Microvascular Disease

Microvascular disease comprises disorders that damage or impair the body’s smallest blood vessels, including arterioles, capillaries, and venules, and can disrupt tissue oxygen delivery. It often develops when endothelial dysfunction, vessel-wall thickening, inflammation, or abnormal clotting narrows the microcirculation, reducing blood flow and impairing exchange between blood and tissues. In clinical medicine, microvascular disease is associated with complications affecting organs such as the eyes, kidneys, nerves, heart, and brain, particularly in conditions including diabetes and hypertension. Clinical assessment may combine symptom evaluation with laboratory testing, imaging, and measures of organ function to identify vascular injury, guide risk reduction, and monitor treatment, making microvascular health important for preventing progressive organ damage.

Microvascular Disease - Related Videos

Research

JoVE Journal - Bioengineering

Endothelialized Microfluidics for Studying Microvascular Interactions in Hematologic Diseases

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Cited by 52 •

2012

A method to culture an endothelial cell monolayer throughout the entire inner 3D surface of a microfluidic device with microvascular-sized channels (<30 μm) is described. This in vitro microvasculature model enables the study of biophysical interactions between blood cells, endothelial cells, and soluble factors in hematologic diseases.

Laser Doppler: A Tool for Measuring Pancreatic Islet Microvascular Vasomotion In Vivo

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Cited by 7 •

2018

Pancreatic islet microvascular vasomotion regulates islet blood distribution and maintains the physiological function of islet β cells. This protocol describes using a laser Doppler monitor to determine the functional status of pancreatic islet microvascular vasomotion in vivo and to assess the contributions of pancreatic islet microcirculation to pancreatic-related diseases.

Research

JoVE Journal - Medicine
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Microvascular Decompression: Salient Surgical Principles and Technical Nuances

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Cited by 13 •

2011

There are many available options for management of the patient with trigeminal neuralgia. Microvascular decompression, while the most invasive of all options, is also the most effective at achieving long term remission of symptoms. Video instruction on how to maximize efficacy and minimize complications with this procedure is described.

Choroid Sprouting Assay to Study Ocular Microvascular Proliferation Ex Vivo

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2025

This video demonstrates the development of an ex vivo model of choroidal sprouting to study ocular microvascular angiogenesis. The assay involves culturing mouse eye explants containing the choroid tissue attached to the sclera and retinal pigment epithelium under specific conditions that promote choroidal microvascular sprouting.

Intravital Fluorescence Microscopy to Study Microvascular Thrombus Formation

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2025

This video demonstrates the intravital fluorescence microscopy technique to study thrombus formation in a mouse model. The mouse is injected with a fluorophore-labeled polysaccharide to monitor blood circulation. Upon illumination with a high-intensity light, the phototoxic induction of an injury in the microvasculature of the ear leads to the formation of a thrombus, which is confirmed by visualizing the obstruction in the blood flow.

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