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• W4249076170 abstract "We thank Dr Chekanov and colleagues for their comments on our work published in the December 2003 issue of the Journal.1Clover A.J. McCarthy M.J. Hodgkinson K. Bell P.R. Brindle N.P. Noninvasive augmentation of microvessel number in patients with peripheral vascular disease.J Vasc Surg. 2003; 38: 1309-1312Abstract Full Text Full Text PDF PubMed Scopus (16) Google Scholar As indicated, there is substantial literature documenting the effects of contractile electrical stimulation on ischemic muscle capillarization from a number of groups, including those of Hudlicka et al2Hudlicka O. Brown M.D. Egginton S. Dawson J.M. Effect of long-term electrical stimulation on vascular supply and fatigue in chronically ischemic muscles.J Appl Physiol. 1994; 77: 1317-1324PubMed Google Scholar and Chekanov et al.3Chekanov V. Rayel R. Krum D. Alwan I. Hare J. Bajwa T. et al.Electrical stimulation promotes angiogenesis in a rabbit hind-limb ischemia model.Vasc Endovasc Surg. 2002; 36: 357-366Crossref PubMed Scopus (10) Google Scholar Our study was based on previous work published by Kanno et al4Kanno S. Oda N. Abe M. Saito S. Hori K. Handa Y. et al.Establishment of a simple and practical procedure applicable to therapeutic angiogenesis.Circulation. 1999; 99: 2682-2687Crossref PubMed Scopus (110) Google Scholar in 1999, which demonstrated that subcontractile electrical stimulation can increase capillary density in an animal model of limb ischemia. We were interested to determine whether Kanno's findings could be translated to peripheral vascular disease. Our observations of increased capillary density and perfusion in response to subcontractile electrical stimulation in patients with peripheral vascular disease suggest that further work in this area is warranted. In particular, it will be important to conduct larger studies, define optimized protocols, and determine the mechanisms by which stimulation produces an apparent increase in capillary density. It will certainly be of interest to compare mechanisms involved in response to low-voltage stimulation in patients with chronic peripheral vascular disease with those in the experimental femoral artery excision model. Regarding “Noninvasive augmentation of microvessel number in patients with peripheral vascular disease”Journal of Vascular SurgeryVol. 40Issue 6PreviewWe applaud the work of Clover et al1 in the December 2003 issue of the Journal, which shows that localized subcontractile stimulation can increase microvessel density and tissue perfusion in patients with peripheral vascular disease, because it brings discussion of this technique into a clinical setting. The authors cite a number of investigations that demonstrate acceleration of capillary density and recapillarization in ischemic skeletal muscle after application of electrical stimulation. However, they neglect to acknowledge previous work on this topic done on ischemic limb tissue. Full-Text PDF Open Archive" @default.
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• W4249076170 date "2004-12-01" @default.
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