Determinants of smooth muscle injury during balloon angioplasty.

Abstract:

:To study the determinants of smooth muscle injury during balloon angioplasty, we conducted a series of experiments to examine the effects of degree of arterial stretching, duration of balloon inflation, and arterial precontraction on smooth muscle injury after balloon angioplasty in isolated, perfused whole-vessel segments of rabbit aortas and dog carotid arteries. Freshly dissected rabbit thoracic aortas and dog carotid arteries were mounted in a muscle bath-perfusion chamber and perfused at 80 mm Hg. The proximal half of each aorta was dilated with a 5-mm (41 +/- 6% stretch), 6-mm (64 +/- 6% stretch), or 8-mm (97 +/- 9% stretch) balloon angioplasty catheter, and the uninjured half of each vessel served as the control. The vasoconstrictor behavior of the dilated segment was then assessed by dose-response testing; long-axis, ultrasonic imaging combined with computerized edge-detection image processing was used to measure changes in segmental internal vessel diameters that were induced by phenylephrine. A similar series of experiments was performed in dog carotid arteries with 5-mm balloon catheters (42 +/- 2% stretch) to compare the susceptibility to smooth muscle injury between elastic (aortic) and muscular (carotid) arteries. Additional experiments were performed to determine the roles of prolonged (30 minutes) balloon inflation and arterial precontraction on smooth muscle injury after balloon angioplasty. In rabbit aortas, the dilated arterial segments demonstrated normal reactivity to phenylephrine after dilatation with 5- and 6-mm balloons (p = NS versus control). Severe smooth muscle injury (histopathologically) with "arterial paralysis" was observed after severe stretch (8-mm balloon) and after 5-mm balloon dilatation (46 +/- 5% stretch) in precontracted vessels. Prolonged balloon inflations did not impair aortic vasoconstrictor behavior. Dog carotid (muscular) arteries demonstrated angioplasty-induced smooth muscle injury with less severe degrees of stretch (47-52% stretch). Geometric modeling suggests that medial stretching during balloon angioplasty of diseased vessels in vivo is in the range of 15-41%.(ABSTRACT TRUNCATED AT 400 WORDS)

journal_name

Circulation

journal_title

Circulation

authors

Fischell TA,Grant G,Johnson DE

doi

10.1161/01.cir.82.6.2170

subject

Has Abstract

pub_date

1990-12-01 00:00:00

pages

2170-84

issue

6

eissn

0009-7322

issn

1524-4539

journal_volume

82

pub_type

杂志文章
  • Mitral valve prolapse.

    abstract::For half a century the systolic click and late systolic murmur lay dormant as innocent auscultatory curiosities. The thirteen years since Barlow related these phenomena to mitral leaflet prolapse have witnessed an astonishing information explosion. We have sought to bring together the accumulated data in this review. ...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.54.1.3

    authors: Devereux RB,Perloff JK,Reichek N,Josephson ME

    更新日期:1976-07-01 00:00:00

  • Aldosterone synthase inhibitor ameliorates angiotensin II-induced organ damage.

    abstract:BACKGROUND:Aldosterone and angiotensin (Ang) II both may cause organ damage. Circulating aldosterone is produced in the adrenals; however, local cardiac synthesis has been reported. Aldosterone concentrations depend on the activity of aldosterone synthase (CYP11B2). We tested the hypothesis that reducing aldosterone by...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.521625

    authors: Fiebeler A,Nussberger J,Shagdarsuren E,Rong S,Hilfenhaus G,Al-Saadi N,Dechend R,Wellner M,Meiners S,Maser-Gluth C,Jeng AY,Webb RL,Luft FC,Muller DN

    更新日期:2005-06-14 00:00:00

  • The Science Underlying COVID-19: Implications for the Cardiovascular System.

    abstract::The coronavirus disease 2019 (COVID-19) pandemic has affected health and economy worldwide on an unprecedented scale. Patients have diverse clinical outcomes, but those with preexisting cardiovascular disease, hypertension, and related conditions incur disproportionately worse outcome. The high infectivity of severe a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.047549

    authors: Liu PP,Blet A,Smyth D,Li H

    更新日期:2020-07-07 00:00:00

  • Different quantitative apoptotic traits in coronary atherosclerotic plaques from patients with stable angina pectoris and acute coronary syndromes.

