## Abstract Avascular necrosis of bone is a relatively common clinical condition caused by inflammatory conditions, steroid or other drug use, and trauma that affect many different sites in man. Revascularization of the necrotic bone is slow to occur, often resulting in bone resorption and eventual
VEGF-promoted surgical angiogenesis in necrotic bone
✍ Scribed by Osami Suzuki; Allen T. Bishop; Toru Sunagawa; Kosuke Katsube; Patricia F. Friedrich
- Book ID
- 102510480
- Publisher
- John Wiley and Sons
- Year
- 2004
- Tongue
- English
- Weight
- 250 KB
- Volume
- 24
- Category
- Article
- ISSN
- 0738-1085
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✦ Synopsis
Abstract
The ability of vascular endothelial growth factor (VEGF) to accelerate neoangiogenesis from implanted arterovenous (AV) bundles in necrotic bone was evaluated. A saphenous AV bundle was placed in a necrotic segment of rabbit ilium. In group II, VEGF (100 ng/h x 3 days) was administered by continuous infusion. Bone blood flow was measured with radioactive‐labeled microspheres, and capillary density was determined by microangiography combined with Spälteholtz bone clearing at 1, 2, and 4 weeks. Neovascularization was observed along the implanted vascular bundle in both groups. One week after surgery, bone blood flow and vessel area were significantly higher in VEGF‐treated animals (P < 0.05). No significant difference was observed at later times. Direct VEGF administration increased surgical angiogenesis and improved blood flow and neovascularization in necrotic bone 1 week after AV bundle implantation. Thereafter, a robust angiogenic response from the AV bundle was seen in both groups. © 2004 Wiley‐Liss, Inc.
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