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Microangiopathy

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microvascular changes using OCTA or other methods such as fluorescein angiography may reflect the systemic microvascular functions as in patients with coronary microvascular disease, cerebral small vessel diseases or systemic sclerosis (The potential of retinal microvascularopathy as a biomarker for assessing microvascular status of other circulations).
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Optical coherence tomography angiography (OCTA) is another imaging modality that offers high-resolution visualization of the retinal capillary network and can be used to evaluate microcirculation in conditions such as diabetic retinopathy. Many studies have demonstrated that evaluation of the retinal
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The vascular anatomy of the heart and brain is similar in that conduit arteries are distributed on the surface of these organs with tissue perfusion achieved through deep penetrating arteries. Both coronary and cerebral microvascular diseases do share some common risk factors such as hypertension.
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Similarly, CSVD is typically recognized on both brain magnetic resonance imaging (MRI) and computed tomography (CT) scans, but MRI has greater sensitivity and specificity. Neuroimaging of CSVD primarily involves visualizing radiological phenotypes of CSVD such as recent subcortical infarcts or
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Unlike the retinal microcirculation, the coronary microvasculature cannot be directly imaged. Instead, a number of different tests can be used to measure how much blood is flowing through the coronary microvasculature. These tests can be used to assess how well the coronary microvasculature is
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Why some patients with microvascular angina subsequently develop vascular cognitive impairment and others do not is an unanswered question. Potential underpinning mechanisms include premature vascular aging and clustering of vascular risk factors leading to an accelerated cardiovascular risk.
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Some researchers have suggested that SVD may be a multisystem disorder, meaning that it can affect multiple organs in the body, including the heart and brain. This is supported by multiple studies stating that cardiac pathologies are more prevalent in patients with pathological evidence of
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NVC has been largely used not only for investigating peripheral microangiopathy, but also as a sort of "window" to systemic microvascular dysfunction. Although its main application is within the connective tissue diseases such as systemic scleroderma and
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Sideri, Anna-Maria; Kanakis, Menelaos; Katsimpris, Andreas; Karamaounas, Aristotelis; Brouzas, Dimitrios; Petrou, Petros; Papakonstaninou, Evangelia; Droutsas, Konstantinos; Kandarakis, Stylianos; Giannopoulos, Georgios; Georgalas, Ilias (5 May 2023).
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since glucose transport in these sites isn’t regulated by insulin and these tissues cannot stop glucose from entering cells when blood sugar levels are high. Among all biochemical mechanisms involved in diabetic vascular damage such as the
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A better understanding of the mechanisms leading to damage of small blood vessels may be associated with novel therapeutic approaches, the safety and efficacy of some of which will need to be further investigated. Examples include
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Martinelli, Anthony W.; Dunn, William; McClure, Mark E.; Walker, Ieuan; Stewart, Andrew; Karia, Sumit; Preston, Stephen D.; Thiru, Sathia; Torpey, Nicholas; Ojha, Sanjay; Symington, Emily; Nathan, James A. (November 2022).
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Mengstie, Misganaw Asmamaw; Chekol Abebe, Endeshaw; Behaile Teklemariam, Awgichew; Tilahun Mulu, Anemut; Agidew, Melaku Mekonnen; Teshome Azezew, Muluken; Zewde, Edgeit Abebe; Agegnehu Teshome, Assefa (15 September 2022).
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Prommer, Hans-Ulrich; Maurer, Johannes; von Websky, Karoline; Freise, Christian; Sommer, Kerstin; Nasser, Hamoud; Samapati, Rudi; Reglin, Bettina; GuimarĂŁes, Pedro; Pries, Axel Radlach; Querfeld, Uwe (28 March 2018).
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Young people with extensive CSVD and few or no conventional vascular risk factors may benefit from genetic testing to identify any underlying genetic disorders that may be contributing to their condition (For
272:, which plays a key role in vascular homeostasis. The pathogenesis of SVDs in various organs is characterized by endothelial dysfunction, capillary rarefaction, microthrombi and microvascular remodeling. 1349:
Cesarone, M. R.; Belcaro, G.; Geroulakos, G.; Griffin, M.; Ricci, A.; Brandolini, R.; Pellegrini, L.; Dugall, M.; Ippolito, E.; Candiani, C.; Simeone, E.; Errichi, B. M.; Di Renzo, A. (April 2003).
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Gualtierotti, Roberta; Fox, Sharon E.; Da Silva Lameira, Fernanda; Giachi, Andrea; Valenti, Luca; Borghi, Maria Orietta; Meroni, Pier Luigi; Cugno, Massimo; Peyvandi, Flora (28 May 2023).
315:, creates advanced glycation end products (AGEs). AGEs formation cross-links these proteins, making them resistant to degradation. This leads to accumulation of AGEs, thickening of the 736:"Cutaneous microangiopathy in patients with type 2 diabetes: Impaired vascular endothelial growth factor expression and its correlation with neuropathy, retinopathy and nephropathy" 186:. Nevertheless, diabetic microvascular dysfunction is not limited to the eyes, kidneys, and nerves, but can also affect other organs such as the skin, muscles, heart, and brain. 439:
For assessment of the morphological and functional aspects of microcirculation, nailfold videocapillaroscopy (NVC) can be used, in which videocapillaroscopy is performed at the
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Intensive management of coexisting conditions and risk factors (e.g. adequate control of blood pressure, diabetes and related metabolic abnormalities and lipid management).
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causes stenosis of the lumen of the arterioles and amyloid-related CSVD, characterized by the build-up of β-amyloid deposits in small- and medium-caliber cerebral vessels.