    abstract:BACKGROUND:Apoptosis in human atherosclerotic coronary plaques possibly causes plaque destabilization by contributing to the weakening and breaking down of the fibrous cap. We tested the hypothesis that apoptosis is quantitatively increased in unstable atherosclerotic plaques. METHODS AND RESULTS:We analyzed the expre...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000142865.04816.89

    authors: Rossi ML,Marziliano N,Merlini PA,Bramucci E,Canosi U,Belli G,Parenti DZ,Mannucci PM,Ardissino D

    更新日期:2004-09-28 00:00:00

  • Sex differences in perioperative and long-term cardiac event-free survival in vascular surgery patients. An analysis of clinical and scintigraphic variables.

    abstract:BACKGROUND:Little information is available regarding the occurrence of perioperative and late cardiac events in women with vascular disease. The current study was performed to examine whether sex-specific differences exist in these outcomes in a large population of vascular surgery patients and to determine the value o...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.4.1044

    authors: Hendel RC,Chen MH,L'Italien GJ,Newell JB,Paul SD,Eagle KA,Leppo JA

    更新日期:1995-02-15 00:00:00

  • Transcriptomic and proteomic patterns of systemic inflammation in on-pump and off-pump coronary artery bypass grafting.

    abstract:BACKGROUND:Coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB) provides controlled operative conditions but induces a whole-body inflammatory response capable of initiating devastating morbidity and mortality. Although technically more demanding, deliberate avoidance of CPB in off-pump surgery att...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.531152

    authors: Tomic V,Russwurm S,Möller E,Claus RA,Blaess M,Brunkhorst F,Bruegel M,Bode K,Bloos F,Wippermann J,Wahlers T,Deigner HP,Thiery J,Reinhart K,Bauer M

    更新日期:2005-11-08 00:00:00

  • Ethmozin, a new antiarrhythmic drug for suppressing ventricular premature complexes.

    abstract::Ethmozin, a phenothiazine derivative, is an antiarrhythmic drug synthesized in the USSR. Preliminary data suggest that it is effective against a diversity of ectopic arrhythmias. The present study, carried out in the USSR, was designed to assess efficacy and patient tolerance of this new drug. Thirty-seven patients wi...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.61.2.450

    authors: Podrid PJ,Lyakishev A,Lown B,Mazur N

    更新日期:1980-02-01 00:00:00

  • Increased risk of acute myocardial infarction in carriers of the hemochromatosis gene Cys282Tyr mutation : a prospective cohort study in men in eastern Finland.

    abstract::Background-Homozygosity for a relatively common Cys282Tyr mutation of the human hemochromatosis-associated (HFE) gene was recently found to account for most cases of hereditary hemochromatosis. Because excess iron has been postulated to enhance risk of vascular disease, we studied whether occurrence of this mutation w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.12.1274

    authors: Tuomainen TP,Kontula K,Nyyssönen K,Lakka TA,Heliö T,Salonen JT

    更新日期:1999-09-21 00:00:00

  • Ligand-activated peroxisome proliferator-activated receptor-gamma protects against ischemic cerebral infarction and neuronal apoptosis by 14-3-3 epsilon upregulation.

    abstract:BACKGROUND:Thiazolidinediones have been reported to protect against ischemia-reperfusion injury. Their protective actions are considered to be peroxisome proliferator-activated receptor-gamma (PPAR-gamma)-dependent; however, it is unclear how PPAR-gamma activation confers resistance to ischemia-reperfusion injury. MET...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.812537

    authors: Wu JS,Cheung WM,Tsai YS,Chen YT,Fong WH,Tsai HD,Chen YC,Liou JY,Shyue SK,Chen JJ,Chen YE,Maeda N,Wu KK,Lin TN

    更新日期:2009-03-03 00:00:00

  • Rosiglitazone facilitates angiogenic progenitor cell differentiation toward endothelial lineage: a new paradigm in glitazone pleiotropy.

    abstract:BACKGROUND:Peroxisome proliferator-activated receptor-gamma (PPAR-gamma) agonists inhibit vascular smooth muscle proliferation and migration and improve endothelial function. It is unknown whether PPAR-gamma agonists favorably modulate bone marrow (BM)-derived angiogenic progenitor cells (APCs) to promote endothelial l...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000123231.49594.21

    authors: Wang CH,Ciliberti N,Li SH,Szmitko PE,Weisel RD,Fedak PW,Al-Omran M,Cherng WJ,Li RK,Stanford WL,Verma S

