Pulsed wave-Doppler ultrasonographic evaluation of the common carotid artery in the resting horse: physiologic data

Comparação das artérias carótidas comuns de equinos e muares por ultrassonografia modo-B e Doppler espectral e a relação com a massa corpórea

RESUMO A ultrassonografia convencional e o Doppler espectral nas artérias carótidas comuns em equinos e muares são considerados escassos, diferentemente do que ocorre na medicina humana. Este trabalho propôs comparar as artérias carótidas comuns de equinos e muares por ultrassonografia modo-B e Doppler espectral, além de verificar as diferenças dessas variáveis entre os gêneros desses animais e a relação com a massa corpórea. Foram avaliados os seguintes parâmetros: massa corpórea, diâmetros das artérias, espessura da camada íntima-média (EIM), índice de resistividade (IR), índice de pulsatilidade (IP), velocidade sistólica (VS), velocidade diastólica (VD) e velocidade média (VM). Salvo a massa corpórea, esses parâmetros foram obtidos de três regiões (cranial, médio e caudal) e submetidos à análise conjuntamente. Os diâmetros das artérias carótidas comuns são diferentes entre equinos e muares, com valores menores nos equinos. O IR, o IP, a VS e a VM diferiram entre equinos e muares, sendo maiores nos equinos, e a VD superior nos muares. Não foi observada diferença das variáveis do modo-B e Doppler entre gêneros nos equinos, diferentemente dos muares, cujos machos apresentaram valores maiores do diâmetro, do IR e do IP, mas menores da VS e da VM. A massa corpórea não influenciou as variáveis do modo-B, independentemente do gênero, mas apresenta correlação significativa nas variáveis do modo Doppler. As artérias carótidas comuns de equinos e muares são diferentes pelos exames ultrassonográficos modo-B e Doppler espectral. O gênero não influencia no modo-B e no Doppler nos equinos, porém influencia parcialmente nos muares. A massa corpórea de equinos e de muares, independentemente do gênero, não tem associação com as variáveis do modo-B, apenas com o Doppler.

Haemodynamics of lambs grazing perennial ryegrass (Lolium perenne L.) either infected with AR6 novel, wild-type endophyte, or endophyte-free

AIM

To compare vasoconstriction of the auricular artery and characteristics of blood flow in the carotid arteries between lambs grazing perennial ryegrass that was either infected with the AR6 novel endophyte (AR6), wild-type endophyte or endophyte-free.

METHODS

Sixteen Coopworth lambs, mean 23.7 (SD 1.8) kg, were randomly assigned to graze three, 0.10-ha pastures of perennial ryegrass (cultivar Extreme) located in Lincoln, New Zealand, that were infected with either the AR6 novel endophyte (n=5) or wild-type endophyte (n=6) or were endophyte-free (n=5), for 18 days until 16 March 2009. Lambs on AR6 pasture were then switched to endophyte-free pasture, and those on endophyte-free were switched to AR6 pasture, for 18 days. Lambs continued grazing the wild-type ryegrass during both phases of the study. Colour Doppler ultrasonography was used to monitor cross-sectional area of lumina in the auricular and carotid arteries as measurements of vasoconstriction, and to measure pulsatility indices, heart rate, systolic and diastolic velocities, and mean velocity in the carotid artery. Urine was sampled once during each phase, to measure the concentration of urinary alkaloids. A heat challenge (32°C) was imposed on the last day of the experiment, to determine treatment effects on rectal temperature and respiration rate.

RESULTS

Vasoconstriction was detected in the auricular arteries of lambs grazing AR6 and wild-type pastures. Areas of lumina declined linearly over 9 days in lambs that were switched from endophyte-free to AR6 pastures (p<0.05), and areas increased linearly in lambs that were switched from AR6 to endophyte-free pasture (p<0.001). Resistance to blood flow in the carotid arteries decreased linearly in the 9 days after lambs were switched from AR6 to endophyte-free pasture(p<0.05), and tended to increase after lambs on endophyte-free pasture were switched to AR6 (p<0.10). The concentrations of urinary alkaloids decreased after switching lambs from AR6 to endophyte-free pasture, and increased after switching from endophyte-free to AR6 pasture (p<0.05). The concentrations of urinary alkaloids of lambs on wild-type pasture were similar between the conditioning and experimental phases. There were no treatment effects on rectal temperature and respiration rate during the heat challenge.