2119:"Molecular Mechanisms and Treatment Strategies in Diabetic Nephropathy: New Avenues for Calcium Dobesilate—Free Radical Scavenger and Growth Factor Inhibition" 488:
functioning and to diagnose coronary microvascular disease. They include non-invasive measures such as cardiac MRI and invasive measures such as intracoronary
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in the retina and the kidneys respectively leading to capillary wall fragility and increased vascular leakage. This results in local swelling (e.g.
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Berry, Colin; Sidik, Novalia; Pereira, Anthony C.; Ford, Thomas J.; Touyz, Rhian M.; Kaski, Juan-Carlos; Hainsworth, Atticus H. (2 February 2019).
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Sugimoto, Kazuhiro; Murakami, Hiroshi; Deguchi, Takahisa; Arimura, Aiko; Daimon, Makoto; Suzuki, Susumu; Shimbo, Takuro; Yagihashi, Soroku (2019).
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Litak, Jakub; Mazurek, Marek; Kulesza, Bartłomiej; Szmygin, Paweł; Litak, Joanna; Kamieniak, Piotr; Grochowski, Cezary (20 December 2020).
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Feuer, Daniel S.; Handberg, Eileen M.; Mehrad, Borna; Wei, Janet; Merz, C. Noel Bairey; Pepine, Carl J.; Keeley, Ellen C. (2022).
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Coronary microvascular diseases (CMDs), which are a group of conditions affecting the microvasculature in the heart and include
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On the other hand, Cerebral SVD encompasses a range of vascular pathologies including arteriosclerosis-related CSVD, where
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The diagnosis of microangiopathies can be based on direct visualization of the microcirculation, imaging modalities (e.g.
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Tang, Qian; Zhang, Yanli; Yang, Zhengfang; Li, Siou; Wu, Meini; Guo, Yongming; Zhao, Weina; Yin, Changhao (9 June 2022).
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Structural changes, such as vascular remodeling and increased thickness and hypertrophy of arterial walls present in
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Small vessel diseases (SVDs) affect primarily organs that receive significant portions of cardiac output such as the
300:(AGEs) pathway appears to be the most important in the pathogenesis and progression of microvascular complications. 2922: 2573: 2548: 2365: 2294: 2224: 421: 219: 1351:"Flight microangiopathy on long-haul flights: prevention of edema and microcirculation alterations with Venoruton" 2947: 2890: 2538: 2491: 2341: 2304: 524: 243: 2699: 2694: 2932: 2745: 2518: 2496: 1724:"Small-Vessel Disease in the Heart and Brain: Current Knowledge, Unmet Therapeutic Need, and Future Directions" 635:
Kumar, Vinay; Abbas, Abul K.; Aster, Jon C.; Perkins, James A.; Robbins, Stanley L.; Cotran, Ramzi S. (2015).
3012: 2987: 2969: 2451: 2446: 2410: 2380: 1951:"Coronary Microvascular Disease Pathogenic Mechanisms and Therapeutic Options: JACC State-of-the-Art Review" 489: 2959: 2942: 2937: 2927: 2768: 2704: 2346: 2247: 1480: 1061:"Chronic kidney disease induces a systemic microangiopathy, tissue hypoxia and dysfunctional angiogenesis" 598: 231: 213: 303:
Chronic high blood sugar levels lead to the attachment of sugar molecules to various proteins, including
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Somboonwong, Juraiporn; Yusuksawad, Mariem; Keelawat, Somboon; Thongruay, Sirima; Poumsuk, Ubon (2016).
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Diabetic microangiopathy, which is the most common cause of microangiopathy, is more prevalent in the
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Madonna, Rosalinda; Balistreri, Carmela Rita; Geng, Yong-Jian; De Caterina, Raffaele (March 2017).
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in diabetic nephropathy, smoking cessation, weight loss, improved nutrition, and regular exercise).
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Chojdak-Łukasiewicz, Justyna; Dziadkowiak, Edyta; Zimny, Anna; Paradowski, Bogusław (March 2021).
1529:"Endogenous advanced glycation end products in the pathogenesis of chronic diabetic complications" 2868: 2778: 2360: 2050: 1388: 586: 1410: 2068:
Zhang, XinYuan; Liu, Wei; Wu, ShanShan; Jin, JingLong; Li, WeiHong; Wang, NingLi (2014-12-20).
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Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
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Functional changes, such as endothelial dysfunction caused by oxidative damage as in
343: 312: 255: 2070:"Calcium dobesilate for diabetic retinopathy: a systematic review and meta-analysis" 17: 2914: 2826: 2641: 2331: 2274: 2216: 1392: 433: 205: 51: 1672:"Diabetic microangiopathy: Pathogenetic insights and novel therapeutic approaches" 1828:"Correlation Between Coronary and Retinal Microangiopathy in Patients With STEMI" 1426: 923:"Pseudothrombotic Microangiopathy as a Rare Presentation of Cobalamin Deficiency" 2979: 2375: 1792: 1613:"Minimization of the Risk of Diabetic Microangiopathy in Rats by Nigella sativa" 1308: 1250: 517: 429: 284: 269: 251: 247: 102: 47: 1966: 1545: 1367: 1350: 1084: 2895: 2885: 2846: 2790: 2783: 2613: 2086: 2069: 1687: 1496: 528: 440: 319:, narrowing the blood vessels, reducing blood flow to the tissues and causing 2144: 2117:
Haller, Hermann; Ji, Linong; Stahl, Klaus; Bertram, Anna; Menne, Jan (2017).
