Undermines· moderateVASO-E019
Study table: energetic cost has never been measured in any arteriole, so the economy argument rests entirely on conduit arteries
- what the source states
- Across sixteen rows spanning 1981-2022, contemporaneous energetic measurement — oxygen consumption, lactate release, or ATP turnover — appears only in large tonic arterial preparations (swine and porcine carotid, at zero transmural pressure), and in no arteriole or resistance microvessel of any bed. No located study satisfies all four conditions the study set: skeletal-muscle arteriole or smaller, physiological temperature and transmural pressure, maintained force or diameter, and a contemporaneous energetic or cycling measurement. The frozen literal queries aimed at microvascular energetics returned nothing, as did two further searches run specifically for arteriole-level oxygen consumption and ATP economy.
- what we infer
- The energetic feasibility step under VASO-C020 — that a knot can be held cheaply — is an extrapolation across both vessel class and caliber, not a borrowed-and-demonstrated mechanism. The extrapolation may still be correct; what the ledger can now say is that nobody has measured it where the hypothesis needs it, and that this is a gap in the literature rather than a gap in this case's reading of it.
- limitations
- Absence of a demonstration is not a demonstration of absence; the study's own limitations record that discovery ran against PubMed, Europe PMC and Crossref, which cover the older non-indexed energetics literature poorly.