CONCLUSIONS

These results indicated that management approaches are needed to overcome potential vulnerabilities to heat stress for sheep grazing AR6 perennial ryegrass. Furthermore, following grazing such pasture, lambs will need to graze endophyte-free ryegrass for >18 days, to completely clear ergot alkaloids from their vasculature, assuming that complete clearance can be achieved.

Technical note: Comparison between two tracing methods with ultrasonography to determine lumen area of the caudal artery in beef cattle

Two experiments were conducted to compare variation between 2 tracing methods in measuring cross-sectional lumen area of the caudal artery in 5 beef heifers on 3 different dates (Exp. 1) and to compare tracing methods in detecting changes in artery lumen area after 5 heifers were switched from a diet containing nonendophyte-infected tall fescue [Schedonorus arundinaceus (Schreb.) Dumort] seed to one containing endophyte-infected tall fescue seed (Exp. 2). Lumen area determined by tracing the Doppler flow signal was 25% less than that determined by tracing the intima of the connective tissue, but there was no difference (P = 0.90) in the variation of measures between the 2 methods in Exp. 1. Declines in lumen area were detected at the same level of significance (P < 0.01) for both tracing methods after cattle in Exp. 2 were switched from noninfected to infected tall fescue diets. Variation in lumen areas was different between noninfected and infected diets with tracing the Doppler flow signal (P < 0.05) or the intima of the connective tissue (P < 0.01). Results indicated that lumen area of the caudal artery can be measured with similar precision by tracing the intima of the connective tissue in the artery wall or the outer boundary of the Doppler flow signal.

Duplex ultrasonography of the common carotid artery and external jugular vein of cows

OBJECTIVE

To determine blood flow patterns in the common carotid artery and external jugular vein in cows before and after sedation achieved by administration of xylazine hydrochloride.

ANIMALS

30 clinically normal Swiss Braunvieh cows.

PROCEDURE

A 5.0-MHz sector transducer was used to examine the common carotid artery and external jugular vein before and after cows were sedated by administration of xylazine. Several variables were calculated, including diameter of the blood vessels, blood flow velocity, and flow-time volume.

RESULTS

The common carotid artery before sedation had a maximum systolic velocity of 89 +/- 8.5 cm/s, maximum diastolic velocity of 36 +/- 6.0 cm/s, mean velocity of 35 +/- 5.4 cm/s, and flow-time volume of 28.2 +/- 3.48 cm3/s. In all cows, sedation achieved by administration of xylazine resulted in a significant decrease in velocity of arterial blood flow and flow-time volume. The external jugular vein before sedation had a maximum velocity of 65 +/- 8.3 cm/s, maximum velocity of retrograde venous blood flow of 20 +/- 6.6 cm/s, and flow-time volume of 29.7 +/- 5.42 cm3/s. These values decreased significantly after cows were sedated by administration of xylazine.

CONCLUSIONS AND CLINICAL RELEVANCE

Doppler ultrasonography is particularly suitable for evaluation of blood flow patterns in the common carotid artery and external jugular vein of healthy cows. The results reported here provide a basis for use in examination of cows with cardiac and blood vessel disease.

