A long-term effect of which of the following procedures post
acute MI induces angioneogenesis?
a) Transmyocardial laser revascularization
TNR procedures usually involves making 20 to 40 channels in
ventricular muscle. It is thought that some blood flows into the
channels, decreasing the ischemia directly. Within the next few days to
months, the channels close as a result of the body’s inflammatory
process of healing a wound and new blood vessels form as a result of
the inflammatory process.
b) Bracytherapy
Brachytherapy involves the delivery of gamma or beta radiation by
placing a radioisotope close to the lesion and has been shown to be
effective in reducing the recurrence of obstruction, preventing vessell
restenosis by inhibiting smooth muscle cell proliferation.
c) Atherectomy
Atherectomy is an invasive interventional procedure that involves the
removal of the atheroma, or plaque, from a coronary artery.
d) Stent placement
A stent is a woven stainless steel mesh that provides structural
support to a vessel at risk of acute closure. Eventually, endothelium
covers the stent and it is incorporated into the vessel wall. Because of
the risk of thrombus formation in the stent, the patient receives
antiplatelet medications (e.g., clopidigrel [Plavix]) therapy for 2 weeks
and lifetime use of aspirin).

1 Answer

Answer :

a) Transmyocardial laser revascularization
TNR procedures usually involves making 20 to 40 channels in
ventricular muscle. It is thought that some blood flows into the
channels, decreasing the ischemia directly. Within the next few days to
months, the channels close as a result of the body’s inflammatory
process of healing a wound and new blood vessels form as a result of
the inflammatory process.

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