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Coronary
Angiogenesis Home
Angiogenesis
Background
Introduction
Fun
Facts
Sources
Growth
Factors
Gene
Therapy
Laser
Therapy
Alternative
Therapies
Other Uses of
Angiogenesis
Concluding
Remarks
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'Angio',
from the Greek word 'angeio' meaning blood vessel, and 'genesis'
meaning production or birth, together refer to the creation of
blood vessels within the body. Angiogenesis is a beneficial natural
process occurring during the healing of a tissue injury (like
internal or external wounds) or in response to other kinds of
tissue offense. It occurs in women during both the monthly reproductive
cycle and during pregnancy. Alternatively, angiogenesis can exist
as part of a diseased body where it can aid in cases of ischemia
or lead to disease in the promotion of tumors. During normal function,
the body controls the growth of blood vessels using stimulators
called growth-factors. These promote the production of blood vessels,
whereas inhibitors stop their creation.
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A clogged coronary
artery can cause cardiac ischemia.
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When the
body creates new blood vessels, it can supply a region with more
blood than it would otherwise get. This could potentially be very
significant for providing a new blood supply to otherwise ischemic
tissue. For this reason, many people who suffer from cardiac ischemia,
a potentially life threatening disease, could significantly benefit
from the growth of new blood vessels to the heart.
The heart
is the only muscle in the body that is used continuously and never
tires. To accomplish this, the heart requires a significant amount
of blood to supply the necessary oxygen and nutrients - in fact
the heart requires 10% of the body's blood supply to keep it running
healthy. Because the heart is responsible for supplying the brain
and the rest of the body with blood, failure of its function will
ultimately lead to death.
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About one
half of the United States population over fifty has a form of
coronary artery disease. The coronary artery is the blood vessel
responsible for delivering blood to the heart. Coronary artery
disease usually occurs from plaque build up on the inside wall
of the coronary artery and restricts blood flow to the heart.
This can cause necrosis of heart muscle tissue. For this reason,
there are a number of techniques developed to repair and replace
important blocked vessels. Other significant ailments of blood
vessels include (but are not limited to) the hardening of arteries
(arteriosclerosis), blood clot in vessel blocking circulation
(thrombosis), and ballooning of the blood vessel due to weakened
wall (aneurysm).
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Coronary
Arterial Bypass Graft Survival Rate

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The
most frequent application of open heart surgery is bypass (about
1 million per year), in which surgeons actually remove a section
of a blocked blood vessel integral to the function of the heart
and replace its function with another blood vessel. Coronary artery
bypass graft is the 1/8th most common surgery in the US. This
surgery is used to replace the function of the coronary artery
by attaching a replacement artery (usually harvested from patient's
leg or mammary arteries) above and below the location of blockage
in the coronary artery.
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The
purpose of all these treatments is to provide better blood flow
to critical regions, and that is where angiogenesis can provide
an alternative option. If a patient could grow new, healthy blood
vessels to regions where blood flow is restricted he or she could
avoid invasive and sometimes high risk surgeries.
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