Cyclic flow alterations and neointimal proliferation following experimental coronary stenosis and endothelial injury

Autor: Claude R. Benedict, Paolo Golino, Sheng-Kun Yao, L. Maximilian Buja, Janice McNatt, James T. Willerson, Sidney Murphree, H. Vernon Anderson
Rok vydání: 1993
Předmět:
Zdroj: Developments in Cardiovascular Medicine ISBN: 9789401048194
DOI: 10.1007/978-94-011-1854-5_24
Popis: We evaluated the hypothesis that recurrent platelet aggregation as evidenced by the frequency and severity of cyclic coronary blood flow variations is an important pathophysiologic factor in the development of neointimal proliferation. In 24 chronically instrumented dogs, variable degrees of coronary artery neointimal proliferation were observed 3 weeks after mechanical injury of the arterial endothelium and the placement of an external coronary artery constrictor. The severity of neointimal proliferation at 21 days was closely related to the frequency and severity of cyclic coronary blood flow variations during the initial 7 days after instrumentation of the animals. Pharmacological therapy with a dual thromboxane A2 synthetase inhibitor and receptor antagonist and a serotonin S2 receptor antagonist frequently was successful in abolishing cyclic blood flow variations and appeared to attenuate neointimal proliferation.
Databáze: OpenAIRE