    更新日期:2004-03-23 00:00:00

  • Role of thrombin compared with factor Xa in the procoagulant activity of whole blood clots.

    abstract:BACKGROUND:Thrombi are known to induce activation of the coagulation system, which may be a mechanism for progression of thrombosis and its recurrence after thrombolysis. This study was designed to characterize the relative role of thrombin and activated factor X (factor Xa) as mediators of procoagulant activity of who...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.4.962

    authors: Prager NA,Abendschein DR,McKenzie CR,Eisenberg PR

    更新日期:1995-08-15 00:00:00

  • Hyperlipidemia and coronary disease. Correction of the increased thrombogenic potential with cholesterol reduction.

    abstract:BACKGROUND:Hypercholesterolemia is a risk factor for coronary disease, and platelet reactivity is increased with hypercholesterolemia, suggesting a prethrombotic risk. The aim of this study was to measure mural platelet thrombus formation on an injured arterial wall in a model simulating vessel stenosis and plaque rupt...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.11.3172

    authors: Lacoste L,Lam JY,Hung J,Letchacovski G,Solymoss CB,Waters D

    更新日期:1995-12-01 00:00:00

  • Variations in cause and management of atrial fibrillation in a prospective registry of 15,400 emergency department patients in 46 countries: the RE-LY Atrial Fibrillation Registry.

    abstract:BACKGROUND:Atrial fibrillation (AF) is the most common sustained arrhythmia; however, little is known about patients in a primary care setting from high-, middle-, and low-income countries. METHODS AND RESULTS:This prospective registry enrolled patients presenting to an emergency department with AF at 164 sites in 46 ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.005451

    authors: Oldgren J,Healey JS,Ezekowitz M,Commerford P,Avezum A,Pais P,Zhu J,Jansky P,Sigamani A,Morillo CA,Liu L,Damasceno A,Grinvalds A,Nakamya J,Reilly PA,Keltai K,Van Gelder IC,Yusufali AH,Watanabe E,Wallentin L,Connoll

    更新日期:2014-04-15 00:00:00

  • Use of fresh decellularized allografts for pulmonary valve replacement may reduce the reoperation rate in children and young adults: early report.

    abstract:BACKGROUND:Degeneration of xenografts or homografts is a major cause for reoperation in young patients after pulmonary valve replacement. We present the early results of fresh decellularized pulmonary homografts (DPH) implantation compared with glutaraldehyde-fixed bovine jugular vein (BJV) and cryopreserved homografts...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.110.012161

    authors: Cebotari S,Tudorache I,Ciubotaru A,Boethig D,Sarikouch S,Goerler A,Lichtenberg A,Cheptanaru E,Barnaciuc S,Cazacu A,Maliga O,Repin O,Maniuc L,Breymann T,Haverich A

    更新日期:2011-09-13 00:00:00

  • Comparison of high-dose with low-dose aspirin in patients with mechanical heart valve replacement treated with oral anticoagulant.

    abstract:BACKGROUND:There are no reported studies on the safety and efficacy of low-dose aspirin with low-intensity oral anticoagulation in patients with heart valve replacement. In this study, we compared the use of 100 mg/d aspirin with 650 mg/d aspirin in the prevention of systemic embolism and vascular death in patients wit...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.94.9.2113

    authors: Altman R,Rouvier J,Gurfinkel E,Scazziota A,Turpie AG

    更新日期:1996-11-01 00:00:00

  • Dipyridamole selectively inhibits inflammatory gene expression in platelet-monocyte aggregates.

    abstract:BACKGROUND:Drugs that simultaneously decrease platelet function and inflammation may improve the treatment of cardiovascular disorders. Here, we determined whether dipyridamole and aspirin, a combination therapy used to prevent recurrent stroke, regulates gene expression in platelet-monocyte inflammatory model systems....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000154607.90506.45

    authors: Weyrich AS,Denis MM,Kuhlmann-Eyre JR,Spencer ED,Dixon DA,Marathe GK,McIntyre TM,Zimmerman GA,Prescott SM

