arterial disease severity measurement number of ruptures of arterial internal elastic lamina 2014-08-18T15:33:42Z JSMITH The value or quantity determined by count of tears or breaks in the continuity or configuration of the fenestrated layer of elastic tissue that is the outermost part of the intima of an artery. number of RIEL in arteries number of ruptures of arterial IEL number of ruptures of internal elastic lamina in arteries number of ruptures of internal elastic laminae in arteries