1999
DOI: 10.1161/01.atv.19.4.870
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Evidence of Hypoxic Areas Within the Arterial Wall In Vivo

Abstract: Abstract-The anoxemia theory of atherosclerosis states that an imbalance between the demand and supply of oxygen in the arterial wall is a key factor for the development of atherosclerotic lesions. Direct in vitro and in situ measurements have shown that PO 2 is decreased in the more deeply situated parts of the media, but the degree of hypoxia in vivo or the distribution of hypoxia along the arterial tree is not known. For this reason, we have developed a method for the detection of hypoxia in the arterial wa… Show more

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Cited by 247 publications
(167 citation statements)
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“…This hypothesis is consistent with a study by Ohta and Kusaba (1997) in which VVI-like vasa vasorum developed from the main lumen of dog vein bypass grafts in regions where there was local ischemia, as indicated by neointimal thickening (Crawford and Blankenhorn, 1991;Bjornheden et al, 1999).…”
Section: Discussionsupporting
confidence: 93%
“…This hypothesis is consistent with a study by Ohta and Kusaba (1997) in which VVI-like vasa vasorum developed from the main lumen of dog vein bypass grafts in regions where there was local ischemia, as indicated by neointimal thickening (Crawford and Blankenhorn, 1991;Bjornheden et al, 1999).…”
Section: Discussionsupporting
confidence: 93%
“…44 Recently, compelling evidence was presented that hypoxic areas do indeed exist, particularly in the thickened arterial wall. 45 Intermittent hypoxia and steep oxygen tension gradients may lead to oxyradical formation by disrupting oxygen metabolism and accelerating free radical formation through partially reduced oxygen products. This disruption of oxygen diffusion and associated reactive oxygen species formation may be related to the induction of antioxidant enzymes in the aortic wall of hypertensive rabbits.…”
Section: Discussionmentioning
confidence: 99%
“…However, parts of advanced plaques become sensitive to local vasoconstrictors and are rendered hypoxic. 31 In advanced plaques, hypoxia-inducible factor-1␣ as well as vascular endothelial growth factor are upregulated, suggesting the presence of hypoxia and activation of angiogenesis pathways. 30 The resultant fragile neovessels can rupture or leak and cause intraplaque hemorrhage.…”
Section: Vascular Vasa Vasorum Endothelial Function and Hemorrhagementioning
confidence: 99%