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Updated: May 24, 2026

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Noninvasive assessment of arterial function in children: clinical applications
1Service de Cardiologie Pédiatrique, Hôpital Necker, Enfants-Malades, Paris, France and Unité INSERM 0016 and Unité de cardiologie Pédiatrique, Département de Pédiatrie, Genève, Hôpital des Enfants, Genève, Suisse.
Insights
Non-invasive methods can assess arterial function in children, detecting early vascular disease. This review details techniques for evaluating arterial stiffness and endothelial function in pediatric populations.
Area of Science:
- Cardiovascular Research
- Pediatric Vascular Health
- Non-invasive Diagnostics
Background:
- Arterial vascular disease can begin in childhood, influenced by cardiovascular disease risk factors.
- Early detection of sub-clinical arterial damage is crucial for risk stratification and intervention.
- Assessing arterial wall integrity offers predictive and therapeutic potential.
Purpose of the Study:
- To review non-invasive procedures for assessing arterial function in children.
- To describe methods for investigating the mechanical properties of the common carotid artery.
- To detail techniques for evaluating endothelial function of the brachial artery.
Main Methods:
- Applanation tonometry for non-invasive blood pressure wave contour recording.
- Assessment of the mechanical properties of the common carotid artery.
- Evaluation of endothelial function in the brachial artery.
Main Results:
- Improved accuracy in non-invasive blood pressure wave contour recording.
- Description of results from previous studies using these non-invasive methods.
- Demonstration of the utility of applanation tonometry in pediatric arterial assessment.
Conclusions:
- Non-invasive methods are valuable for assessing arterial function in pediatric populations.
- These techniques allow for early detection of vascular changes.
- Further research can refine risk stratification and inform early interventions for cardiovascular disease in children.
Abstract:
Non invasive methods to assess arterial function are widely used in adults. The development and progression of arterial vascular disease is a multifactorial process that can start early in life, thus even in a pediatric population. Risk factors for cardiovascular disease mediate their effects by altering the structure, properties and function of wall and endothelial components of the arterial blood vessels. The ability to detect and monitor sub-clinical damage, representing the cumulative and integrated influence of risk factors in impairing arterial wall integrity, holds potential to further refine cardiovascular risk stratification and enable early intervention to prevent or attenuate disease progression. Measurements that provide more direct information in relation to changes in arterial wall integrity clearly hold predictive and therapeutic potential. The aim of this current review will be to describe the non-invasive procedure used in children to investigate the mechanical properties of a great elastic artery, the common carotid, and the endothelial function of the brachial artery. The accuracy of recording noninvasively the blood pressure wave contour along the arterial tree has been improved by the technique of applanation tonometry. The results obtained with these methods in previous studies are described.
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