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Intravascular Ultrasound in the Determination of the Mechanical Properties of Diabetic Arteries

Published online by Cambridge University Press:  02 July 2020

D. Geoffrey Vince ,
Azita Tajaddini  and
Alex I. Veress
D. Geoffrey Vince
Affiliation:
Department of Biomedical Engineering, The Cleveland Clinic Foundation, Cleveland, OH, 44195
Azita Tajaddini
Affiliation:
Department of Biomedical Engineering, The Cleveland Clinic Foundation, Cleveland, OH, 44195
Alex I. Veress
Affiliation:
Department of Biomedical Engineering, The Cleveland Clinic Foundation, Cleveland, OH, 44195
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Extract

Cardiovascular disease is the leading cause of morbidity and mortality in diabetic individuals. Diabetes mellitus is associated with a two- to four-fold increase in risk of coronary heart disease. This risk is independent of other classical risk factors including age, smoking, elevated serum cholesterol levels, and hypertension, and the overall risk of cardiovascular disease increases proportionally with the number of risk factors. Many groups are currently investigating the aetiology of diabetic vascular disease, with particular interesting being paid to the processes involved in the formation of highly cross-linked carbohydrate-protein complexes known as melanoids. These complexes appear to be formed by glycation arising from reactions between glucose and the amino groups on proteins, and their formation within the vessel wall resqlts in a decrease in vascular elasticity. This decrease in elasticity has been implicated in the increased incidence of atherosclerosis in diabetic individuals. Previous testing modalities could not test in the radial direction and required assumptions based on incompressibility in order to determine the radial behavior of the artery.

Type
Imaging of Vascular Disorders
Information
Microscopy and Microanalysis , Volume 6 , Issue S2: Proceedings: Microscopy & Microanalysis 2000, Microscopy Society of America 58th Annual Meeting, Microbeam Analysis Society 34th Annual Meeting, Microscopical Society of Canada/Societe de Microscopie de Canada 27th Annual Meeting, Philadelphia, Pennsylvania August 13-17, 2000 , August 2000 , pp. 546 - 547
Copyright
Copyright © Microscopy Society of America

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References

1. Howard, BV, Lisse, JR, Knowler, WC, Davis, MP, Pettitt, DJ, Bennett, PH: Diabetes and atherosclerosis in the Pima Indians. Mount Sinai Journal of Medicine 1982; 49(3): 169–75.Google Scholar

2. Lopes-Virella, MF, Virella, G: Lipoproteins and immune responses in the vascular wall and their contribution to atherosclerosis in diabetes. Metabolism: Clinical & Experimental 1992; 41(5 Suppl 1): 11–5.Google Scholar

3. Winlove, CP, Parker, KH, Avery, NC, Bailey, AJ: Interactions of elastin and aorta with sugars in vitro and their effects on biochemical and physical properties. Diabetologia 1996; 39(10): 1131–9.CrossRefGoogle ScholarPubMed

4. McVeigh, GE: Arterial compliance in hypertension and diabetes mellitus. American Journal of Nephrology 1996; 16(3): 217–22.CrossRefGoogle ScholarPubMed

5. Thorpe, SR, Baynes, JW: Role of the Maillard reaction in diabetes mellitus and diseases of aging. Drugs & Aging 1996; 9(2): 69–77.CrossRefGoogle ScholarPubMed

6. Bank, AJ: Intravascular ultrasound studies of arterial elastic mechanics. Pathologie Biologie 1999; 47(7): 731–7.Google ScholarPubMed

7. Vavuranakis, M, Stefanadis, C, Triandaphyllidi, E, Toutouzas, K, Toutouzas, P: Coronary artery distensibility in diabetic patients with simultaneous measurements of luminal area and intracoronary pressure: evidence of impaired reactivity to nitroglycerin. Journal of the American College of Cardiology 1999; 34(4): 1075–81.CrossRefGoogle ScholarPubMed

8. Hardt, SE, Just, A, Bekeredjian, R, Kubler, W, Kirchheim, HR, Kuecherer, HF: Aortic pressurediameter relationship assessed by intravascular ultrasound: experimental validation in dogs. American Journal of Physiology 1999; 276(3 Pt 2): H1078–85.Google ScholarPubMed

9. Nissen, SE, Gurley, JC, Grines, CL, et al.: Intravascular ultrasound assessment of lumen size and wall morphology in normal subjects and patients with coronary artery disease. Circulation 1991; 84(3): 1087–99.CrossRefGoogle ScholarPubMed

10. Frobert, O, Gregersen, H, Bagger, JP. Mechanics of Porcine coronary Arteries ex vivo Employing Impedance Lanimetry: A New Intravascular technique. Ann. of Biomed. Eng. 1996;24:148–155,CrossRefGoogle ScholarPubMed