Hemodynamic Influences on abdominal aortic aneurysm disease: Application of biomechanics to aneurysm pathophysiology

被引:70
作者
Dua, Monica M. [1 ]
Dalman, Ronald L. [1 ]
机构
[1] Stanford Univ, Sch Med, Div Vasc Surg, Stanford, CA 94305 USA
关键词
Abdominal aortic aneurysm; Hemodynamics; Blood flow; Inflammation; Exercise; LOWER-LIMB EXERCISE; SPINAL-CORD-INJURY; WALL SHEAR-STRESS; INDUCED ARTERIAL ENLARGEMENT; IN-VIVO QUANTIFICATION; C-REACTIVE PROTEIN; RISK-FACTORS; ENDOVASCULAR REPAIR; ENDOTHELIAL-CELLS; LOWER-EXTREMITIES;
D O I
10.1016/j.vph.2010.03.004
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
"Atherosclerotic" abdominal aortic aneurysms (AAAs) occur with the greatest frequency in the distal aorta. The unique hemodynamic environment of this area predisposes it to site-specific degenerative changes. In this review, we summarize the differential hemodynamic influences present along the length of the abdominal aorta, and demonstrate how alterations in aortic flow and wall shear stress modify MA progression in experimental models. Improved understanding of aortic hemodynamic risk profiles provides an opportunity to modify patient activity patterns to minimize the risk of aneurysmal degeneration. (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:11 / 21
页数:11
相关论文
共 97 条
[21]   Epidemiology of aortic aneurysm repair in the United States from 1993 to 2003 [J].
Cowan, John A. ;
Dimick, Justin B., Jr. ;
Henke, Peter K. ;
Rectenwald, John ;
Stanley, James C. ;
Upchurch, Gilbert R., Jr. .
ABDOMINAL AORTIC ANEURYSM: GENETICS, PATHOPHYSIOLOGY AND MOLECULAR BIOLOGY, 2006, 1085 :1-10
[22]   Oxidative stress and abdominal aneurysms: how aortic hemodynamic conditions may influence AAA disease [J].
Dalman, RL .
CARDIOVASCULAR SURGERY, 2003, 11 (05) :417-419
[23]   AAA disease - Mechanism, stratification, and treatment [J].
Dalman, Ronald L. ;
Tedesco, Maureen M. ;
Myers, Jonathon ;
Taylor, Charles A. .
ABDOMINAL AORTIC ANEURYSM: GENETICS, PATHOPHYSIOLOGY AND MOLECULAR BIOLOGY, 2006, 1085 :92-109
[24]  
DARLING RC, 1977, CIRCULATION, V56, P161
[25]   Oscillatory and steady laminar shear stress differentially affect human endothelial redox state - Role of a superoxide-producing NADH oxidase [J].
De Keulenaer, GW ;
Chappell, DC ;
Ishizaka, N ;
Nerem, RM ;
Alexander, RW ;
Griendling, KK .
CIRCULATION RESEARCH, 1998, 82 (10) :1094-1101
[26]   Improving aneurysm-related outcomes: Nationwide benefits of endovascular repair [J].
Dillavou, ED ;
Muluk, SC ;
Makaroun, MS .
JOURNAL OF VASCULAR SURGERY, 2006, 43 (03) :446-451
[27]   Vessel asymmetry as an additional diagnostic tool in the assessment of abdominal aortic aneurysms [J].
Doyle, Barry J. ;
Callanan, Anthony ;
Burke, Paul E. ;
Grace, Pierce A. ;
Walsh, Michael T. ;
Vorp, David A. ;
McGloughlin, Timothy M. .
JOURNAL OF VASCULAR SURGERY, 2009, 49 (02) :443-454
[28]   Prediction of rupture risk in abdominal aortic aneurysm during observation: Wall stress versus diameter [J].
Fillinger, MF ;
Marra, SP ;
Raghavan, ML ;
Kennedy, FE .
JOURNAL OF VASCULAR SURGERY, 2003, 37 (04) :724-732
[29]   In vivo analysis of mechanical wall stress and abdominal aortic aneurysm rupture risk [J].
Fillinger, MF ;
Raghavan, ML ;
Marra, SP ;
Cronenwett, JL ;
Kennedy, FE .
JOURNAL OF VASCULAR SURGERY, 2002, 36 (03) :589-597
[30]   Screening for abdominal aortic aneurysm: A best-evidence systematic review for the US Preventive Services Task Force [J].
Fleming, C ;
Whitlock, EP ;
Bell, TL ;
Lederle, FA .
ANNALS OF INTERNAL MEDICINE, 2005, 142 (03) :203-211