Enhancement of noncoronary collateral circulation: the hypothesis of an alternative treatment for ischemic heart disease.

Abstract:

:The internal thoracic arteries (ITAs) are a source of "noncoronary collateral circulation" (NCCC), or "noncoronary collateral blood flow" (NCCBF). The hypothesis herein is that enhancement of NCCC may represent an alternative means of myocardial blood supply: (1) Ligature of the ITAs creates a local hypertensive status and increases the perfusion pressure within the channels leading to the heart; (2) Myocardial ischemic stimulus diverts most ITA-related collateral flow to the heart rather than to the chest wall; (3) The ITAs may develop neo-collaterals owing to their ischemia-related plastic potential; (4) Angiogenic growth factor administration within the ITAs enhances neo-collateral development. These elements may pave the way for a new field of cardiovascular research aimed at enhancing NCCC as a new therapeutic option for ischemic heart disease.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Picichè M,Kingma JG Jr,Fadel E,Dagenais F,Robillard J,Simard D,Voisine P

doi

10.1016/j.mehy.2009.08.027

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

21-3

issue

1

eissn

0306-9877

issn

1532-2777

pii

S0306-9877(09)00574-X

journal_volume

74

pub_type

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