The rheological properties of the arterial wall

Key words The rheological properties of rat arteries were studied in vitro. Using intact arterial segments undergoing large deformations in longitudinal and circumferential direction, both the stress-strain relationship and the corresponding histological changes with deformation are presented. Correlations between the mechanical properties and the histological structure are discussed.     

磁共振血管成像在颈动脉狭窄检查中的对比研究

目的研究在颈动脉狭窄检查中采取磁共振血管成像的诊断价值。方法回顾性分析惠州市中心人民医院自2015年12月至2016年12月期间收治的39例颈动脉狭窄患者所有资料,将减影血管造影检查结果作为金标准实行磁共振血管成像检查,分析狭窄检测敏感性、准确性以及特异性。结果磁共振血管成像检查狭窄检测敏感性、准确性以及特异性发生率分别为97.43%、92.31%、94.87%。结论将磁共振血管成像应用在检查颈动脉狭窄中具有显著效果,可以提升准确符合率,值得广泛应用与研究。     

Potential Role of Melatonin as an Adjuvant for Atherosclerotic Carotid Arterial Stenosis

Carotid artery stenosis (CAS) is an atherosclerotic disease characterized by a narrowing of the artery lumen and a high risk of ischemic stroke. Risk factors of atherosclerosis, including smoking, hypertension, hyperglycemia, hyperlipidemia, aging, and disrupted circadian rhythm, may potentiate atherosclerosis in the carotid artery and further reduce the arterial lumen. Ischemic stroke due to severe CAS and cerebral ischemic/reperfusion (I/R) injury after the revascularization of CAS also adversely affect clinical outcomes. Melatonin is a pluripotent agent with potent anti-inflammatory, anti-oxidative, and neuroprotective properties. Although there is a shortage of direct clinical evidence demonstrating the benefits of melatonin in CAS patients, previous studies have shown that melatonin may be beneficial for patients with CAS in terms of reducing endothelial damage, stabilizing arterial plaque, mitigating the harm from CAS-related ischemic stroke and cerebral I/R injury, and alleviating the adverse effects of the related risk factors. Additional pre-clinical and clinical are required to confirm this speculation.     

家兔颈总动脉血管低温力学性能的实验研究

实验研究了家兔颈总动脉血管低温下的轴向和周向的力学性能．这些力学性能包括应力应变曲线和断裂强度，它们将有助于血管低温保存过程的热应力分析．结果表明，血管在低温下的力学性能与室温情况非常不同，冷冻血管的弹性模量要比未冷冻的高很多．当温度接近液氮温度时，甚至可能高几千倍．低温下，血管的轴向模量要高于周向的，但他们的断裂强度相差不大．最后，从血管组分的力学性能考虑，讨论了血管整体力学性能的变化规律．     

刚性圆管中血液周期振荡流的切应力分布

本文通过求解圆管内血液振荡流的基本方程，求得圆管内血液流的压力梯度与切应力之间的关系式。在此基础上，详细讲座了圆管中轴向流速和切变率谐波的变化规律，指出流速谐波和切变率谐波的幅值都将随着谐波次数的增大而逐渐减小。为了使所得结果便于应用。文章通过管轴向中心线流速与压力梯度之间的关系式，进一步给出一种利用管轴向中心线流速计算管内切应力分布的简便方法。该方法用于检测活体血管内血液振荡流的切应力分布，具有操作简单，精度较高的优点。最后，以人体颈动脉为例，讨论血液周期振荡流的切应力的分布特性。发现在任意时刻，除了邻近管壁处切应力急剧增大到一定数值之外，沿管截面切应力分布相当均匀且接近于零，呈现出与定常流不同的切应力分布特征。     

血管残余应力的一种确定方法

动脉无载荷状态下存在残余应力,分析血管壁在载荷状态下的应力分布必须计及血管壁的残余应力。本文通过检测动脉不同轴向伸长比条件下的压力—容积(p—V)数据,根据其p—V实验曲线的“S”型特征,提出了一种用反正切函数关系对试验数据点进行拟合,进而导得动脉管壁周向残余应力沿壁厚分布的方法。文章对10只正常大鼠颈动脉的分析结果表明,大鼠颈动脉周向残余应力沿血管壁厚呈单调上升趋势。残余应力在内壁处为负呈压缩状态,在外壁处为正呈拉伸状态,并且内外壁处应力绝对值大小基本相等,大约在2．5kPa左右。文章结果对进一步分析动脉管壁在载荷作用下的应力分布提供必要的信息。     

