系统审查与状腺斑块破坏和中风相关的生物力学力量
Georges Jreij1, Gador Canton2, Daniel S Hippe3
1Department of Vascular Surgery, University of Maryland, Baltimore, MD.
Journal of vascular surgery
|May 16, 2025
概括
生物力学力量,如斑块壁应力 (PWS) 和壁剪切应力 (WSS) 在动脉斑块上,与不良结果有关. 较高的PWS和WSS可以比传统的狭窄度测量更准确地预测中风风险.
科学领域:
- 生物医学工程 生物医学工程
- 神经学 神经学
- 心血管研究研究心血管研究
背景情况:
- 动脉斑块破裂导致中风是脑损伤的主要原因.
- 传统的测量动脉狭窄症的严重程度并不能准确预测中风风险.
- 斑块上的生物力可能会导致脆弱性和破裂.
研究的目的:
- 系统地审查对生物力学作用于动脉斑块的研究.
- 评估这些力量与不良斑块结果之间的关系.
主要方法:
- 在PubMed,Embase和Web of Science的系统文献搜索.
- 包括具有患者特定几何形状,测量力和报告的不良结果的研究.
- 分析方法包括CFD,FEA,FSI,体内和体外测量.
主要成果:
- 154项研究符合资格标准;使用MRI和超声数据计算的力量.
- 墙壁剪切应力 (WSS) 和斑块壁应力 (PWS) 是常见的测量.
- 升高的PWS (>160 kPa) 和WSS (>50 dyn/cm2) 显示出对不良事件的高度敏感性和特异性.
- 增加PWS与随后的缺血性脑血管事件有很强的相关性.
结论:
- 在研究设计和方法中存在异质性.
- 增加PWS和WSS始终与阴道斑不良结果相关并预测.
- 由于数据异质性,需要进行更大的前性研究来证实这些发现.
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