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Microangiopathies are involved in a variety of different diseases including:
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Cecil, Russell La Fayette; Goldman, Lee; Schafer, Andrew I. (2012).
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Franzeck, U. K.; Haselbach, P.; Speiser, D.; Bollinger, A. (1993).
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and other genetic, inflammatory-mediated and immune-mediated CSVDs.
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Controlling symptoms and preventing further deterioration (e.g.
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Taqueti, Viviany R.; Di Carli, Marcelo F. (27 November 2018).
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for diabetic retinopathy) or other diagnostic measures (e.g.
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in patients with severe proliferative diabetic retinopathy).
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and microangiopathies in a wide range of diseases including
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Treatment options of microangiopathies can be directed at
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Coronary microvascular diseases (CMDs) can be caused by:
1481:"Diabetes microvascular complications-A clinical update" 639:(Ninth ed.). Philadelphia, Pa: Elsevier; Saunders. 466:
Capillaroscopic findings in patients with mild COVID-19
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Diabetic retinopathy § Diagnosis and classification
311:, and peripheral nerve proteins. This process, called 200:
Cerebral small vessel diseases (CSVDs), which include
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Koike, Haruki; Katsuno, Masahisa (5 February 2019).
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Camici, Paolo G.; Crea, Filippo (22 February 2007).
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(2023). 856:International Journal of Molecular Sciences 2910: 2812:Chronic cerebrospinal venous insufficiency 2637: 2309: 2270: 2239: 2225: 2217: 2178: 1793:"Optical Coherence Tomography Angiography" 1355:Clinical and Applied Thrombosis/Hemostasis 83: 2152: 2134: 2085: 2028: 2013:"Cerebral small vessel disease: A review" 1982: 1918: 1900: 1859: 1755: 1646: 1628: 1562: 1544: 1474: 1472: 1470: 1468: 1466: 1464: 1462: 1442: 1366: 1325: 1307: 1266: 1208: 1190: 1149: 1100: 1022: 1004: 956: 938: 885: 867: 767: 698: 680: 2006: 2004: 2002: 1130:The Yale Journal of Biology and Medicine 791: 789: 787: 1944: 1942: 1940: 1938: 1175:"Microangiopathy in Rheumatic Diseases" 663:Hakim, Antoine M. (24 September 2019). 610: 553:Diet and lifestyle modification (e.g. 1889:Contrast Media & Molecular Imaging 1404: 1402: 845: 843: 841: 839: 2584:Hereditary hemorrhagic telangiectasia 1717: 1715: 1713: 982: 980: 978: 976: 658: 656: 412:Diabetic nephropathy § Diagnosis 7: 2589:Generalized essential telangiectasia 798:"Coronary microvascular dysfunction" 416:Diabetic neuropathy § Diagnosis 355:cerebrovascular SVD and vice versa. 174:Diabetic microangiopathy, mainly as 802:The New England Journal of Medicine 127:Examples of microvascular diseases. 1533:Frontiers in Molecular Biosciences 593:in diabetic microangiopathies and 512:Prevention (e.g. maintaining good 436:in thrombotic microangiopathies). 25: 1485:Diabetes & Metabolic Syndrome 740:Journal of Diabetes Investigation 224:pseudo-thrombotic microangiopathy 2739:Cerebral venous sinus thrombosis 1771: 1415:The American Journal of Medicine 1038: 901: 714: 346:) and impaired tissue function. 118: 92: 852:"Cerebral Small Vessel Disease" 595:endothelin receptor antagonists 424:), conventional testings (e.g. 377:Extravascular changes, such as 298:advanced glycation end products 2690:Hepatic veno-occlusive disease 1: 2502:Aneurysm of sinus of Valsalva 2356:Monckeberg's arteriosclerosis 2123:BioMed Research International 496:cerebral microbleeds (CMBs). 