Microangiopathy (also known as microvascular disease, small vessel disease (SVD) or microvascular dysfunction) is a disease of the microvessels, small blood vessels in the microcirculation.[1] It can be contrasted to macroangiopathies such as atherosclerosis, where large and medium-sized arteries (e.g., aorta, carotid and coronary arteries) are primarily affected.[2]
Microangiopathy | |
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A case of conjunctival microangiopathy (red dashed-square) secondary to diabetes demonstrating a microaneurysm (orange arrow), vessel dilatation (blue arrows), and vascular tortuosity (yellow arrow). | |
Examples of microvascular diseases. |
Small vessel diseases (SVDs) affect primarily organs that receive significant portions of cardiac output such as the brain, the kidney, and the retina. Thus, SVDs are a major etiologic cause in debilitating conditions such as renal failure, blindness, lacunar infarcts, and dementia.[3]