Color Doppler ultrasound evaluation of testicular blood flow in stallions

The objectives of this study were to evaluate the potential use of color Doppler ultrasound to characterize blood flow to the stallion testis, and to establish reference values for Doppler measures of blood flow in the testicular artery of the stallion. Both testes from each of 52 horses were examined using a pulsed-wave color Doppler ultrasound with a sector array 5/7.5 MHz transducer with a 1mm gate setting. Peak systolic velocity (PSV), end diastolic velocity (EDV), resistive index (RI), and pulsatility index (PI) of the testicular artery were measured in each of two locations, the convoluted aspect (spermatic cord) and the marginal aspect of the artery (on the epididymal edge of testis). We found that: (1) all measures were obtainable; (2) except for EDV, the majority of the measures were higher at the cord location than at the marginal aspect of the artery (P < 0.05); and (3) measures for left and right testes were similar (P > 0.10). Resulting measures from 41 of these stallions (82 testes) that appeared free of testicular pathology provide useful reference values for clinical evaluation. Evaluation of 11 cases with testicular pathology suggested further investigation of possible effects of these various conditions on testicular blood flow and testicular function.

Echo-Doppler findings of a carotid-jugular fistula in a foal

A seven-month-old male Standardbred was referred with a 4-month history of left jugular groove distension. On physical examination severely dilated left maxillary, linguofacial and jugular veins were appreciable. Blood gas analysis results indicated higher degree of oxygenation in the left jugular vein. Bi-directional flow signals, with normal systolic and early diastolic flow, and late diastolic retrograde flow, were noted on pulsed-wave Doppler interrogation and color flow mapping of the left jugular blood flow. A systolic-diastolic signal with spectral broadening was detected when positioning the sample gate near the internal jugular wall, in the distal left cervical region. Color Doppler imaging of the same region showed blood flow passage between the left common carotid artery and the left jugular vein through a small carotid-jugular fistula. Markedly increased blood flow velocities and volumetric flow, and decreased resistive index were recorded in the left compared to the right common carotid artery.

Duplex-ultrasonographic evaluation of the common carotid artery in the resting, sedated and anesthetized horse

The aim of this study was to determine the blood flow in the carotid artery during halothane anaesthesia by means of duplex-sonography. Seventeen warm blood horses were evaluated in dorsal and lateral recumbency and the results were compared with the values of the same horses resting and under sedation. The cross sectional area of the vessels, the time-averaged maximal blood velocity, time-averaged maximal blood flow and the resistance index were determined and the flow profile was evaluated. During halothane anesthesia the total blood flow shows a significant increase which is not dependent on the positioning of the horse. Mean blood velocity is decreased by sedation and significantly increased during anesthesia. Reduced peripheral resistance is expressed by a decline of the resistance index. After sedation and during recumbency there is an increase in diameter of the carotid artery.

Doppler ultrasonographic features of thoracic limb arteries in clinically normal horses

OBJECTIVES

To determine blood flow velocities and indices from spectral waveforms obtained by use of Doppler ultrasonography of thoracic limb arteries of horses and to assess interobserver and patient variability associated with the technique.

ANIMALS

9 clinically normal adult horses.

PROCEDURE

Left thoracic limb arteries of 8 nonsedated horses were examined at 5 sites by use of pulsed-wave Doppler ultrasonography to determine a range of values for peak systolic, end diastolic, and mean velocities and resistive and pulsatility indices. Interobserver and patient variabilities were determined by 2 operators repeating similar measurements on 1 horse 8 times at weekly intervals.

RESULTS

A range of values for each variable measured at the 5 selected sites was obtained. For each variable, strong positive correlations (R > or = 0.7) were detected for > 70% of the site-to-site comparisons made (excluding the coronary band). Among horses, resistive index varied least, whereas over time, mean velocity varied least. Waveform characteristics were consistent with resistive (n = 5) or nonresistive (4) patterns. In the single-horse experiment, waveform characteristics were consistent throughout the 8 weeks, and operator effects were not detected.

CONCLUSIONS AND CLINICAL RELEVANCE

Doppler ultrasonography of no one site resulted in more reliable measurements of blood flow characteristics in thoracic limb arteries of horses. Mean velocity and resistive index were the least variable measurements made. Pulsed-wave Doppler ultrasonography may be a useful technique for evaluating diseases that alter normal thoracic limb arterial blood flow in horses.