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Topic:Blood Vessels

Blood vessels in horses are integral components of the circulatory system, responsible for the transportation of blood throughout the body. They consist of arteries, veins, and capillaries, each serving distinct functions in maintaining circulatory efficiency. Arteries carry oxygen-rich blood away from the heart to various tissues, while veins return deoxygenated blood back to the heart. Capillaries facilitate the exchange of nutrients, gases, and waste products between blood and tissues. The structure and function of equine blood vessels are subjects of study due to their role in health and disease, including conditions such as laminitis and equine metabolic syndrome. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and pathophysiology of blood vessels in horses.
Intravenous Regional Limb Perfusion in Standing and Recumbent Horses: A Comparative Radiographic Study.
Journal of equine veterinary science    January 7, 2021   Volume 98 103373 doi: 10.1016/j.jevs.2021.103373
Garcia AFS, Dória RGS, Arantes JA, Reginato GM, Neubauer FG, Ribeiro G.Although pharmacokinetic studies of drugs administered by intravenous regional limb perfusion (IRLP) to treat equine orthopedic infections suggest efficient drug distribution in the limbs, it remains unclear whether drug perfusion is affected by the position of the horse during the procedure. This study compared the perfusion of a radiopaque contrast into tissues of the extremities of horses maintained in standing and recumbent positions during an IRLP. Radiopaque contrast was administered through IRLP into the cephalic vein of 10 healthy adult horses under general anesthesia and right lateral...
Estimation of Nitrite-Nitric Oxide Derivative-In Horses with Intestinal Colic by ESR Spectroscopy.
Veterinary sciences    November 29, 2020   Volume 7, Issue 4 191 doi: 10.3390/vetsci7040191
Borunova SF, Tkachev N, Iolchiev B, Artyushina Z, Abramov P, Nikitina M, Silanteva A, Khusnetdinova N, Serezhenkov V.Diseases of the gastrointestinal tract of horses are caused by many factors and have a complex pathogenesis. Developing effective methods of differential diagnostics is of high fundamental and applied importance. The pathogenesis of diseases of the digestive tract of horses accompanied by the development of inflammation and oxidative stress, can be associated with a lack of the nitrogen monoxide which controls many signaling pathways in the body. The level of the nitric oxide (NO) is involved in the regulation of the immune and nervous systems, the tone of all the blood vessels, and the course...
A Rare Case of Vascular Proliferation in the Mandible of a Juvenile Horse.
Frontiers in veterinary science    November 11, 2020   Volume 7 573540 doi: 10.3389/fvets.2020.573540
Leitzen E, Stumpf S, Zimmermann C, Bienert-Zeit A, Hellige M, Baumgärtner W, Puff C.A fast growing, circumscribed, unilateral swelling of the right mandible of a juvenile horse was observed. Within few weeks, the continuously growing mass reached dimensions ranging from 7 to 10 cm in diameter and resulted in loss of the first deciduous premolar of the affected side. The animal was euthanized due to lesion progression. Histologically the mandibular swelling consisted of numerous variably sized vascular structures, partly filled with erythrocytes and embedded in a loosely arranged fibrous stroma within the medullary cavity of the mandible. Juvenile mandibular angiomatosis was d...
Equine small intestinal angiomatosis.
The Canadian veterinary journal = La revue veterinaire canadienne    November 6, 2020   Volume 61, Issue 11 1159-1161 
Zhang M, Dickinson RM.Multiple red, raised nodules multifocally distributed along the serosal surface of the normal and the nonviable jejunum were identified in a 24-year-old neutered male horse undergoing surgery for removal of the strangulating lipoma around the jejunum. Histologically, these nodules consisted of many significantly and variably dilated, blood-filled vascular channels lined by a single layer of flattened, well-differentiated endothelial cells with occasional thrombi within a mildly thickened fibrous stroma. A diagnosis of intestinal angiomatosis was proposed. To the best of the authors' knowledge,...
Heterotopic autotransplantation of ovarian tissue in a large animal model: Effects of cooling and VEGF.
