The issue of necessary guttural pouch air flow rates, to provide rapid cooling of the internal carotid arteries, has been solved by further supporting evidence from microvascular studies of the guttural pouch mucosa.<ref>{{Cite journal |last=Ninomiya |first=Hiroyoshi |last2=Kuwano |first2=Atsutoshi |title=Microvasculature of the Guttural Pouch Mucosa and Relationship With the Internal Carotid Artery in Horses |date=March 2019 |journal=Journal of Equine Veterinary Science |volume=74 |pages=84–89 |doi=10.1016/j.jevs.2018.12.025 |url=https://www.sciencedirect.com/science/article/abs/pii/S0737080618306981?via%3Dihub}}</ref> Many of the guttural pouch mucosal superficial arterioles and capillaries extend outwards, forming two types of vascular plexuses surrounding the internal carotid arteries: one with capillary bundles parallel to the internal carotid arteries in the outer layer of the tunica adventitia (outer peri-arterial plexus) and the other with vein-artery-vein triads within the inner layer of the tunica adventitia (inner peri-arterial plexus). These guttural pouch microvascular plexuses, engulfing the internal carotid arteries, are typical of [[countercurrent exchange|countercurrent]] heat exchangers recognised in other animal species, supporting the data that guttural pouches participate in selective brain cooling, even at lower air flow rates. | The issue of necessary guttural pouch air flow rates, to provide rapid cooling of the internal carotid arteries, has been solved by further supporting evidence from microvascular studies of the guttural pouch mucosa.<ref>{{Cite journal |last=Ninomiya |first=Hiroyoshi |last2=Kuwano |first2=Atsutoshi |title=Microvasculature of the Guttural Pouch Mucosa and Relationship With the Internal Carotid Artery in Horses |date=March 2019 |journal=Journal of Equine Veterinary Science |volume=74 |pages=84–89 |doi=10.1016/j.jevs.2018.12.025 |url=https://www.sciencedirect.com/science/article/abs/pii/S0737080618306981?via%3Dihub}}</ref> Many of the guttural pouch mucosal superficial arterioles and capillaries extend outwards, forming two types of vascular plexuses surrounding the internal carotid arteries: one with capillary bundles parallel to the internal carotid arteries in the outer layer of the tunica adventitia (outer peri-arterial plexus) and the other with vein-artery-vein triads within the inner layer of the tunica adventitia (inner peri-arterial plexus). These guttural pouch microvascular plexuses, engulfing the internal carotid arteries, are typical of [[countercurrent exchange|countercurrent]] heat exchangers recognised in other animal species, supporting the data that guttural pouches participate in selective brain cooling, even at lower air flow rates. |