Role of intimal hyperplasia and arterial remodeling after balloon angioplasty: an experimental study in the atherosclerotic rabbit model

Autor: Patrick L. Whitlow, Anita M. Arnold, Luis A. Guzman, Mathew J. Mick, Farhad Forudi
Rok vydání: 1996
Předmět:
Zdroj: Arteriosclerosis, thrombosis, and vascular biology. 16(3)
ISSN: 1079-5642
Popis: Abstract The arterial response to injury appears to be an important factor in the development of restenosis. Traditionally, intimal hyperplasia has been thought to be the primary mechanism responsible for restenosis. However, recent studies have found that arterial remodeling is a major determinant of lumen loss after balloon angioplasty. In this study, we evaluated the actual separate contributions of intimal hyperplasia and arterial remodeling to the restenotic process after balloon angioplasty in the atherosclerotic rabbit model. One month after induction of focal atherosclerotic lesions, femoral arteries were randomized to receive treatment with either two or six balloon inflations. One group of rabbits was euthanized immediately after angioplasty to evaluate the initial degree of injury with each dilatation strategy (“acute group”), and the rest were euthanized 28 days after angioplasty (“chronic group”). Arteries that had been treated with six inflations had a higher injury score than those treated with two (4.0±3.0 versus 1.9±1.5, P 2 , P r =.703, P
Databáze: OpenAIRE