PloS one    November 4, 2020   Volume 15, Issue 11 e0241442 doi: 10.1371/journal.pone.0241442
Souza SS, Alves BG, Alves KA, Brandão FAS, Brito DCC, Gastal MO, Rodrigues APR, Figueireod JR, Teixeira DIA, Gastal EL.Heterotopic and orthotopic ovarian tissue autotransplantation techniques, currently used in humans, will become promising alternative methods for fertility preservation in domestic and wild animals. Thus, this study describes for the first time the efficiency of a heterotopic ovarian tissue autotransplantation technique in a large livestock species (i.e., horses) after ovarian fragments were exposed or not to a cooling process (4°C/24 h) and/or VEGF before grafting. Ovarian fragments were collected in vivo via an ultrasound-guided biopsy pick-up method and surgically autografted in a subcutan...
Ultrastructural evidence for telocytes in equine tendon.
Journal of anatomy    October 18, 2020   Volume 238, Issue 3 527-535 doi: 10.1111/joa.13335
Luesma MJ, Cantarero I, Sánchez-Cano AI, Rodellar C, Junquera C.The three-dimensional ultrastructure of the tendon is complex. Two main cell types are classically supported: elongated tenocytes and ovoid tenoblasts. The existence of resident stem/progenitor cells in human and equine tendons has been demonstrated, but their location and relationship to tenoblasts and tenocytes remain unclear. Hence, in this work, we carried out an ultrastructural study of the equine superficial digital flexor tendon. Although the fine structure of tendons has been previously studied using electron microscopy, the presence of telocytes, a specific type of interstitial cell, ...
Integrin alpha-v/beta3 expression in equine lungs and jejunum.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 6, 2020   Volume 84, Issue 4 245-251 
Le NPK, Gerdts V, Singh B.Integrin alpha-v/beta3 (αvβ3) recognizes arginine-glycine-aspartic acid (RGD) sequences and has important functions in cell adhesion, signaling, and survival. However, the expression of integrin αvβ3 in the equine lungs and jejunum is not well understood. The objective of this study was to explore the hitherto unknown expression of integrin αvβ3 in the lungs and jejuna of the horse using light and electron immunocytochemistry. Immunohistochemistry showed integrin αvβ3 on the epithelium, the immune cells in Peyer's patches, the smooth muscle, and the endothelium of equine jejuna. In equ...
Functional response of systemic and intrafollicular placental growth factor in cycling mares.
Acta veterinaria Hungarica    August 31, 2020   Volume 68, Issue 2 200-206 doi: 10.1556/004.2020.00034
Satué K, Fazio E, Cravana C, Quartuccio M, Marcilla M, Medica P.The aim of the study was to assess the physiological reference values for systemic and intrafollicular placental growth factor (PlGF) concentrations in different categories of follicular sizes in cycling mares, according to progesterone (P4) and oestradiol (E2) patterns. Sixty ovaries were taken after slaughter from 30 clinically healthy mares. Regarding their size, the follicles were classified into three different categories, i.e. small (20-30 mm), medium-sized (31-40 mm) and large (≥41 mm), and follicular fluid (FF) was sampled from each single follicle. Intrafollicular PlGF concentration...
Ex vivo comparison of sliding knot ligatures vs. haemostatic clips for equine small intestinal mesenteric vessel occlusion.
BMC veterinary research    August 12, 2020   Volume 16, Issue 1 290 doi: 10.1186/s12917-020-02498-x
Giusto G, Gandini M.In equine abdominal surgery, resection and anastomosis of strangulated intestine is a commonly performed procedure. To date, ligatures, vessel sealing devices and the ligate-divide stapler have been described for this use in horses. The objective of this study was to compare the application of haemostatic clips and ligatures to occlude equine mesenteric vessels. Portions of jejunum with ten associated mesenteric vessels were collected from 12 horses at a local abattoir and divided into two groups. Portions of intestine were divided into two sections comprising five vessels each and assigned to...
Evaluation of vascularization in the walls of preovulatory follicles in mares with endometritis.
Theriogenology    July 30, 2020   Volume 157 79-84 doi: 10.1016/j.theriogenology.2020.07.024
Günay Uçmak Z, Kurban I, Uçmak M.Endometritis is a major cause of infertility in mares. The aim of this study is to evaluate the preovulatory follicle (POF) vascularization (A mix, A red, A blue), POF diameter, POF wall thickness, and uterine diameters in mares with or without endometritis. Ten healthy mares and 10 mares with endometritis diagnosed by the combination of transrectal palpation, ultrasonographic examination, and cytology brush were enrolled in the study. Data of the groups obtained at 2 days before the ovulation (day -2) were compared with Student's t-test. Correlations of the parameters were determined by the ...