476:Microthrombosis (Green arrow) 2807:Chronic venous insufficiency 2432:Aortoiliac occlusive disease 1479:Khalil, H. (November 2017). 1427:10.1016/j.amjmed.2022.04.006 993:Journal of Clinical Medicine 623:Dorland's Medical Dictionary 473:Microhemorrhages (Red arrow) 470:Enlarged loops (Black arrow) 379:left ventricular hypertrophy 236:chronic venous insufficiency 220:Thrombotic microangiopathies 2822:Inferior vena cava syndrome 2817:Superior vena cava syndrome 2544:Vertebral artery dissection 2534:Intracranial berry aneurysm 2074:Science China Life Sciences 1309:10.3390/biomedicines7010011 1251:10.1016/j.chest.2022.06.023 591:aldose reductase inhibitors 365:hypertrophic cardiomyopathy 3029: 2923:Hypertensive heart disease 2574:Arteriovenous malformation 2549:Familial aortic dissection 1967:10.1016/j.jacc.2018.09.042 1546:10.3389/fmolb.2022.1002710 1368:10.1177/107602960300900203 1085:10.1038/s41598-018-23663-1 577:enzyme replacement therapy 550:) for management of CMDs). 405: 244:connective tissue diseases 78:) are primarily affected. 58:. It can be contrasted to 2948:Renovascular hypertension 2891:Hepatic artery thrombosis 2539:Carotid artery dissection 2492:Abdominal aortic aneurysm 2342:Intermittent claudication 2305:Peripheral artery disease 2087:10.1007/s11427-014-4792-1 1799:. StatPearls Publishing. 1688:10.1016/j.vph.2017.01.004 1497:10.1016/j.dsx.2016.12.022 531:for diabetic neuropathy). 525:tricyclic antidepressants 126: 117: 100: 91: 44:microvascular dysfunction 2933:Hypertensive nephropathy 2746:Post-thrombotic syndrome 2727:Paget–Schroetter disease 2519:Coronary artery aneurysm 2497:Thoracic aortic aneurysm 1630:10.4103/0973-1296.182169 1588:Goldman's Cecil medicine 682:10.3389/fneur.2019.01020 294:renin–angiotensin system 2988:Orthostatic hypotension 2970:White coat hypertension 2447:Fibromuscular dysplasia 2411:Carotid artery stenosis 1740:10.1161/JAHA.118.011104 458:Nailfold capillaroscopy 2960:Pulmonary hypertension 2943:Secondary hypertension 2938:Essential hypertension 2928:Hypertensive emergency 2769:Portacaval anastomosis 2705:Portal vein thrombosis 2347:Critical limb ischemia 2248:Cardiovascular disease 1623:(Suppl 2): S175–S180. 1617:Pharmacognosy Magazine 1491:(Suppl 1): S133–S139. 669:Frontiers in Neurology 665:"Small Vessel Disease" 599:pulmonary hypertension 544:lipid-lowering therapy 480: 459: 232:chronic kidney disease 193:, previously known as 46:) is a disease of the 2965:Systolic hypertension 2710:Renal vein thrombosis 2569:Arteriovenous fistula 2561:Vascular malformation 2529:Intracranial aneurysm 2416:Renal artery stenosis 1676:Vascular Pharmacology 563:Other measures (e.g. 465: 457: 32:microvascular disease 2879:Paradoxical embolism 2874:Cholesterol embolism 2700:May–Thurner syndrome 2695:Budd–Chiari syndrome 2678:Deep vein thrombosis 2673:primarily lower limb 2452:Raynaud's phenomenon 2136:10.1155/2017/1909258 2030:10.17219/acem/131216 1902:10.1155/2022/9505945 1192:10.3390/life13020491 940:10.7759/cureus.17184 869:10.3390/ijms21249729 814:10.1056/NEJMra061889 285:vascular endothelium 240:systemic scleroderma 212:-related CSVD as in 204:-related CSVD as in 191:microvascular angina 176:diabetic retinopathy 36:small vessel disease 18:Small vessel disease 2955:Benign hypertension 1844:10.1167/tvst.12.5.8 1077:2018NatSR...8.5317P 1006:10.3390/jcm12113727 534:Drug therapy (e.g. 214:Alzheimer's disease 2869:Pulmonary embolism 2779:Esophageal varices 2717:upper limb / torso 2361:Arteriolosclerosis 1065:Scientific Reports 587:calcium dobesilate 481: 460: 228:COVID-19 infection 195:cardiac syndrome X 3000: 2999: 2996: 2995: 2840:Arteries or veins 2835: 2834: 2660:Venous thrombosis 2627: 2626: 2609:Cherry hemangioma 2509:Aortic dissection 2460: 2459: 2295:Buerger's disease 2214: 2213: 1961:(21): 2625–2641. 