Microvascular flow
Determination of microvascular flow can be determined by utilizing a large molecular weight dextran to fill the plasma space within the blood and outline the red blood cells (RBCs). Once this is achieved, labeled RBCs can be injected into the vasculature to track them as they flow along blood vessels. For these studies, microscope systems with very high acquisition rates (in the 10’s of frames/second) are necessary. Alternatively, slower scanning systems can utilize a parallel linescan bisecting a blood vessel to produce a columnar image with RBC shadows appearing down the image. The angle of the slope can be used to determine speed by rationing distance and acquisition time.
Vascular permeability
The maintenance of vascular integrity under physiologic conditions, pathology, or in response to a therapeutic agent can be assessed by examining the time and degree a larger dextran will cross the vascular barrier into the interstitial space. This is best done with two larger size dextrans, a 150kDa dextran that will only leak into the interstitial space under more severe injury, and a moderately sized dextran such a 70kDa dextran which will naturally leak into the interstitial space slowly. Acquiring images of the same region at various time points will help asses leakage by ratioing the intensity of interstitial fluorescence to vascular fluorescence. In studies such as these, it is essential the dextrans have a narrow dispersion around the average molecular weight. Similarly, sized dextrans having a broad dispersion characteristic will erroneously appear to have vascular injury as the smaller polymers more readily cross into the interstitial space.