The collateral circulation of the heart
The coronary arteries have been regarded as end arteries for decades. However, there are functionally relevant anastomotic vessels, known as collateral arteries, which interconnect epicardial coronary arteries. These vessels provide an alternative source of blood supply to the myocardium in cases of...
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Veröffentlicht in: | BMC medicine 2013-06, Vol.11 (1), p.143-143, Article 143 |
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description | The coronary arteries have been regarded as end arteries for decades. However, there are functionally relevant anastomotic vessels, known as collateral arteries, which interconnect epicardial coronary arteries. These vessels provide an alternative source of blood supply to the myocardium in cases of occlusive coronary artery disease. The relevance of these collateral arteries is a matter of ongoing debate, but increasing evidence indicates a relevant protective role in patients with coronary artery disease. The collateral circulation can be assessed by different methods; the gold standard involves intracoronary pressure measurements. While the first clinical trials to therapeutically induce growth of collateral arteries have been unavailing, recent pilot studies using external counterpulsation or growth factors such as granulocyte colony stimulating factor (G-CSF) have shown promising results. |
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However, there are functionally relevant anastomotic vessels, known as collateral arteries, which interconnect epicardial coronary arteries. These vessels provide an alternative source of blood supply to the myocardium in cases of occlusive coronary artery disease. The relevance of these collateral arteries is a matter of ongoing debate, but increasing evidence indicates a relevant protective role in patients with coronary artery disease. The collateral circulation can be assessed by different methods; the gold standard involves intracoronary pressure measurements. While the first clinical trials to therapeutically induce growth of collateral arteries have been unavailing, recent pilot studies using external counterpulsation or growth factors such as granulocyte colony stimulating factor (G-CSF) have shown promising results.</description><identifier>ISSN: 1741-7015</identifier><identifier>EISSN: 1741-7015</identifier><identifier>DOI: 10.1186/1741-7015-11-143</identifier><identifier>PMID: 23735225</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Animals ; Blood circulation ; Blood Flow Velocity - physiology ; Cardiac patients ; Cardiovascular disease ; Collateral Circulation - physiology ; Coronary arteries ; Coronary Circulation - physiology ; Coronary heart disease ; Coronary vessels ; Coronary Vessels - physiology ; Health aspects ; Heart - physiology ; Heart attacks ; Humans ; Medical research ; Physiological aspects ; Review</subject><ispartof>BMC medicine, 2013-06, Vol.11 (1), p.143-143, Article 143</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Meier et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Meier et al.; licensee BioMed Central Ltd. 2013 Meier et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b582t-2e05ec404b9884293be694d939309915c50acaac4eb99b89d684e75fd0a8d6d23</citedby><cites>FETCH-LOGICAL-b582t-2e05ec404b9884293be694d939309915c50acaac4eb99b89d684e75fd0a8d6d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3689049/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3689049/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23735225$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meier, Pascal</creatorcontrib><creatorcontrib>Schirmer, Stephan H</creatorcontrib><creatorcontrib>Lansky, Alexandra J</creatorcontrib><creatorcontrib>Timmis, Adam</creatorcontrib><creatorcontrib>Pitt, Bertram</creatorcontrib><creatorcontrib>Seiler, Christian</creatorcontrib><title>The collateral circulation of the heart</title><title>BMC medicine</title><addtitle>BMC Med</addtitle><description>The coronary arteries have been regarded as end arteries for decades. 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subjects | Animals Blood circulation Blood Flow Velocity - physiology Cardiac patients Cardiovascular disease Collateral Circulation - physiology Coronary arteries Coronary Circulation - physiology Coronary heart disease Coronary vessels Coronary Vessels - physiology Health aspects Heart - physiology Heart attacks Humans Medical research Physiological aspects Review |
title | The collateral circulation of the heart |
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