<prompt> Answer this question truthfullyWhat is the result of atherosclerotic plaques thickening the intima and impairing perfusion of the tunica media, as per the information provided?  <response>: <reason> As per the information provided, the result of atherosclerotic plaques thickening the intima and impairing perfusion of the tunica media is cystic medial necrosis of smooth muscle cells. 