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
Hauptverfasser: Meier, Pascal, Schirmer, Stephan H, Lansky, Alexandra J, Timmis, Adam, Pitt, Bertram, Seiler, Christian
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container_end_page 143
container_issue 1
container_start_page 143
container_title BMC medicine
container_volume 11
creator Meier, Pascal
Schirmer, Stephan H
Lansky, Alexandra J
Timmis, Adam
Pitt, Bertram
Seiler, Christian
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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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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