颈动脉狭窄及其治疗中血流动力学应用研究进展

何晨, 吴日乐, 王晓东

武警医学 ›› 2024, Vol. 35 ›› Issue (4) : 357-360.

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武警医学 ›› 2024, Vol. 35 ›› Issue (4) : 357-360.
综述

颈动脉狭窄及其治疗中血流动力学应用研究进展

  • 何晨1, 吴日乐2, 王晓东3
作者信息 +

Research progress of hemodynamics in carotid artery stenosis and its treatment

  • HE Chen, WU Rile, WANG Xiaodong
Author information +
文章历史 +

摘要

颈动脉内膜切除术(CEA)和颈动脉支架植入术(CAS)是血运重建的重要手段,而术后所致的血流动力学改变一定程度上影响患者手术效果及预后。因此,分析颈动脉狭窄的血流动力学是预防并治疗缺血性脑卒中的重要举措。本文就颈动脉粥样硬化斑块形成、进展和术后的血流动力学研究现状进行简要综述。以期进一步加强对颈动脉狭窄的病情诊治,从而降低脑血管病的致残率及致死率。

关键词

颈动脉狭窄 / 颈动脉剥脱术 / 颈动脉支架置入术 / 血流动力学

引用本文

导出引用
何晨, 吴日乐, 王晓东. 颈动脉狭窄及其治疗中血流动力学应用研究进展[J]. 武警医学. 2024, 35(4): 357-360
HE Chen, WU Rile, WANG Xiaodong. Research progress of hemodynamics in carotid artery stenosis and its treatment[J]. Medical Journal of the Chinese People Armed Police Forces. 2024, 35(4): 357-360
中图分类号: R541   

