Venous Intimal Hyperplasia

Venous intimal hyperplasia is the abnormal thickening of the inner lining of a vein, a vascular remodeling process that can narrow the vessel and impair blood flow. It develops when endothelial injury or altered blood-flow forces activate inflammation and stimulate smooth muscle cells and myofibroblasts to migrate, proliferate, and deposit extracellular matrix within the intima. This process commonly contributes to stenosis in hemodialysis access circuits, venous bypass grafts, and other surgically altered vessels. Understanding its cellular mechanisms supports the development of improved vascular devices, preventive therapies, and strategies for maintaining long-term access patency.

Venous Intimal Hyperplasia - Related Videos

Research

JoVE EoE - Large Animal Models

Carotid Artery and Jugular Vein Interposition: A Technique to Induce Venous Intimal Hyperplasia in Rabbit Model

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2025

This video demonstrates the interposition of the rabbit carotid artery with the jugular vein to induce venous intimal hyperplasia by subjecting the veins to arterial pressure. This model will help investigate molecular and genetic interventions to attenuate the progression of intimal hyperplasia after revascularization surgeries.

A Rabbit Venous Interposition Model Mimicking Revascularization Surgery using Vein Grafts to Assess Intimal Hyperplasia under Arterial Blood Pressure

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Cited by 3 •

2020

The present protocol aims to experimentally create venous intimal hyperplasia by subjecting veins to arterial blood pressure for developing strategies to attenuate venous intimal hyperplasia following revascularization surgery using vein grafts.

Inducing Myointimal Hyperplasia Versus Atherosclerosis in Mice: An Introduction of Two Valid Models

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Cited by 8 •

2014

This video shows two models of intimal plaque development in murine arteries and emphasizes the differences in myointimal hyperplasia and atherosclerosis.

Education

JoVE Core - Pathophysiology

Cellular Adaptation III: Hyperplasia

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2026

Hyperplasia is an increase in the number of cells in a tissue or organ due to enhanced cell division. It is an adaptive, controlled response to stimuli such as injury, hormones, or stress, involving mitosis to produce genetically identical cells and support tissue repair and regeneration.Tissue CapacityCertain tissues, including the epidermis, intestinal epithelium, bone marrow, and fibroblasts, have a high potential for hyperplasia. Others, such as bone, cartilage, and smooth muscle, show...

Central Venous Catheter Insertion: Subclavian Vein

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2023

Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA Central venous access is necessary in a multitude of clinical situations for hemodynamic monitoring, medication delivery, and blood sampling. There are three veins in the body that are accessed for central venous cannulation: the internal jugular, the subclavian, and the femoral vein. Central venous access via the subclavian vein has several advantages over other possible locations. The subclavian...

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