1597:978-1-4377-1604-7 752:10.1111/jdi.13020 646:978-1-4557-2613-4 618:"microangiopathy" 514:glycaemic control 317:basement membrane 131: 130: 81:Medical condition 76:coronary arteries 60:macroangiopathies 16:(Redirected from 3020: 2911: 2722:Mondor's disease 2665:Thrombophlebitis 2638: 2314:Arteriosclerosis 2310: 2271: 2241: 2234: 2227: 2218: 2179: 2167: 2166: 2156: 2138: 2114: 2108: 2107: 2089: 2065: 2059: 2058: 2032: 2008: 1997: 1996: 1986: 1946: 1933: 1932: 1922: 1904: 1880: 1874: 1873: 1863: 1822: 1816: 1815: 1813: 1811: 1788: 1782: 1775: 1769: 1759: 1719: 1708: 1707: 1667: 1661: 1660: 1650: 1632: 1608: 1602: 1601: 1583: 1577: 1576: 1566: 1548: 1523: 1517: 1516: 1476: 1457: 1456: 1446: 1421:(9): 1059–1068. 1406: 1397: 1396: 1370: 1346: 1340: 1339: 1329: 1311: 1287: 1281: 1280: 1270: 1245:(5): e245–e248. 1229: 1223: 1222: 1212: 1194: 1170: 1164: 1163: 1153: 1121: 1115: 1114: 1104: 1055: 1049: 1042: 1036: 1026: 1008: 984: 971: 970: 960: 942: 918: 912: 905: 899: 889: 871: 847: 834: 833: 793: 782: 781: 771: 746:(5): 1318–1331. 731: 725: 718: 712: 702: 684: 660: 651: 650: 632: 626: 615: 565:photocoagulation 555:low-protein diet 540:low-dose aspirin 328:oxidative stress 202:arteriosclerosis 155:lacunar infarcts 122: 109:demonstrating a 96: 84: 56:microcirculation 21: 3028: 3027: 3023: 3022: 3021: 3019: 3018: 3017: 3003: 3002: 3001: 2992: 2974: 2900: 2857:Microangiopathy 2852:Macroangiopathy 2831: 2795: 2764:Gastric varices 2750: 2663: 2654: 2623: 2595: 2555: 2487:Aortic aneurysm 2473: 2456: 2442:Erythromelalgia 2420: 2397: 2322:Atherosclerosis 2299: 2263: 2251: 2245: 2215: 2210: 2209: 2190: 2176: 2171: 2170: 2116: 2115: 2111: 2067: 2066: 2062: 2010: 2009: 2000: 1948: 1947: 1936: 1882: 1881: 1877: 1824: 1823: 1819: 1809: 1807: 1790: 1789: 1785: 1721: 1720: 1711: 1669: 1668: 1664: 1610: 1609: 1605: 1598: 1585: 1584: 1580: 1525: 1524: 1520: 1478: 1477: 1460: 1408: 1407: 1400: 1348: 1347: 1343: 1289: 1288: 1284: 1231: 1230: 1226: 1172: 1171: 1167: 1123: 1122: 1118: 1057: 1056: 1052: 986: 985: 974: 920: 919: 915: 849: 848: 837: 795: 794: 785: 733: 732: 728: 662: 661: 654: 647: 634: 633: 629: 616: 612: 607: 582: 502: 479: 449:dermatomyositis 418: 404: 388: 383:aortic stenosis 352: 266: 264:Pathophysiology 261: 167: 87:Microangiopathy 82: 64:atherosclerosis 30:(also known as 28:Microangiopathy 23: 22: 15: 12: 11: 5: 3026: 3024: 3016: 3015: 3013:Histopathology 3005: 3004: 2998: 2997: 2994: 2993: 2991: 2990: 2984: 2982: 2976: 2975: 2973: 2972: 2967: 2962: 2957: 2952: 2951: 2950: 2940: 2935: 2930: 2925: 2919: 2917: 2908: 2906:Blood pressure 2902: 2901: 2899: 2898: 2893: 2888: 2883: 2882: 2881: 2876: 2871: 2861: 2860: 2859: 2854: 2843: 2841: 2837: 2836: 2833: 2832: 2830: 2829: 2824: 2819: 2814: 2809: 2803: 2801: 2797: 2796: 2794: 2793: 2788: 2787: 2786: 2781: 2776: 2766: 2760: 2758: 2756:Varicose veins 2752: 2751: 2749: 2748: 2743: 2742: 2741: 2731: 2730: 2729: 2724: 2714: 2713: 2712: 2707: 2702: 2697: 2692: 2682: 2681: 2680: 2669: 2667: 2656: 2655: 2653: 2652: 2646: 2644: 2635: 2629: 2628: 2625: 2624: 2622: 2621: 2619:Spider angioma 2616: 2611: 2605: 2603: 2601:Vascular nevus 2597: 2596: 2594: 2593: 2592: 2591: 2586: 2579:Telangiectasia 2576: 2571: 2565: 2563: 2557: 2556: 2554: 2553: 2552: 2551: 2546: 2541: 2536: 2531: 2521: 2516: 2514:Aortic rupture 2511: 2506: 2505: 2504: 2499: 2494: 2479: 2477: 2475:pseudoaneurysm 2462: 2461: 2458: 2457: 2455: 2454: 2449: 2444: 2439: 2434: 2428: 2426: 2422: 2421: 2419: 2418: 2413: 2407: 2405: 2399: 2398: 2396: 2395: 2394: 2393: 2388: 2386:Oxycholesterol 2383: 2378: 2373: 2368: 2358: 2352: 2351: 2350: 2349: 2344: 2339: 2334: 2329: 2318: 2316: 2307: 2301: 2300: 2298: 2297: 2292: 2291: 2290: 2279: 2277: 2268: 2253: 2252: 2246: 2244: 2243: 2236: 2229: 2221: 2212: 2211: 2208: 2207: 2191: 2186: 2185: 2183: 2182:Classification 2175: 2174:External links 2172: 2169: 2168: 2109: 2080:(1): 101–107. 2060: 2023:(3): 349–356. 1998: 1934: 1875: 1817: 1783: 1734:(3): e011104. 1709: 1662: 1603: 1596: 1578: 1518: 1458: 1398: 1361:(2): 109–114. 1341: 1282: 1224: 1165: 1116: 1050: 972: 913: 835: 808:(8): 830–840. 