
Pagination	1140-1146
Date Published	04/01/2005
ISSN	0003-2999
Keywords	Calcium Channel Blockers, Cerebral Arteries, Cerebrovascular Circulation, Vasodilator Agents, Verapamil
Abstract	We have previously observed that intraarterial verapamil increases cerebral blood flow, whereas nitric oxide donors, such as nitroglycerin, do not. Clinically, both verapamil and nitroglycerin dilate large cerebral arteries. Therefore, we hypothesized that topical verapamil would dilate both the large proximal and the small distal cerebral arteries, whereas nitroglycerin would preferentially dilate only the large proximal arteries. We tested our hypothesis in acute cranial windows implanted in 10 New Zealand White rabbits. After predrug measurements, we superfused 4 increasing concentrations of verapamil or nitroglycerin (10(-8), 10(-6), 10(-4), and 10(-3) M) in the cranial windows for 5 min each. The maximum increase in diameter was expressed as a percentage change from predrug diameters. There was a 30-min period of rest between the two drug challenges. Topical verapamil increased the arterial diameter of the larger proximal arterioles (>60 microm) by 32% +/- 18% and that of the smaller distal arterioles (<60 microm) by 62% +/- 42%. A modest increase in arterial diameters of 11% +/- 11% was observed after topical nitroglycerin that was significant only for the large-proximal arterioles. Within the 10(-8) to 10(-3) M range, topical verapamil, compared with nitroglycerin, proved to be a more potent cerebral vasodilator and had a more robust vasodilator effect on the distal small pial arteries.
DOI	10.1213/01.ANE.0000147510.25610.9C
PubMed ID	15781535