2020
DOI: 10.21470/1678-9741-2020-0031
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Saphenous Vein Vasa Vasorum as a Potential Target for Perivascular Fat-Derived Factors

Abstract: Perivascular adipose tissue (PVAT) is a source of factors affecting vasomotor tone with the potential to play a role in the performance of saphenous vein (SV) bypass grafts. As these factors have been described as having constrictor or relaxant effects, they may be considered either beneficial or detrimental. The close proximity of PVAT to the adventitia provides an environment whereby adipose tissue-derived factors may affect the vasa vasorum, a microvascular network providing the vessel wall with oxygen and … Show more

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Cited by 3 publications
(3 citation statements)
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“…The no-touch technique includes a pedicle of stromal tissue, adventitia, vasa vasorum, and perivascular adipose tissue. This local tissue niche in close proximity to the vasa vasorum is a source of contractile and relaxant factors with potential to influence vasa vasorum function and contribute to vein graft patency ( 137 ). A recent multicenter randomized controlled trial comparing outcomes in no-touch versus conventional saphenous vein graft harvest revealed no differences between harvest techniques in total graft occlusion, stenosis, or cardiovascular death, although inclusion in a meta-analysis uncovered a reduction in graft occlusion associated with no-touch harvest ( 138 ).…”
Section: Introductionmentioning
confidence: 99%
“…The no-touch technique includes a pedicle of stromal tissue, adventitia, vasa vasorum, and perivascular adipose tissue. This local tissue niche in close proximity to the vasa vasorum is a source of contractile and relaxant factors with potential to influence vasa vasorum function and contribute to vein graft patency ( 137 ). A recent multicenter randomized controlled trial comparing outcomes in no-touch versus conventional saphenous vein graft harvest revealed no differences between harvest techniques in total graft occlusion, stenosis, or cardiovascular death, although inclusion in a meta-analysis uncovered a reduction in graft occlusion associated with no-touch harvest ( 138 ).…”
Section: Introductionmentioning
confidence: 99%
“…Recently, eNOS expression has been found in the adipocytes of various adipose tissues, contributing to the production of vascular NO and modulating vascular (patho)physiology. 15 , 16 Among different adipose tissues, perivascular adipose tissue (PVAT) plays a crucial role in obesity-induced vascular dysfunction. 17 , 18 In healthy conditions, PVAT has anti-contractile properties and modulates the normal function of the vasculature.…”
Section: Introductionmentioning
confidence: 99%
“…To date, numerous studies using global eNOS-deficient mice have demonstrated the antihypertensive, antithrombotic, and anti-atherosclerotic effects of eNOS, which were mainly attributed to NO derived from the endothelium. Indeed, eNOS expression has been identified in both endothelial cells and adipocytes in PVAT and both contribute to the production of vascular NO and modulate vascular pathophysiology [ 5 , 6 ]. Although there are reviews discussing several aspects of PVAT, the functions of eNOS in PVAT have not been fully described.…”
Section: Introductionmentioning
confidence: 99%