Assessment of Vein Diameter and Body Surface Temperature after High-Intensity Laser Therapy (HILT) on the Tarsal Joint in Healthy Horses.
Journal of equine veterinary science    July 22, 2020   Volume 93 103198 doi: 10.1016/j.jevs.2020.103198
Godlewska M, Soroko M, Zielińska P.The aim of the study was to assess the influence of high-intensity laser therapy (HILT) on vein diameter and on body surface temperature changes in the tarsal joint area in a group of clinically healthy racehorses. The hypothesis of the study was that HILT increases vein diameter and body surface temperature in healthy tissue. The study involved 16 Thoroughbreds being subjected to ultrasonographic examination to assess changes of diameter of the cranial branch of the medial saphenous vein and thermographic examination to indicate temperature change of the dorsal surface of the tarsal joint, ju...
Doppler indices of the equine fetal carotid artery throughout gestation.
Theriogenology    July 12, 2020   Volume 156 196-204 doi: 10.1016/j.theriogenology.2020.07.009
Bucca S, De Oliveira IRS, Cunanan JC, Vinardell T, Troedsson MHT.Assessment of pregnancy viability in the equine patient is currently based on gestational profiles of limited prognostic value. In recent years Doppler technology has been applied to uterine and umbilical arteries of pregnant mares to monitor fetal responsive haemodynamics, suggestive of compromise. To date, uterine artery Doppler indices failed to provide sufficient evidence of pregnancy viability and the umbilical cord of the equine fetus is inconsistently visualized past 250 days gestation. The objectives of this study were to: i) evaluate intracranial blood flow impedance by Doppler examin...
Endothelial cells and angiogenesis in the horse in health and disease-A review.
Anatomia, histologia, embryologia    July 8, 2020   Volume 49, Issue 5 656-678 doi: 10.1111/ahe.12588
Rieger J, Kaessmeyer S, Al Masri S, Hünigen H, Plendl J.The cardiovascular system is the first functional organ in the embryo, and its blood vessels form a widespread conductive network within the organism. Blood vessels develop de novo, by the differentiation of endothelial progenitor cells (vasculogenesis) or by angiogenesis, which is the formation of new blood vessels from existing ones. This review presents an overview of the current knowledge on physiological and pathological angiogenesis in the horse including studies on equine endothelial cells. Principal study fields in equine angiogenesis research were identified: equine endothelial progen...
The contribution of the middle cerebral artery and callosal artery to the vascularisation of the Facies convexa of the brain in horses with reference to the equine-specific cartographic pattern of the neopallium.
Folia morphologica    July 8, 2020   Volume 80, Issue 2 237-247 doi: 10.5603/FM.a2020.0065
Böing L, Heun F, Gasse H.The extremely complex surface architecture of the equine brain does not allow a uniform transfer of anatomical data from other mammalian species, e.g., dog or cat. Rather, a special approach is required to elucidate the equine-specific patterns of cerebral vascular ramifications. Therefore, a novel cartographic system was applied. Prior attention was paid to the A. cerebri media (MCA) and to the A. corporis callosi (CA), as they spread over the widest part of the neopallium's Facies convexa (i.e. the lateral and dorsal surface), thus being of particular interest in terms of surgical treatment ...
Histomorphometric and vascular changes in equine endometrium after the infusion of conceptus fragments.
Animal reproduction    June 29, 2020   Volume 17, Issue 2 e20200006 doi: 10.1590/1984-3143-AR2020-0006
Camacho CA, Estradé MJ, Cazales N, Caballeros JE, Fiala-Rechsteiner SM, Neves AP, Mattos RC.This experiment aimed to verify if the proteins present in a 13 day conceptus induce changes in the equine endometrial ultra-structure, histology, and vascularization, two days after its infusion. Ten healthy cyclic mares were used. Once estrus was confirmed, mares were examined daily to detect ovulation (day 0). After ovulation, mares were examined daily until day seven by transrectal palpation and B-mode and Doppler ultrasonography. In this first cycle, intrauterine biopsies were collected at day seven after ovulation, constituting the Cyclic group (n = 10). In the second cycle, the same mar...