    更新日期:2005-02-08 00:00:00

  • Linking: a dynamic electrophysiologic phenomenon in macroreentry circuits.

    abstract::The term "linking" has been used specifically to describe the mechanism for perpetuation of functional anterograde bundle branch block: namely, repetitive transseptal retrograde concealed penetration by impulses propagating along the contralateral bundle. We present selected examples that demonstrate tht linking-type ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.71.2.254

    authors: Lehmann MH,Denker S,Mahmud R,Addas A,Akhtar M

    更新日期:1985-02-01 00:00:00

  • Targeted disruption of the scavenger receptor and chemokine CXCL16 accelerates atherosclerosis.

    abstract:BACKGROUND:The uptake of oxidized low-density lipoprotein (OxLDL) by macrophage scavenger receptors is thought to be a key process in the formation of foam cells, the hallmark of early atherosclerotic lesions. CXCL16/scavenger receptor for phosphatidylserine and OxLDL is a multifunctional chemokine that exhibits scaven...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.540583

    authors: Aslanian AM,Charo IF

    更新日期:2006-08-08 00:00:00

  • Endogenous fibrinolytic system in chronic large-vessel thromboembolic pulmonary hypertension.

    abstract:BACKGROUND:Chronic thromboembolic pulmonary hypertension (CTEPH) is a disorder characterized by pulmonary arterial hypertension as a consequence of organized thrombotic material in the central pulmonary arteries. Incomplete resolution of acute pulmonary emboli is believed to be pathogenically important; however, the me...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.4.1241

    authors: Olman MA,Marsh JJ,Lang IM,Moser KM,Binder BR,Schleef RR

    更新日期:1992-10-01 00:00:00

  • Staged carotid angioplasty and stenting followed by cardiac surgery in patients with severe asymptomatic carotid artery stenosis: early and long-term results.

    abstract:BACKGROUND:The strategy for treating patients with severe asymptomatic carotid artery stenosis and cardiac disease remains unresolved. Staged or combined carotid endarterectomy in these patients offers the potential benefit of decreased neurological morbidity during and after cardiac surgery; however, in high-risk pati...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.658625

    authors: Van der Heyden J,Suttorp MJ,Bal ET,Ernst JM,Ackerstaff RG,Schaap J,Kelder JC,Schepens M,Plokker HW

    更新日期:2007-10-30 00:00:00

  • Influence of dietary fat on the pharmacodynamics of propafenone in isolated, perfused rabbit hearts.

    abstract:BACKGROUND:The fatty acid composition of the phospholipids in sarcolemma may significantly influence cell membrane functions. We evaluated the effects of dietary fat on the pharmacodynamics of the antiarrhythmic drug propafenone in isolated, perfused rabbit hearts. METHODS AND RESULTS:Three groups of weanling rabbits ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.4.1501

    authors: Gillis AM,Keashly R,Watson PA,Mathison HJ,Parsons HG

    更新日期:1992-04-01 00:00:00

  • Use of a novel endoscopic catheter for direct visualization and ablation in an ovine model of chronic myocardial infarction.

    abstract:BACKGROUND:Defining the arrhythmogenic substrate is essential for successful ablation of scar-related ventricular tachycardia. The visual characteristics of endocardial ischemic scar have not been described in vivo. The goal of this study was (1) to quantify the visual characteristics of normal tissue, scar border zone...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.112.112540

    authors: Betensky BP,Jauregui M,Campos B,Michele J,Marchlinski FE,Oley L,Wylie B,Robinson D,Gerstenfeld EP

    更新日期:2012-10-23 00:00:00

  • Enalapril reduces the incidence of diabetes in patients with chronic heart failure: insight from the Studies Of Left Ventricular Dysfunction (SOLVD).

    abstract:BACKGROUND:Diabetes mellitus is a predictor of morbidity and mortality in patients with heart failure. The effect of angiotensin-converting enzyme (ACE) inhibitors on the prevention of diabetes in patients with left ventricular dysfunction is unknown. The aim of this retrospective study was to assess the effect of the ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000054611.89228.92

    authors: Vermes E,Ducharme A,Bourassa MG,Lessard M,White M,Tardif JC,Studies Of Left Ventricular Dysfunction.