783: 726: 652: 645: 627: 609: 608: 606: 603: 581: 580: 575:, there is an 568: 561: 558: 551: 532: 521: 509: 501: 498: 478: 477: 474: 471: 467: 426:ophthalmoscopy 403: 400: 392:lipohyalinosis 387: 386: 375: 368: 360: 351: 348: 290:polyol pathway 265: 262: 260: 259: 254:and even with 217: 198: 187: 171: 166: 163: 129: 128: 124: 123: 115: 114: 98: 97: 89: 88: 80: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3025: 3014: 3011: 3010: 3008: 2989: 2986: 2985: 2983: 2981: 2977: 2971: 2968: 2966: 2963: 2961: 2958: 2956: 2953: 2949: 2946: 2945: 2944: 2941: 2939: 2936: 2934: 2931: 2929: 2926: 2924: 2921: 2920: 2918: 2916: 2912: 2909: 2907: 2903: 2897: 2894: 2892: 2889: 2887: 2884: 2880: 2877: 2875: 2872: 2870: 2867: 2866: 2865: 2862: 2858: 2855: 2853: 2850: 2849: 2848: 2845: 2844: 2842: 2838: 2828: 2825: 2823: 2820: 2818: 2815: 2813: 2810: 2808: 2805: 2804: 2802: 2798: 2792: 2789: 2785: 2782: 2780: 2777: 2775: 2774:Caput medusae 2772: 2771: 2770: 2767: 2765: 2762: 2761: 2759: 2757: 2753: 2747: 2744: 2740: 2737: 2736: 2735: 2732: 2728: 2725: 2723: 2720: 2719: 2718: 2715: 2711: 2708: 2706: 2703: 2701: 2698: 2696: 2693: 2691: 2688: 2687: 2686: 2683: 2679: 2676: 2675: 2674: 2671: 2670: 2668: 2666: 2661: 2657: 2651: 2648: 2647: 2645: 2643: 2639: 2636: 2634: 2630: 2620: 2617: 2615: 2612: 2610: 2607: 2606: 2604: 2602: 2598: 2590: 2587: 2585: 2582: 2581: 2580: 2577: 2575: 2572: 2570: 2567: 2566: 2564: 2562: 2558: 2550: 2547: 2545: 2542: 2540: 2537: 2535: 2532: 2530: 2527: 2526: 2525: 2522: 2520: 2517: 2515: 2512: 2510: 2507: 2503: 2500: 2498: 2495: 2493: 2490: 2489: 2488: 2484: 2481: 2480: 2478: 2476: 2471: 2467: 2463: 2453: 2450: 2448: 2445: 2443: 2440: 2438: 2437:Degos disease 2435: 2433: 2430: 2429: 2427: 2423: 2417: 2414: 2412: 2409: 2408: 2406: 2404: 2400: 2392: 2389: 2387: 2384: 2382: 2379: 2377: 2374: 2372: 2369: 2367: 2364: 2363: 2362: 2359: 2357: 2354: 2353: 2348: 2345: 2343: 2340: 2338: 2335: 2333: 2330: 2328: 2325: 2324: 2323: 2320: 2319: 2317: 2315: 2311: 2308: 2306: 2302: 2296: 2293: 2289: 2286: 2285: 2284: 2281: 2280: 2278: 2276: 2272: 2269: 2267: 2262: 2258: 2254: 2249: 2242: 2237: 2235: 2230: 2228: 2223: 2222: 2219: 2206: 2202: 2201: 2197: 2193: 2192: 2189: 2184: 2180: 2173: 2164: 2160: 2155: 2150: 2146: 2142: 2137: 2132: 2128: 2124: 2120: 2113: 2110: 2105: 2101: 2097: 2093: 2088: 2083: 2079: 2075: 2071: 2064: 2061: 2056: 2052: 2048: 2044: 2040: 2036: 2031: 2026: 2022: 2018: 2014: 2007: 2005: 2003: 1999: 1994: 1990: 1985: 1980: 1976: 1972: 1968: 1964: 1960: 1956: 1952: 1945: 1943: 1941: 1939: 1935: 1930: 1926: 1921: 1916: 1912: 1908: 1903: 1898: 1894: 1890: 1886: 1879: 1876: 1871: 1867: 1862: 1857: 1853: 1849: 1845: 1841: 1837: 1833: 1829: 1821: 1818: 1806: 1802: 1798: 1794: 1787: 1784: 1781: 1779: 1774: 1767: 1763: 1758: 1753: 1749: 1745: 1741: 1737: 1733: 1729: 1725: 1718: 1716: 1714: 1710: 1705: 1701: 1697: 1693: 1689: 1685: 1681: 1677: 1673: 1666: 1663: 1658: 1654: 1649: 1644: 1640: 1636: 1631: 1626: 1622: 1618: 1614: 1607: 1604: 1599: 1593: 1589: 1582: 1579: 1574: 1570: 1565: 1560: 1556: 1552: 1547: 1542: 1538: 1534: 1530: 1522: 1519: 1514: 1510: 1506: 1502: 1498: 1494: 1490: 1486: 1482: 1475: 1473: 1471: 1469: 1467: 1465: 1463: 1459: 1454: 1450: 1445: 1440: 1436: 1432: 1428: 1424: 1420: 1416: 1412: 1405: 1403: 1399: 1394: 1390: 1386: 1382: 1378: 1374: 1369: 1364: 1360: 1356: 1352: 1345: 1342: 1337: 1333: 1328: 1323: 1319: 1315: 1310: 1305: 1301: 1297: 1293: 1286: 1283: 1278: 1274: 1269: 1264: 1260: 1256: 1252: 1248: 1244: 1240: 1236: 1228: 1225: 1220: 1216: 1211: 1206: 1202: 1198: 1193: 1188: 1184: 1180: 1176: 1169: 1166: 1161: 1157: 1152: 1147: 1143: 1139: 1135: 1131: 1127: 1120: 1117: 1112: 1108: 1103: 1098: 1094: 1090: 1086: 1082: 1078: 1074: 1070: 1066: 1062: 1054: 1051: 1048: 1046: 1041: 1034: 1030: 1025: 1020: 1016: 1012: 1007: 1002: 998: 994: 990: 983: 981: 979: 977: 973: 968: 964: 959: 954: 950: 946: 941: 936: 933:(8): e17184. 