Is the T-ligament a ligament? A histological study in equine cadaver forelimbs.
Research in veterinary science    May 23, 2020   Volume 132 10-16 doi: 10.1016/j.rvsc.2020.05.018
Hontoir F, Paques F, Simon V, Balau B, Nicaise C, Clegg P, Dugdale A, Vandeweerd JM.Foot pain is a frequent cause of lameness in horses and can involve multiple structures within the hoof. The T-ligament (an anatomical structure connecting the synovium of the distal interphalangeal joint, the digital flexor tendon sheath and the navicular bursa) is poorly described. Five pairs of equine cadaver distal forelimbs were collected from a slaughterhouse. Sagittal sections (medial, middle and lateral) were obtained and processed with Haematoxylin Eosin Safran, Unna's Orcein, and Picrosirius red stains. Histological assessment revealed that the T-ligament was covered by the surroundi...
Clinical and laboratorial description of the differential diagnoses of hemostatic disorders in the horse.
Iranian journal of veterinary research    May 6, 2020   Volume 21, Issue 1 1-8 
Satué K, Gardon JC, Muñoz A.The process of fibrin clot formation is a series of complex and well-regulated reactions involving blood vessels, platelets, procoagulant plasma proteins, natural inhibitors, and fibrinolytic enzymes. Vasculitis can be caused by a variety of different agents as bacteria, viruses, protozoal, rickettsial organisms, toxic, drugs, medications, and neoplasms. The most common cause of vasculitis is the purpura hemorrhagica, which is associated with exposure to Streptococcus equi ssp. equi or less commonly, equine influenza. Deficiencies or defects of the hemostatic components may result in bleeding ...
Dataset of endometrial blood flow from pregnant and non-pregnant mares on day 7 and 8 post-ovulation.
Data in brief    April 25, 2020   Volume 30 105616 doi: 10.1016/j.dib.2020.105616
Nieto-Olmedo P, Gaitskell-Phillips G, Martín-Cano FE, Ortiz-Rodríguez JM, Peña FJ, Ortega-Ferrusola C.This article provides the dataset for the use of power Doppler ultrasound to assess the equine uterus from the recent research article titled "Power Doppler can detect the presence of 7-8 days conceptuses prior to flushing in an equine embryo transfer program"(1). The vascularization of the endometrium was objectively assessed in mares by quantification of pixels in bitmap format (BMP) using computer assisted analysis of images. Fifty-two mares were examined on days 7 (26 mares) and 8 (26 mares) post-ovulation prior to performing flushing procedures for embryo recovery. Receiver operating char...
Spectral Doppler ultrasound in selecting an equine embryo receiver.
Reproduction in domestic animals = Zuchthygiene    April 17, 2020   Volume 55, Issue 6 747-752 doi: 10.1111/rda.13676
Ferreira CSC, Morais RCL, de Andrade ABP, Balaro MFA, Ribas JAS, Gomes GM, Pinna AE.The aim of this study was to evaluate whether the RI and PI values would help in choosing the best embryo recipient, and observe whether CL vascularization would influence P4 production. During the breeding season 2018/2019, the study was conducted using 35 mares, which is used for reference to collect data for the project on the day of embryo transfer. The utilized mares were divided into five groups followed by the day after ovulation, with D0 being the day of ovulation. Therefore, the five groups are as follows: D4-mares that were on the 4th post-ovulation day; D5-mares that were on the 5th...
Age-related differences in blood pressure, ultrasound-derived arterial diameters and arterial wall stiffness parameters in horses.
Equine veterinary journal    April 10, 2020   Volume 52, Issue 6 868-875 doi: 10.1111/evj.13263
Vera L, Van Steenkiste G, Decloedt A, Chiers K, van Loon G.Arterial rupture mainly affects older horses. The reason why older horses are more prone to arterial rupture and which underlying vascular changes predispose older horses to aortic rupture is still unclear. Objective: To investigate the effect of ageing on the equine arterial wall and blood pressure. Methods: Cohort study. Methods: Non-invasive blood pressure measurement using a tail cuff and vascular ultrasound from aorta, common carotid artery and external iliac artery was performed in 50 healthy young (3-7 years) and 50 healthy old Warmblood horses (>18 years). Arterial diameters and c...
Development of the blood supply to the growth cartilage of the medial femoral condyle of foals.