Propagation‐based phase‐contrast X‐ray microtomography of a cerebral protection device retrieved after carotid artery stenting

Phase‐contrast synchrotron X‐ray microtomography (pcSyncX) based on the highly coherent X‐ray beam has previously been used to visualize the microstructures of biologic specimens, but it has never been used to evaluate embolic debris adherent on a cerebral protection device (CPD). The purpose of this study was to demonstrate the feasibility of pcSyncX for evaluating embolic debris during carotid artery stenting (CAS). Five patients (four males, age range 67–77 years) with severe carotid artery stenosis underwent CAS. The retrieved CPD was exposed to synchrotron radiation and 1000 pcSyncX projection images were obtained by rotating the CPD through 180°. An X‐ray shadow of a CPD was converted into a visual image by the scintillator. After microtomographic reconstruction, the three‐dimensionally reconstructed images were further segmented into the embolic debris and CPD. The total volume of emboli was calculated by summing the volume at each scanning level. The number of membrane pores covered by emboli as seen from the outer surface was counted and the percentage of covered area was calculated. Embolic debris was clearly demonstrated not only on the inner surface and within pores but also on the outer surface of the CPD. The mean total volume of embolic debris was 0.538 × 10^–6 mm³ (range 0.225–0.965 × 10^–6 mm³). Most (61.5%) of the debris was located at the apical one‐third of the CPD and 20.8% of the pore area was covered by debris.     

原发肾病综合征患儿超声颈动脉参数、血清sTREM-1、suPAR水平变化及与急性肾损伤的相关性

选取原发性肾病综合征(PNS)患儿96例作为研究组,选取同期96例健康体检儿童作为对照组,开展前瞻性队列研究,均行超声颈动脉参数、血清可溶性髓系细胞表达的触发受体-1(sTREM-1)、可溶性尿激酶型纤溶酶原激活物受体(suPAR)水平检测,并进行对比分析.本研究发现,研究组患儿颈动脉内中膜厚度(cIMT)、平均管壁横...     

不对称入口速度剖面对两种类型颈动脉分又模型外侧壁切应力的影响

在定常流不对称人口速度剖面条件下,对健康型和致病型颈动脉分叉TF-AHCB模型进行实验和数值模拟研究,发现不对称人口速度剖面的形状对模型外侧壁的低切应力和切应力速度分布有明显影响。在50°模型窦前部的壁面切应力梯度比20°模型高出数倍,当人口速度剖面向颈内动脉偏斜时更可高出10倍以上。这些结果对认识导致动脉粥样硬化斑块的血流动力学因子的影响因素有重要参考价值。     

超声IMT及斑块指标与心血管疾病主要危险因素的相关性

本文对颈动脉内膜中膜厚度(intima media thickness,IMT)及斑块指标与心血管疾病主要危险因素的相关性进行了探讨。选择2014年1月~2018年12月期间在我院常规体检的160例老年人作为研究对象。根据IMT不同将其分对照组78例、增厚组52例、斑块组30例,对颈动脉IMT及斑块指标与心血管疾病主要危险因素进行相关性分析,结果显示,增厚组和斑块组在男性比例、年龄、收缩压、甘油三酯、餐后2 h血糖水平方面均显著高于对照组,差异有统计学意义(P<0.05);多因素Loglsitlc分析显示,IMT与男性比例、年龄、收缩压、甘油三酯、餐后2 h血糖水平呈明显正相关性,差异有统计学意义(P<0.05)。证实颈动脉IMT水平及斑块钙化情况与心血管病变的危险因素男性比例、年龄、收缩压、甘油三酯、餐后2 h血糖水平等有显著相关性,在临床上可预测心血管事件的发生。