932: 928: 924: 917: 914: 911: 909: 904: 897: 893: 888: 883: 879: 875: 870: 865: 861: 857: 853: 846: 844: 842: 840: 836: 831: 827: 823: 819: 815: 811: 807: 803: 799: 792: 790: 788: 784: 779: 775: 770: 765: 761: 757: 753: 749: 745: 741: 737: 730: 727: 724: 722: 717: 710: 706: 701: 696: 692: 688: 683: 678: 674: 670: 666: 659: 657: 653: 648: 642: 638: 631: 628: 625: 624: 619: 614: 611: 604: 602: 600: 596: 592: 588: 578: 574: 573:Fabry disease 569: 566: 562: 559: 556: 552: 549: 545: 541: 537: 536:antiplatelets 533: 530: 526: 522: 519: 515: 511: 510: 508: 506: 499: 497: 493: 491: 485: 475: 472: 469: 468: 464: 456: 452: 450: 444: 442: 437: 435: 431: 427: 423: 417: 413: 409: 401: 399: 395: 393: 384: 380: 376: 373: 369: 366: 362: 361: 359: 356: 349: 347: 345: 344:macular edema 341: 337: 333: 329: 326:In addition, 324: 322: 318: 314: 313:glycosylation 310: 306: 301: 299: 295: 291: 286: 282: 278: 273: 271: 263: 257: 253: 249: 245: 241: 237: 233: 229: 225: 221: 218: 215: 211: 207: 203: 199: 196: 192: 188: 185: 181: 177: 173: 172: 170: 164: 162: 160: 156: 152: 148: 147:renal failure 144: 140: 136: 125: 121: 116: 112: 111:microaneurysm 108: 104: 99: 95: 90: 85: 79: 77: 73: 69: 65: 61: 57: 53: 52:blood vessels 49: 45: 41: 37: 33: 29: 19: 2915:Hypertension 2856: 2827:Venous ulcer 2733: 2716: 2684: 2672: 2642:Inflammation 2523: 2482: 2371:Hyperplastic 2332:Fatty streak 2275:Inflammation 2194: 2126: 2122: 2112: 2077: 2073: 2063: 2020: 2016: 1958: 1954: 1892: 1888: 1878: 1835: 1831: 1820: 1810:29 September 1808:. Retrieved 1796: 1786: 1770: 1731: 1727: 1679: 1675: 1665: 1620: 1616: 1606: 1587: 1581: 1536: 1532: 1521: 1488: 1484: 1418: 1414: 1358: 1354: 1344: 1299: 1296:Biomedicines 1295: 1285: 1242: 1238: 1227: 1182: 1178: 1168: 1136:(1): 37–46. 1133: 1129: 1119: 1068: 1064: 1053: 1037: 999:(11): 3727. 996: 992: 930: 926: 916: 900: 862:(24): 9729. 859: 855: 805: 801: 743: 739: 729: 713: 672: 668: 636: 630: 621: 613: 583: 504: 503: 494: 486: 482: 445: 438: 434:schistocytes 419: 396: 389: 357: 353: 325: 302: 274: 267: 223: 206:hypertension 194: 168: 132: 103:conjunctival 59: 48:microvessels 43: 39: 35: 31: 27: 26: 2980:Hypotension 2524:head / neck 2376:Cholesterol 2266:capillaries 2129:: 1909258. 1895:: 9505945. 1539:: 1002710. 1071:(1): 5317. 518:albuminuria 430:blood smear 296:(RAS), the 270:endothelium 252:amyloidosis 248:sarcoidosis 180:nephropathy 2896:Vasculitis 2886:Thrombosis 2847:Angiopathy 2791:Varicocele 2784:Hemorrhoid 2614:Halo nevus 2470:dissection 2261:arterioles 1797:StatPearls 1185:(2): 491. 605:References 529:gabapentin 406:See also: 242:and other 184:neuropathy 141:, and the 101:A case of 2650:Phlebitis 2391:Trans fat 2327:Foam cell 2283:Arteritis 2250:(vessels) 2145:2314-6133 2096:1674-7305 2055:232365709 2039:1899-5276 1975:0735-1097 1911:1555-4309 1852:2164-2591 1778:CC BY 4.0 1748:2047-9980 1696:1879-3649 1639:0973-1296 1555:2296-889X 1505:1878-0334 1435:0002-9343 1377:1076-0296 1318:2227-9059 1302:(1): 11. 1259:0012-3692 1201:2075-1729 1142:0044-0086 1093:2045-2322 1045:CC BY 4.0 1015:2077-0383 949:2168-8184 908:CC BY 4.0 878:1422-0067 822:1533-4406 760:2040-1116 721:CC BY 4.0 691:1664-2295 500:Treatment 402:Diagnosis 340:podocytes 336:pericytes 332:apoptosis 256:long-haul 151:blindness 3007:Category 2864:Embolism 2466:Aneurysm 2403:Stenosis 2337:Atheroma 2288:Aortitis 2257:Arteries 2163:29082239 2104:25528255 2047:33768739 1993:30466521 1929:35800241 1870:37145590 1861:10168007 1838:(5): 8. 1805:33085382 1780:license. 1766:30712442 1704:28137665 1657:27279704 1573:36188225 1513:27993541 1453:35472396 1385:12812378 1336:30764529 1277:36344132 1219:36836847 1111:29593228 1047:license. 1033:37297922 1024:10253962 967:34540418 910:license. 896:33419271 830:17314342 778:30719863 723:license. 709:31616367 675:: 1020. 441:nailfold 323:injury. 321:ischemic 305:collagen 292:and the 258:flights. 159:dementia 107:diabetes 62:such as 50:, small 2685:abdomen 2366:Hyaline 2154:5634607 1984:6296779 1920:9203197 1757:6405580 1682:: 1–7. 