参考文献

[1] Kotlyarov S, Kotlyarova A. Involvement of fatty acids and their metabolites in the development of inflammation in atherosclerosis[J].Int J Mol Sci,2022,23(3):1308.
[2] Huang L C, Lin R T, Chen C F,et al. Predictors of carotid intima-media thickness and plaque progression in a chinese population[J].Atheroscler Thromb, 2016,23(8):940-949.
[3] Huang W Y, Weng W C, Su F C, et al. Association between stroke severity and 5-year mortality in ischemic stroke patients with high-grade stenosis of internal carotid artery[J]. Stroke Cerebrovasc Dis,2018,27(11):3365-3372.
[4] Halliday A. Treatment of asymptomatic carotid artery stenosis[J].Lancet Neurol,2022,21(10):858-859
[5] Bonati L H, Kakkos S, Berkefeld J, et al. European stroke organisation guideline on endarterectomy and stenting for carotid artery stenosis[J].Eur Stroke, 2021,6(2):I-XLVII.
[6] Nagargoje M, Gupta R. Effect of sinus size and position on hemodynamics during pulsatile flow in a carotid artery bifurcation[J].Comput Methods Programs Biomed,2020,192:105440.
[7] Mahmoudi M, Farghadan A, McConnell D R, et al. The story of wall shear stress in coronary artery atherosclerosis: biochemical transport and mechanotransduction[J].Biomech Eng,2021,143(4):041002.
[8] Hoogendoorn A, Kok A M, Hartman E M J, et al. Multidirectional wall shear stress promotes advanced coronary plaque development: comparing five shear stress metrics[J].Cardiovasc Res,2020,116(6):1136-1146.
[9] Morbiducci U, Mazzi V, Domanin M, et al. Wall shear stress topological skeleton independently predicts long-term restenosis after carotid bifurcation endarterectomy[J].Ann Biomed Eng,2020,48(12):2936-2949.
[10] Takami Y, Norikane T, Yamamoto Y, et al. A preliminary study of relationship among the degree of internal carotid artery stenosis, wall shear stress on mr angiography and 18f-fdg uptake on pet/ct[J].Nucl Cardiol,2022,29(2):569-577.
[11] Feng S, Bowden N, Fragiadaki M, et al. Mechanical activation of hypoxia-inducible factor 1αdrives endothelial dysfunction at atheroprone sites[J].Arterioscler Thromb Vasc Biol,2017,37(11):2087-2101.
[12] Lui M, Martino S, Salerno M, et al. On the turbulence modeling of blood flow in a stenotic vessel[J].Biomech Eng, 2020,142(1):011009.
[13] Mendieta J B, Fontanarosa D, Wang J, et al. The importance of blood rheology in patient-specific computational fluid dynamics simulation of stenotic carotid arteries[J].Biomech Model Mechanobiol, 2020,19(5):1477-1490.
[14] Schrauwen J T, Karanasos A, van Ditzhuijzen N S, et al. Influence of the accuracy of angiography-based reconstructions on velocity and wall shear stress computations in coronary bifurcations: a phantom study[J].PLoS One, 2015,10(12):e0145114.
[15] Twine C P, Kakkos S K, Aboyans V, et al. Editor’s choice-european society for vascular surgery (esvs) 2023 clinical practice guidelines on antithrombotic therapy for vascular diseases[J].Eur J Vasc Endovasc Surg, 2023,65(5):627-689.
[16] Gupta R, Abou-Chebl A, Bajzer C T, et al. Rate, predictors, and consequences of hemodynamic depression after carotid artery stenting[J].Am Coll Cardiol,2006,47(8):1538-1543.
[17] Lauricella A, Berchiolli R, Moratto R, et al. Impact of plaque dilation before carotid artery stent deployment[J].Vasc Surg,2020,71(3):842-853.
[18] Lavoie P, Rutledge J, Dawoud M A, et al. Predictors and timing of hypotension and bradycardia after carotid artery stenting[J].AJNR Am J Neuroradiol,2008,29(10):1942-1947.
[19] 孙红刚,居克举,高社荣.颈动脉狭窄患者血管成形和支架植入术后血流动力学的改变[J].临床神经病学杂志,2015,28(3):229-231.
[20] Aboyans V, Ricco J B, Bartelink M E L, et al. 2017 ESC Guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the european society for vascular surgery (esvs): document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the european stroke organization (eso)the task force for the diagnosis and treatment of peripheral arterial diseases of the european society of cardiology (esc) and of the european society for vascular surgery (esvs)[J].Eur Heart,2018,39(9):763-816.
[21] Tsukada T, Izumi T, Isoda H, et al. Comparison of hemodynamic stress in healthy vessels after parent artery occlusionand flow diverter stent treatment for internal carotid artery aneurysm[J].Neurosurg,2021,136(3):619-626.
[22] Sudheer P, Agarwal A, Vishnu V Y, et al. Predisposing factors and management of hemodynamic depression following carotid artery stenting[J].Ann Indian Acad Neurol, 2021,24(3):315-318.
[23] Colombo M, He Y, Corti A, et al. Baseline local hemodynamics as predictor of lumen remodeling at 1-year follow-up in stented superficial femoral arteries[J].Sci Rep, 2021,11(1):1613.
[24] Kleindorfer D O, Towfighi A, Chaturvedi S, et al. 2021 Guideline for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline from the American Heart Association/American Stroke Association[J].Stroke,2021,52(7):e364-e467.
[25] Rothwel P M, Eliasziw M, Gutnikov S A, et al. Carotid endarterectomy trialists’collaboration.analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis[J].Lancet,2003,361(9352):107-116.
[26] Ackerstaff R G, Moons K G, van de Vlasakker C J, et al. Association of intraoperative transcranial doppler monitoring variables with stroke from carotid endarterectomy[J].Stroke,2000,31(8):1817-1823.
[27] Altaf N, Beech A, Goode S D, et al. Carotid intraplaque hemorrhage detected by magnetic resonance imaging predicts embolization during carotid endarterectomy[J].Vasc Surg,2007,46(1):31-36.
[28] Hatsukami T S, Yuan C. MRI in the early identification and classification of high-risk atherosclerotic carotid plaques[J].Imaging Med,2010,2(1):63-75.
[29] Sato Y, Ogasawara K, Narumi S, et al. Optimal MR plaque imaging for cervical carotid artery stenosis in predicting the development of microembolic signals during exposure of carotid arteries in endarterectomy: comparison of 4 T1-weighted imaging techniques[J].AJNR Am J Neuroradiol,2016,37(6):1146-1154.
[30] 张 克,华 扬,周福波,等.血管结构特征与颈动脉内膜切除术后再狭窄的相关性研究[J].中国脑血管病杂志,2021,18(3):145-151.

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