Complex Hemodynamics at the Apex of an Arterial Bifurcation Induces Vascular Remodeling Resembling Cerebral Aneurysm Initiation
Author(s) -
Hui Meng,
Zhijie Wang,
Yiemeng Hoi,
Ling Gao,
Eleni Metaxa,
Daniel D. Swartz,
John Kolega
Publication year - 2007
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.106.481234
Subject(s) - hemodynamics , medicine , aneurysm , internal elastic lamina , intimal hyperplasia , anatomy , cardiology , artery , radiology , smooth muscle
Arterial bifurcation apices are common sites for cerebral aneurysms, raising the possibility that the unique hemodynamic conditions associated with flow dividers predispose the apical vessel wall to aneurysm formation. This study sought to identify the specific hemodynamic insults that lead to maladaptive vascular remodeling associated with aneurysm development and to identify early remodeling events at the tissue and cellular levels.
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