1648:4883076 1564:9521189 1444:9427712 1393:1605773 1327:6466231 1268:9752182 1210:9965541 1160:8256463 1151:2588834 1102:5871820 1073:Bibcode 958:8439408 887:7766314 769:6717820 700:6768982 548:statins 490:Doppler 372:smoking 309:laminin 210:amyloid 72:carotid 54:in the 2161:  2151:  2143:  2102:  2094:  2053:  2045:  2037:  1991:  1981:  1973:  1927:  1917:  1909:  1868:  1858:  1850:  1803:  1764:  1754:  1746:  1702:  1694:  1655:  1645:  1637:  1594:  1571:  1561:  1553:  1511:  1503:  1451:  1441:  1433:  1391:  1383:  1375:  1334:  1324:  1316:  1275:  1265:  1257:  1217:  1207:  1199:  1158:  1148:  1140:  1109:  1099:  1091:  1031:  1021:  1013:  965:  955:  947:  927:Cureus 894:  884:  876:  828:  820:  776:  766:  758:  707:  697:  689:  643:  542:) and 492:wire. 414:, and 281:retina 277:kidney 157:, and 143:retina 139:kidney 137:, the 2800:Other 2633:Veins 2483:torso 2425:Other 2205:443.9 2051:S2CID 1389:S2CID 1239:Chest 385:(AS). 165:Types 135:brain 68:aorta 42:) or 2734:head 2264:and 2200:9-CM 2159:PMID 2141:ISSN 2127:2017 2100:PMID 2092:ISSN 2043:PMID 2035:ISSN 1989:PMID 1971:ISSN 1925:PMID 1907:ISSN 1893:2022 1866:PMID 1848:ISSN 1812:2023 1801:PMID 1762:PMID 1744:ISSN 1700:PMID 1692:ISSN 1653:PMID 1635:ISSN 1592:ISBN 1569:PMID 1551:ISSN 1509:PMID 1501:ISSN 1449:PMID 1431:ISSN 1381:PMID 1373:ISSN 1332:PMID 1314:ISSN 1273:PMID 1255:ISSN 1215:PMID 1197:ISSN 1179:Life 1156:PMID 1138:ISSN 1107:PMID 1089:ISSN 1029:PMID 1011:ISSN 963:PMID 945:ISSN 892:PMID 874:ISSN 826:PMID 818:ISSN 774:PMID 756:ISSN 705:PMID 687:ISSN 641:ISBN 597:for 589:and 527:and 432:for 338:and 283:and 182:and 74:and 2381:LDL 2196:ICD 2149:PMC 2131:doi 2082:doi 2025:doi 1979:PMC 1963:doi 1915:PMC 1897:doi 1856:PMC 1840:doi 1752:PMC 1736:doi 1684:doi 1643:PMC 1625:doi 1559:PMC 1541:doi 1493:doi 1439:PMC 1423:doi 1419:135 1363:doi 1322:PMC 1304:doi 1263:PMC 1247:doi 1243:162 1205:PMC 1187:doi 1146:PMC 1097:PMC 1081:doi 1019:PMC 1001:doi 953:PMC 935:doi 882:PMC 864:doi 810:doi 806:356 764:PMC 748:doi 695:PMC 677:doi 620:at 422:MRI 334:of 40:SVD 3009:: 2485:: 2468:/ 2259:, 2203:: 2157:. 2147:. 2139:. 2125:. 2121:. 2098:. 2090:. 2078:58 2076:. 2072:. 2049:. 2041:. 2033:. 2021:30 2019:. 2015:. 2001:^ 1987:. 1977:. 1969:. 1959:72 1957:. 1953:. 1937:^ 1923:. 1913:. 1905:. 1891:. 1887:. 1864:. 1854:. 1846:. 1836:12 1834:. 1830:. 1795:. 1760:. 1750:. 1742:. 1730:. 1726:. 1712:^ 1698:. 1690:. 1680:90 1678:. 1674:. 1651:. 1641:. 1633:. 1621:12 1619:. 1615:. 1567:. 1557:. 1549:. 1535:. 1531:. 1507:. 1499:. 1489:11 1487:. 1483:. 1461:^ 1447:. 1437:. 1429:. 1417:. 1413:. 1401:^ 1387:. 1379:. 1371:. 1357:. 1353:. 1330:. 1320:. 1312:. 1298:. 1294:. 1271:. 1261:. 1253:. 1241:. 1237:. 1213:. 1203:. 1195:. 1183:13 1181:. 1177:. 1154:. 1144:. 1134:66 1132:. 1128:. 1105:. 1095:. 1087:. 1079:. 1067:. 1063:. 1027:. 1017:. 1009:. 997:12 995:. 991:. 975:^ 961:. 951:. 943:. 931:13 929:. 925:. 890:. 880:. 872:. 860:21 858:. 854:. 838:^ 824:. 816:. 804:. 800:. 786:^ 772:. 762:. 754:. 744:10 742:. 738:. 703:. 693:. 685:. 673:10 671:. 667:. 655:^ 601:. 579:). 520:). 507:: 410:, 307:, 279:, 250:, 238:, 234:, 230:, 222:, 208:, 178:, 161:. 153:, 149:, 70:, 34:, 2662:/ 2472:/ 2240:e 2233:t 2226:v 2198:- 2188:D 2165:. 2133:: 2106:. 2084:: 2057:. 2027:: 1995:. 1965:: 1931:. 1899:: 1872:. 1842:: 1814:. 1768:. 1738:: 1732:8 1706:. 1686:: 1659:. 1627:: 1600:. 1575:. 1543:: 1537:9 1515:. 1495:: 1455:. 1425:: 1395:. 1365:: 1359:9 1338:. 1306:: 1300:7 1279:. 1249:: 1221:. 1189:: 1162:. 1113:. 1083:: 1075:: 1069:8 1035:. 1003:: 969:. 937:: 898:. 866:: 832:. 812:: 780:. 750:: 711:. 679:: 649:. 546:( 538:( 374:. 367:. 197:. 38:( 20:)

Index

Small vessel disease
microvessels
blood vessels
microcirculation
atherosclerosis
aorta
carotid
coronary arteries

conjunctival
diabetes
microaneurysm

brain
kidney
retina
renal failure
blindness
lacunar infarcts
dementia
diabetic retinopathy
nephropathy
neuropathy
microvascular angina
arteriosclerosis
hypertension
amyloid
Alzheimer's disease
Thrombotic microangiopathies
COVID-19 infection

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