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Cardiovascular Research 1999 41(1):255-266; doi:10.1016/S0008-6363(98)00203-X
© 1999 by European Society of Cardiology
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Copyright © 1999, European Society of Cardiology

Time course and importance of neoadventitial formation in arterial remodeling following balloon angioplasty of porcine coronary arteries

Marino Labinaz*, Klaus Pels, Cyrla Hoffert, Sanjay Aggarwal and Edward R O'Brien

Department of Medicine, Vascular Biology Laboratory, University of Ottawa Heart Institute, 1053 Carling Avenue, Ottawa, Ontario, Canada KIY 4E9

* Corresponding author. Tel.: +1-613-761-5427; fax: +1-613-761-4690; e-mail: mlabinaz@heartinst.on.ca

Objectives: Arterial remodeling has been suggested as the predominant factor in restenosis. However, the time course and morphometric factors that determine whether remodeling occurs remain unclear. We hypothesized that arterial remodeling does not occur in all arteries following balloon injury and is dependent on neoadventitial formation. Methods: Using single (SI) and double (DI) balloon injury of Yorkshire porcine coronary arteries we examined changes in morphometry 3, 7, 14, and 28 days following balloon injury. Results: In both SI and DI arteries, the neoadventitia (NAD) area expanded by day 3 and was the first compartment to increase following injury. In SI arteries lumen area (LA) decreased between day 3 and 14 while in DI arteries, there was significantly less loss in LA. In SI arteries, contracture of the area circumscribed by the external elastic lamina (EEL), which occurred predominantly between day 7 and 14, accounted for 67% of the loss of LA. Conclusions: Accumulation of NAD appears to be the earliest change in the vessel wall following balloon injury of normal or previously injured arteries and precedes the growth of the I+M (intima and media). The predominant mechanism for lumenal narrowing following single balloon injury of a normal artery is remodeling. In contrast, remodeling does not occur in DI arteries, possibly due to differences in the degree of adventitial fibrosis of normal and injured arteries.

KEYWORDS Restenosis; Vascular remodeling; Adventitia; Porcine


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