Mechanisms of post-intervention arterial remodelling.
It has been appreciated over the past two decades that arterial remodelling, in addition to intimal hyperplasia, contributes significantly to the degree of restenosis that develops following revascularization procedures. Remodelling appears to be an adventitia-based process that is contributed to by multiple factors including cytokines and growth factors that regulate extracellular matrix or phenotypic transformation of vascular cells including myofibroblasts. In this review, we summarize the currently available information from animal models as well as clinical investigations regarding arterial remodelling. The factors that contribute to this process are presented with an emphasis on potential therapeutic methods to enhance favourable remodelling and prevent restenosis.
Department of Surgery,  University of Wisconsin, 1111 Highland Ave., Madison, WI 53705,  USA.
Shakti A
SA
Goel
Lian-Wang
LW
Guo
Bo
B
Liu
K C
KC
Kent
D017130:Angioplasty / Q000009:adverse effects*; D000818:Animals; D001158:Arteries / Q000378:metabolism / Q000473:pathology*; D003324:Coronary Artery Disease / Q000628:therapy*; D023903:Coronary Restenosis / Q000209:etiology* / Q000378:metabolism / Q000473:pathology / Q000517:prevention & control; D003331:Coronary Vessels / Q000378:metabolism / Q000473:pathology; D016326:Extracellular Matrix Proteins / Q000378:metabolism; D006801:Humans; D058426:Neointima; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D058729:Peripheral Arterial Disease / Q000628:therapy*; D010641:Phenotype; D012008:Recurrence; D015398:Signal Transduction; D016896:Treatment Outcome
D016326:Extracellular Matrix Proteins