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. 1953 Dec;93(6):401-7.

The effect of blood vessel pulsations on lymph pressure in large lymphatics

R C WEBB Jr, T E STARZL

The effect of blood vessel pulsations on lymph pressure in large lymphatics

R C WEBB Jr et al. Bull Johns Hopkins Hosp. 1953 Dec.
No abstract available

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Figures

Fig. 1
Fig. 1
A. Side pressure recording from thoracic duct at the level of T12 showing lymphatic pulsations (L) and how these were unaffected by aortic occlusion below the renals (DA) and eliminated by occlusion at the first intercostal level (PA). Concurrent right common carotid (C) and left femoral (F) arterial tracings are shown. B. Similar record (1) in which a ligature tightened in position to prevent lymph from reaching the tip of the recording catheter obliterated both pressure and pulsations (2), with restoration of the original pattern after ligature was loosened (3). Lymph pressure calibrations are in mm. saline, and arterial pressures in mm. mercury.
Fig. 2
Fig. 2
Side pressure recordings showing effect upon pulsations in the cervical thoracic duct (L) of: A. Occlusion of the aorta at the first intercostal (AO), causing a carotid hypertension with concurrent augmentation of the lymphatic pulsations. B. Serial occlusion and release of the left subclavian (LSC) and brachiocephalic (BCT) arteries, and the thoracic aorta at the first intercostal (AO). Right common carotid (C) and left femoral (F) arterial pressures are included. The vertical indicator dashes beneath the lymph recording in B show the time of onset of femoral pulses. Lymph and venous pressure are in mm. saline, and arterial pressures are in mm. mercury.
Fig. 3
Fig. 3
Side recordings from the cervical thoracic duct (L) showing in each case a transmitted venous contribution to the lymphatic pulsations. Concurrent pressures were taken from the internal jugular vein (J) and left common carotid artery (C). Lymph and venous pressure calibrations are in mm. saline and arterial pressures in mm. mercury. A. Effect of ascending aortic occlusion (AA), showing elimination of the arterial component of the lymph pulsations. Vertical indicator dashes in lymph channel mark onset of left common carotid pulses. B. Different animal showing disappearance of pulse and elevation of mean intralymphatic pressure upon occlusion of innominate vein (IV). C. Immediately after record shown in B the thoracic duct was ligated at its entry into the left subclavian vein. Pulsations persisted, were not affected by ascending aortic occlusion (AA), but were abolished by innominate vein occlusion (IV).
Fig. 4
Fig. 4
Lymphatic pulsations in magnified detail showing time relationship to pulsations of adjacent vessels. A. Side pressure recording from thoracic duct at the T-12 level. The record is an enlarged segment of that illustrated in Fig. 1A, and has the same legend. B. Similar enlarged segment of record obtained from the cervical thoracic duct. The record is a magnified portion of that shown in Fig. 3A, and has the same legend.
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References

    1. Cressman RD, Blalock A. The effect of the pulse upon the flow of lymph. Proc Soc Exp Biol and Med. 1939;41:140.
    1. Parsons RJ, McMaster PD. The effect of the pulse upon the formation and flow of lymph. J Exp Med. 1938;68:353. - PMC - PubMed
    1. McMaster PD, Parsons RJ. The effect of the pulse on the spread of sub-stances through tissues. J Exp Med. 1938;68:377. - PMC - PubMed

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