Equine veterinary journal    April 1, 2020   Volume 53, Issue 1 134-142 doi: 10.1111/evj.13256
Wormstrand BH, Fjordbakk CT, Griffiths DJ, Lykkjen S, Olstad K.Growth cartilage is found in the articular-epiphyseal cartilage complex (AECC) and the physis. It has a temporary blood supply organised as end arteries. Vascular failure is associated with osteochondrosis, but infection can also obstruct vessels. The location of bacteria was recently compared to arterial perfusion, and the results indicated that they were located in the distal tips of AECC end arteries. Systematic perfusion studies were not available for comparison to the infected physes. Further studies may improve our understanding of infections and other pathologies. Objective: To describe...
Differences in ultrasound-derived arterial wall stiffness parameters and noninvasive blood pressure between Friesian horses and Warmblood horses.
Journal of veterinary internal medicine    February 7, 2020   Volume 34, Issue 2 893-901 doi: 10.1111/jvim.15705
Vera L, De Clercq D, Van Steenkiste G, Decloedt A, Chiers K, van Loon G.Aortic rupture is more common in Friesians compared to Warmbloods, which might be related to differences in arterial wall composition and, as such, arterial wall stiffness (AWS). Currently, nothing is known about differences in AWS between these breeds. Objective: Comparison of AWS parameters and noninvasive blood pressure between Friesians and Warmbloods. Methods: One hundred one healthy Friesians and 101 age-matched healthy Warmbloods. Methods: Two-dimensional and pulsed-wave Doppler ultrasound examination was performed of the aorta, common carotid artery, and external iliac artery to define...
Cell engraftment, vascularization, and inflammation after treatment of equine distal limb wounds with endothelial colony forming cells encapsulated within hydrogel microspheres.
BMC veterinary research    February 4, 2020   Volume 16, Issue 1 43 doi: 10.1186/s12917-020-2269-y
Winter RL, Tian Y, Caldwell FJ, Seeto WJ, Koehler JW, Pascoe DA, Fan S, Gaillard P, Lipke EA, Wooldridge AA.Endothelial colony forming cells (ECFCs) may be useful therapeutically in conditions with poor blood supply, such as distal limb wounds in the horse. Encapsulation of ECFCs into injectable hydrogel microspheres may ensure cell survival and cell localization to improve neovascularization and healing. Autologous ECFCs were isolated from 6 horses, labeled with quantum nanodots (QD), and a subset were encapsulated in poly(ethylene) glycol fibrinogen microspheres (PEG-Fb MS). Full-thickness dermal wounds were created on each distal limb and injected with empty PEG-Fb MS, serum, ECFCs, or ECFCs enca...
Histologic Comparison of the Dura Mater among Species.
Comparative medicine    February 3, 2020   Volume 70, Issue 2 170-175 doi: 10.30802/AALAS-CM-19-000022
Kinaci A, Bergmann W, Bleys RL, van der Zwan A, van Doormaal TP.The biocompatibility, biodegradation, feasibility, and efficacy of medical devices like dural sealants and substitutes are often evaluated in various animal models. However, none of these studies explain the rationale for choosing a particular species, and a systematic interspecies comparison of the dura is not available. We hypothesized that histologic characteristics of the dura would differ among species. We systematically investigated basic characteristics of the dura, including thickness, composition, and fibroblast orientation of the dura mater, in 34 samples representing 10 animal speci...
Evaluation of Hypoxia-Inducible Factor-1 Alpha (HIF-1α) in Equine Sarcoid: An Immunohistochemical and Biochemical Study.
Pathogens (Basel, Switzerland)    January 14, 2020   Volume 9, Issue 1 58 doi: 10.3390/pathogens9010058
equine sarcoids are the most frequent skin tumors in equidae worldwide. It is well known that delta bovine papillomaviruses are their causative agents. We have recently shown the presence in equine sarcoids of abnormal vessel structures, which could cause a hypoxic condition. The aim of this study was to analyze the expression of hypoxia-inducible factor-1 alpha (HIF-1α) in a subset of BPV positive equine sarcoids and explore the relationship with vascular endothelial growth factor (VEGF) expression. Results: 80% of equine sarcoids showed strong cytoplasmic staining in >60% of neoplastic f...
