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Angiogenic Approaches for Inhibition of Plaque Destabilization in Atherosclerosis

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Therapeutic Angiogenesis for Vascular Diseases

Abstract

Vasa vasorum nourish the atherosclerotic plaque, with an organized system regulated by sympathetic and hormonal stimuli. Plaque neovascularization is recognized as an important contributor of destabilization of atheromas, leading to symptomatic atherosclerosis and increased vulnerability of the plaque. These emerging data suggest that the early recognition and imaging of the vasa vasorum may lead to the early identification of the vulnerable plaque and the vulnerable patient. In coronary artery disease, the inhibition of plaque angiogenesis may constitute a valuable therapeutic approach toward plaque stabilization. Several potential inhibitors of angiogenesis, with different pathophysiological mechanisms of action, have been tested for this reason. These agents can be generally separated into those that can be applied systematically and into those that have a local effect on the vulnerable plaque.

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Correspondence to Konstantinos Toutouzas .

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Toutouzas, K., Synetos, A., Stefanadis, C. (2010). Angiogenic Approaches for Inhibition of Plaque Destabilization in Atherosclerosis. In: Slevin, M. (eds) Therapeutic Angiogenesis for Vascular Diseases. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-9495-7_11

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