Review

Nature Clinical Practice Cardiovascular Medicine (2005) 2, 456-464
doi:10.1038/ncpcardio0298  
Received 22 February 2005 | Accepted 2 June 2005

The role of shear stress in the destabilization of vulnerable plaques and related therapeutic implications

CJ Slager*, JJ Wentzel, FJH Gijsen, A Thury, AC van der Wal, JA Schaar and PW Serruys

Correspondence *Biomedical Engineering, Thoraxcenter, EE 2322, Erasmus MC, PO Box 1738, 3000 DR Rotterdam, Netherlands

Email
 c.slager@erasmusmc.nl or
Email
 slager@scarlet.nl

Shear stress plays an essential part in the maintenance of healthy blood vessels, and locations of low shear stress can create predilection sites for eccentric plaque growth. This review discusses the mechanobiologic mechanisms related to shear stress that might have a role in plaque rupture.

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