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The Circle of Willis in Cryonics Perfusion

The Circle of Willis in Cryonics Perfusion

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could exit through the basilar artery (the vertebrals) <strong>in</strong>stead<br />

<strong>of</strong> through the cerebral arteries. Vascular resistance<br />

<strong>in</strong> the body is reportedly only one quarter what it is <strong>in</strong> the<br />

bra<strong>in</strong>. Clamp<strong>in</strong>g the vertebral arteries (as is done dur<strong>in</strong>g<br />

Alcor neuro perfusions) could prevent this problem.<br />

Blood flow<strong>in</strong>g <strong>in</strong>to the basilar artery need not be push<strong>in</strong>g<br />

all <strong>of</strong> the blood <strong>in</strong> the body, however, because arteries —<br />

and especially ve<strong>in</strong>s — have a large reserve capacity (a<br />

balloon-like ability to expand).<br />

Possibly the reserve capacity <strong>of</strong> the bra<strong>in</strong> would allow<br />

blood to flow <strong>in</strong>to the bra<strong>in</strong> as readily as <strong>in</strong>to the body.<br />

Blood has about three times the viscosity <strong>of</strong> water, and<br />

vitrification solution has about twice the viscosity <strong>of</strong><br />

blood. Viscosity will <strong>in</strong>crease vascular resistance <strong>in</strong> all<br />

blood vessels, but the effect would be greater <strong>in</strong> the bra<strong>in</strong>.<br />

<strong>The</strong> “no reflow” phenomenon would also create resistance<br />

<strong>in</strong> the blood vessels, which aga<strong>in</strong> might be greater<br />

<strong>in</strong> the bra<strong>in</strong> than <strong>in</strong> the body.<br />

Prior to the use <strong>of</strong> vitrification solution, the <strong>Cryonics</strong> Institute<br />

only perfused cryonics patients through the carotid<br />

arteries — there was no attempt to perfuse <strong>in</strong>to the vertebral<br />

arteries. Nonetheless, dehydration was seen <strong>in</strong> the<br />

patients, and adequate effluent flow was seen from the<br />

jugular ve<strong>in</strong>s. <strong>Perfusion</strong> pressures were reportedly not<br />

excessive.<br />

Currently, CI’s funeral director has been open<strong>in</strong>g the<br />

chest (median sternotomy), and attempt<strong>in</strong>g to clamp the<br />

subclavian arteries, as well as the descend<strong>in</strong>g aorta, to<br />

perfuse <strong>in</strong>to the ascend<strong>in</strong>g aorta. In several cases the ascend<strong>in</strong>g<br />

aorta has been perforated, forc<strong>in</strong>g higher cannulations<br />

or the subclavians have been difficult to cannulate<br />

after hav<strong>in</strong>g opened the chest. Our funeral director refused<br />

to open the chest at all for a known case <strong>of</strong> Methacill<strong>in</strong>-<br />

Resistant Staphylococcus Aureas (MRSA).<br />

It would be preferable if a case could be made for perfus<strong>in</strong>g<br />

all CI patients only through the carotids. Carotid-only<br />

has been recommended for vitrification perfusions overseas,<br />

as well as for glycerol perfusions <strong>in</strong> post-mortem<br />

sign-ups. Whether vitrification solution perfusion <strong>in</strong>to the<br />

carotids can acheive adequate perfusion pressure <strong>in</strong> the<br />

bra<strong>in</strong> — and whether adequate perfusion pressure can be<br />

verified by the observation <strong>of</strong> effluent from the jugular<br />

ve<strong>in</strong>s rema<strong>in</strong>s unresolved.<br />

It should not be too difficult to clamp the vertebral arteries by<br />

cutt<strong>in</strong>g near the clavicle, as CI’s funeral director did when CI<br />

began the attempt to perfuse the vertebrals as well as the carotid<br />

arteries. Nonetheless, this would result <strong>in</strong> failure to perfuse portions<br />

<strong>of</strong> the bra<strong>in</strong> supplied by the posterior cerebral arteries <strong>in</strong><br />

the 10-15% <strong>of</strong> patients who are miss<strong>in</strong>g both posterior communicat<strong>in</strong>g<br />

arteries.<br />

13<br />

HOW TO STAY YOUNG<br />

1. Throw out nonessential numbers. This <strong>in</strong>cludes<br />

age, weight and height. Let the doctors worry about<br />

them. That is why you pay 'them'<br />

2. Keep only cheerful friends. <strong>The</strong> grouches pull you<br />

down<br />

3. Keep learn<strong>in</strong>g. Learn more about the computer,<br />

crafts, garden<strong>in</strong>g, whatever. Never let the bra<strong>in</strong> idle.<br />

'An idle m<strong>in</strong>d is the devil's workshop.'<br />

4. Enjoy the simple th<strong>in</strong>gs<br />

5. Laugh <strong>of</strong>ten, long and loud. Laugh until you gasp<br />

for breath.<br />

6. <strong>The</strong> tears happen. Endure, grieve, and move on.<br />

<strong>The</strong> only person, who is with us our entire life, is<br />

ourselves. Be ALIVE while you are alive.<br />

7. Surround yourself with what you love , whether<br />

it's family, pets, keepsakes, music, plants, hobbies,<br />

whatever. Your home is your refuge.<br />

8. Cherish your health: If it is good, preserve it. If it<br />

is unstable, improve it. If it is beyond what you can<br />

improve, get help.<br />

9. Don't take guilt trips. Take a trip to the mall, even<br />

to the next county; to a foreign country but NOT<br />

to where the guilt is.<br />

10. Tell the people you love that you love them, at<br />

every opportunity.<br />

AND ALWAYS REMEMBER :<br />

Life is not measured by the number <strong>of</strong> breaths we<br />

take, but by the moments that take our breath away.<br />

And if you don't send this to at least 8 people - who<br />

cares! But do share this with someone. We all need<br />

to live life to its fullest each day!! Worry about noth<strong>in</strong>g,<br />

pray about everyth<strong>in</strong>g--Submitted by Debbie<br />

Flem<strong>in</strong>g

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