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Increased spatial vasa vasorum density in the proximal LAD in hypercholesterolemia--implications for vulnerable plaque-development.

Increased spatial vasa vasorum density in the proximal LAD in hypercholesterolemia--implications for vulnerable plaque-development. Research Abstract Details 

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  • Increased spatial vasa vasorum density in the proximal LAD in hypercholesterolemia--implications for vulnerable plaque-development. Abstract Text:

    mario Mario ,daniele versariDaniele Versari,dallit mannheimDallit Mannheim,erik l ritmanErik L Ritman,lilach o lermanLilach O Lerman,amir lermanAmir Lerman,

    OBJECTIVE: Vasa vasorum (VV) neovascularization is associated with advanced and ruptured atherosclerotic lesions that occur predominantly within the proximal third of the LAD. To investigate further the possible role of VV spatial distribution in determining this predominantly proximal location of complex lesions we analyzed the changes in VV spatial densities along the LAD in early atherosclerosis. METHODS AND RESULTS: Three-month-old, female domestic pigs were placed on normal (N; n=6) or high-cholesterol (HC; n=6) diet for 3 months. VV count, vascular-area-fraction (Sigma vasa vasorum areas/mm(2) vessel wall area, i.e., flow capacity), and the endothelial-surface-fraction (Sigma vasa vasorum endothelial surfaces/mm(3) vessel wall volume) were calculated in three equal thirds of the coronary artery from microcomputed-tomography images. In N animals, the proximal thirds tended to have a higher vascular-area-fraction (mean+/-S.D., 1.4+/-0.6 versus 0.9+/-0.3 and 0.9+/-0.2%; P=0.1) and endothelial-surface-fraction (0.72+/-0.29 versus 0.59+/-0.22 and 0.53+/-0.20 mm(2)/mm(3); NS) than the mid and distal thirds with significantly higher VV counts (26+/-12, 15+/-8, 8+/-5, P=0.01). In HC animals, we observed significant VV neovascularization (3.3+/-1.2 n/mm(2) versus 6.8+/-1.9 n/mm(2), P<0.01), with significantly higher VV counts (24+/-3 and 14+/-3 versus 6+/-4; P<0.001) as well as higher vascular-area- (1.4+/-0.2 and 1.4+/-0.2% versus 0.8+/-0.2%; P<0.001) and endothelial-surface-fractions (0.88+/-0.14 and 0.90+/-0.12 mm(2)/mm(3) versus 0.56+/-0.14 mm(2)/mm(3); P=0.001) within the proximal and middle thirds compared to the distal third. CONCLUSIONS: VV neovascularization in early atherosclerosis leads to a proximally accentuated increase in flow-capacity and endothelial-exchange-surface, which may favour the predominant development of vulnerable atherosclerotic plaques in proximal portions of the LAD.

    Increased spatial vasa vasorum density in the proximal LAD in hypercholesterolemia--implications for vulnerable plaque-development. Publishing Authors By Initials

    m M ,d versariD Versari,d mannheimD Mannheim,el ritmanEL Ritman,lo lermanLO Lerman,a lermanA Lerman,

    For similar cardiovascular system: blood vessels: vasa vasorum research abstracts see: cardiovascular system: blood vessels: vasa vasorum research

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    Increased spatial vasa vasorum density in the proximal LAD in hypercholesterolemia--implications for vulnerable plaque-development. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Atherosclerosis

    VOLUME: 192

    Page Numbers: 246-52

    Journal Abbreviation: Atherosclerosis

    ISSN: 0021-9150

    DAY: 21

    MONTH: 08

    YEAR: 2006

    Increased spatial vasa vasorum density in the proximal LAD in hypercholesterolemia--implications for vulnerable plaque-development. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 242543

    Increased spatial vasa vasorum density in the proximal LAD in hypercholesterolemia--implications for vulnerable plaque-development. Keywords Mesh Terms:

    KEYWORDS: Vasa Vasorum

    MESH TERMS: radiography

    Chemical & Substance for Abstract: Increased spatial vasa vasorum density in the proximal LAD in hypercholesterolemia--implications for vulnerable plaque-development. Information

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    Grant and Affiliation Information for Increased spatial vasa vasorum density in the proximal LAD in hypercholesterolemia--implications for vulnerable plaque-development.

    AFFILIATION: Department of Internal Medicine, Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, MN 55905, United States.

    Country: Ireland

    Ireland Research PublicationIreland Research Publication

    AGENCY: United States NHLBI

    GRANT: HL69840

    ACRONYM: HL

    MEDLINETA: Atherosclerosis

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