Examination of jackass (Equus asinus) accessory sex glands by B-mode ultrasound and of testicular artery blood flow by colour pulsed-wave Doppler ultrasound: Correlations with semen production.
Reproduction in domestic animals = Zuchthygiene    January 10, 2020   Volume 55, Issue 2 181-188 doi: 10.1111/rda.13604
Gacem S, Papas M, Catalan J, Miró J.The accessory sex glands play a major role in the production of seminal plasma, and testicular artery blood flow seems to strongly influence testicular function. However, very little ultrasound imaging of these organs has been undertaken in donkeys. The present work reports the results of such examinations in five jackasses along the year. The accessory glands were inspected by B-mode ultrasound while the testicular artery blood flow was assessed by colour pulsed-wave Doppler ultrasound. The testicular artery was examined at pampiniform plexus (PPT), supratesticular area (ST) and capsular arte...
Power Doppler can detect the presence of 7-8 day conceptuses prior to flushing in an equine embryo transfer program.
Theriogenology    January 9, 2020   Volume 145 1-9 doi: 10.1016/j.theriogenology.2020.01.015
Nieto-Olmedo P, Martín-Cano FE, Gaitskell-Phillips G, Ortiz-Rodríguez JM, Peña FJ, Ortega-Ferrusola C.In order to determine whether differences in uterine blood flow between pregnant and non-pregnant mares can be used to predict the presence of the equine embryo prior to flushing in an embryo transfer program, power Doppler ultrasonography was used on a total of 52 mares on days 7 or 8 post-ovulation. Computer analysis of Doppler images was subsequently performed using ImageJ v1.48 software. Vascular perfusion of the endometrium was analyzed using spot meter techniques, measuring mean pixel intensity and area of blood flow. Mares with positive flushings presented a higher uterine blood flow ar...
Pododermal angioarchitecture in the equine hoof wall: A light and scanning electron microscopic study of the wall proper.
Clinical hemorheology and microcirculation    November 28, 2019   Volume 74, Issue 1 21-44 doi: 10.3233/CH-199233
Sievers H, Hiebl B, Hünigen H, Hirschberg RM.Blood supply is an important factor for the normal function of the equine hoof, but earlier studies present conflicting data on functional characteristics of its angioarchitecture. Objective: Emphasis was laid on demonstration of the microvascularisation in the different hoof wall regions, aiming at assessment of specialised vascular structures, e.g. vascular sphincter mechanisms and arteriovenous anastomoses. Methods: The angioarchitecture of the adult pododerma in the equine hoof wall was examined by scanning electron microscopy of micro-corrosion casts assisted by exemplary histological and...
Aortic, common carotid and external iliac artery arterial wall stiffness parameters in horses: Inter-day and inter-observer and intra-observer measurement variability.
Equine veterinary journal    November 20, 2019   Volume 52, Issue 3 471-476 doi: 10.1111/evj.13196
Vera L, De Clercq D, Paulussen E, Van Steenkiste G, Decloedt A, Chiers K, van Loon G.In human medicine, local and regional arterial wall stiffness (AWS) parameters are routinely used to assess the vascular health. In horses, information regarding reproducibility of ultrasonographically derived AWS parameters is lacking. Objective: To evaluate the inter-day and inter-observer and intra-observer measurement variability of both local and regional AWS parameters in horses. Methods: Experimental study. Methods: In 10 healthy, adult Warmblood horses, B-, M-mode and pulsed-wave Doppler ultrasound images were collected on two different days from aorta, cranial and caudal common caroti...
A Mechanogenetic Model of Exercise-Induced Pulmonary Haemorrhage in the Thoroughbred Horse.
Genes    November 1, 2019   Volume 10, Issue 11 880 doi: 10.3390/genes10110880
Blott S, Cunningham H, Malkowski L, Brown A, Rauch C.Exercise-induced pulmonary haemorrhage (EIPH) occurs in horses performing high-intensity athletic activity. The application of physics principles to derive a 'physical model', which is coherent with existing physiology and cell biology data, shows that critical parameters for capillary rupture are cell-cell adhesion and cell stiffness (cytoskeleton organisation). Specifically, length of fracture in the capillary is a ratio between the energy involved in cell-cell adhesion and the stiffness of cells suggesting that if the adhesion diminishes and/or that the stiffness of cells increases EIPH is ...