    更新日期:2003-03-11 00:00:00

  • Novel speckle-tracking radial strain from routine black-and-white echocardiographic images to quantify dyssynchrony and predict response to cardiac resynchronization therapy.

    abstract:BACKGROUND:Mechanical dyssynchrony is a potential means to predict response to cardiac resynchronization therapy (CRT). We hypothesized that novel echocardiographic image speckle tracking can quantify dyssynchrony and predict response to CRT. METHODS AND RESULTS:Seventy-four subjects were studied: 64 heart failure pat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.571455

    authors: Suffoletto MS,Dohi K,Cannesson M,Saba S,Gorcsan J 3rd

    更新日期:2006-02-21 00:00:00

  • Impact of moderate functional mitral insufficiency in patients undergoing surgical revascularization.

    abstract:BACKGROUND:Mild and moderate functional ischemic mitral insufficiency present at the time of surgical revascularization present clinical uncertainty. It is unclear whether the relatively poor outcomes in this cohort are dependent on valvular function or related to left ventricular dysfunction. The purpose of this study...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.001230

    authors: Grossi EA,Crooke GA,DiGiorgi PL,Schwartz CF,Jorde U,Applebaum RM,Ribakove GH,Galloway AC,Grau JB,Colvin SB

    更新日期:2006-07-04 00:00:00

  • A double-blind randomized trial of propranolol and verapamil in the treatment of effort angina.

    abstract::In 18 patients with stable effort angina, verapamil, 80 mg four times daily, was compared with propranolol, 80 mg four times daily, in a double-blind, placebo-controlled trial to assess the effects on anginal threshold, exercise capacity and left ventricular function measured by gated equilibrium blood pool scanning. ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.66.3.574

    authors: Sadick NN,Tan AT,Fletcher PJ,Morris J,Kelly DT

    更新日期:1982-09-01 00:00:00

  • Sex-related differences in the normal cardiac response to upright exercise.

    abstract::In previous studies from this laboratory, we found that approximately 30% of women with chest pain and normal coronary arteries demonstrated either a decrease in or a failure to increase radionuclide ejection fraction during exercise. To examine the hypothesis that this apparent abnormality in left ventricular functio...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.70.3.357

    authors: Higginbotham MB,Morris KG,Coleman RE,Cobb FR

    更新日期:1984-09-01 00:00:00

  • Exercise echocardiography versus 201Tl single-photon emission computed tomography in evaluation of coronary artery disease. Analysis of 292 patients.

    abstract:BACKGROUND:Exercise echocardiography (digital cine-loop technique) and 201Tl single-photon emission computed tomography (SPECT) were performed simultaneously in 292 patients being evaluated for coronary artery disease. METHODS AND RESULTS:Pretreadmill and posttreadmill echocardiographic images of diagnostic quality we...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.3.1026

    authors: Quiñones MA,Verani MS,Haichin RM,Mahmarian JJ,Suarez J,Zoghbi WA

    更新日期:1992-03-01 00:00:00

  • Prioritizing Functional Capacity as a Principal End Point for Therapies Oriented to Older Adults With Cardiovascular Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association.

    abstract::Adults are living longer, and cardiovascular disease is endemic in the growing population of older adults who are surviving into old age. Functional capacity is a key metric in this population, both for the perspective it provides on aggregate health and as a vital goal of care. Whereas cardiorespiratory function has ...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIR.0000000000000483

    authors: Forman DE,Arena R,Boxer R,Dolansky MA,Eng JJ,Fleg JL,Haykowsky M,Jahangir A,Kaminsky LA,Kitzman DW,Lewis EF,Myers J,Reeves GR,Shen WK,American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and St

    更新日期:2017-04-18 00:00:00

  • Limitations and late complications of third-generation automatic cardioverter-defibrillators.

    abstract:BACKGROUND:This study examines the limitations and complex management problems associated with the use of tiered-therapy, implantable cardioverter-defibrillators (ICDs). METHODS AND RESULTS:The study group comprises the first 154 patients undergoing implantation of tiered-therapy ICDs at our institution. Pulse generat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.8.2204

    authors: Nunain SO,Roelke M,Trouton T,Osswald S,Kim YH,Sosa-Suarez G,Brooks DR,McGovern B,Guy M,Torchiana DF

    更新日期:1995-04-15 00:00:00