scholarly journals Reduced Aortic Wall Stress in Diabetes Mellitus

2007 ◽  
Vol 33 (5) ◽  
pp. 592-598 ◽  
Author(s):  
H. Åstrand ◽  
Å. Rydén-Ahlgren ◽  
G. Sundkvist ◽  
T. Sandgren ◽  
T. Länne
Keyword(s):  
Diabetes Mellitus ◽  
Aortic Wall ◽  
Wall Stress

scholarly journals WALL STRESS IN ASCENDING AORTA ANEURYSMS AS A PREDICTIVE FACTOR OF BREAKAGE

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
R J Burgos Lázaro ◽  
N Burgos Frías ◽  
S Serrano-Fiz García ◽  
V Ospina Mosquera ◽  
F Rojo Pérez ◽  
...  
Keyword(s):  
Aortic Wall ◽  
Wall Stress ◽  
Middle Layer ◽  
Ascending Aorta ◽  
Aortic Aneurysms ◽  
Maximum Diameter ◽  
Resistance Factors ◽  
Risk Of Rupture ◽  
Traction Test

Abstract INTRODUCTION The surgical indication for ascending aortic aneurysms (AAA) is established when the maximum diameter > 50 mm; It responds to Laplace's Law (T wall = P × r / 2e). The aim of the study is to define wall stress in AAA. MATERIAL AND METHODS 218 ascending aortic walls have been studied: 96 from organ donors, and 122 from AAA: Marfán 58 (47.5%), bicuspid aortic valve 26 (21.4%), and atherosclerosis 38 (31.1%). The samples were studied "in vitro", according to the model Young's (relationship between stress and deformed area), by means of the mechanical traction test (Tension = Force / Area). The analysis was performed with the stress-elongation curve (d Tension / d Elongation). RESULTS The stress of the aortic wall, classified from highest to lowest according to pathology and age was: cystic necrosis of the middle layer, arteriosclerosis, age > 60 years, between 35 and 59, and < 34 years. The stress of “control aortas” wall increased directly in relation to the age of the donors. CONCLUSIONS The maximum diameter of the ascending aorta, the patient's type of pathology and age are factors that affect the maximum tension of the aortic wall and resistance, factors that allow differentiation and prediction of the risk of rupture of the AAA. The validation of the results obtained through numerical simulation was significant and the uniaxial analysis has modeled the response of the vessels to their internal pressure.

scholarly journals Associations of markers of arterial stiffness and remodeling with new-onset type 2 diabetes mellitus

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
F Ahmadizar ◽  
K Wang ◽  
F Mattace Raso ◽  
MA Ikram ◽  
M Kavousi
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Blood Glucose ◽  
Arterial Stiffness ◽  
Wall Stress ◽  
Lipid Lowering ◽  
Circumferential Wall Stress ◽  
Increased Risk

Abstract Funding Acknowledgements Type of funding sources: None. Background. Arterial stiffness/remodeling results in impaired blood flow and, eventually, decreased glucose disposal in peripheral tissues and increased blood glucose. Besides, increased arterial stiffness/remodeling may lead to hypertension, as a potential reciprocal risk factor for type 2 diabetes mellitus (T2D). We, therefore, hypothesized that increased arterial stiffness/remodeling is associated with an increased risk of T2D. Purpose. To study the associations between arterial stiffness/remodeling and incident T2D. Methods. We used the prospective population-based Rotterdam Study. Common carotid arterial properties were ultrasonically determined in plaque-free areas. Aortic stiffness was estimated by carotid-femoral pulse wave velocity (cf_PWV), carotid stiffness was estimated by the carotid distensibility coefficient (carDC). Arterial remodeling was estimated by carotid artery lumen diameter (carDi), carotid intima-media thickness (cIMT), mean circumferential wall stress (CWSmean), and pulsatile circumferential wall stress (CWSpuls). Cox proportional hazard regression analysis was used to estimate the associations between arterial stiffness/remodeling and the risk of incident T2D, adjusted for age, sex, cohort, mean arterial pressure (MAP), antihypertensive medications, heart rate, non- high-density lipoprotein (HDL)-cholesterol, lipid-lowering medications, and smoking. We included interaction terms in the fully adjusted models to study whether any significant associations were modified by sex, age, blood glucose, or MAP. Spearman correlation analyses were applied to examine the correlations between measurements of arterial stiffness/remodeling and glycemic traits. Results. We included 3,055 individuals free of T2D at baseline (mean (SD) age, 67.2 (7.9) years). During a median follow-up of 14.0 years, 395 (12.9%) T2D occurred. After adjustments, higher cf_PWV (hazard ratio (HR),1.18; 95%CI:1.04-1.35), carDi (1.17; 1.04-1.32), cIMT (1.15; 1.01-1.32), and CWSpuls (1.28; 1.12-1.47) were associated with increased risk of incident T2D. After further adjustment for the baseline glucose, the associations attenuated but remained statistically significant. Sex, age, blood glucose, or MAP did not modify the associations between measurements of arterial stiffness/remodeling, and incident T2D. Among the population with prediabetes at baseline (n = 513) compared to the general population, larger cIMT was associated with a greater increase in the risk of T2D. Most measurements of arterial stiffness/remodeling significantly but weakly correlated with baseline glycemic traits, particularly with blood glucose.  Conclusions. Our study suggests that greater arterial stiffness/remodeling is independently associated with an increased risk of T2D development. Blood glucose and hypertension do not seem to play significant roles in these associations. Further studies should disentangle the underlying mechanism that links arterial stiffness/remodeling and T2D.

Image-based biomechanical modeling of aortic wall stress and vessel deformation: response to pulsatile arterial pressure simulations

2008 ◽  
Author(s):  
Dilana Hazer ◽  
Miriam Bauer ◽  
Roland Unterhinninghofen ◽  
Rüdiger Dillmann ◽  
Götz-M. Richter
Keyword(s):  
Arterial Pressure ◽  
Aortic Wall ◽  
Wall Stress ◽  
Biomechanical Modeling ◽  
Deformation Response

Abstract 297: Segmental Aortic Stiffening is a Mechanism Driving Early Abdominal Aortic Aneurysm Pathogenesis

2014 ◽  
Vol 34 (suppl_1) ◽  
Author(s):  
Uwe Raaz ◽  
Alexander M Zöllner ◽  
Ryuji Toh ◽  
Futoshi Nakagami ◽  
Isabel N Schellinger ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Aortic Wall ◽  
Ex Vivo ◽  
Wall Stress ◽  
Finite Elements Analysis ◽  
External Application ◽  
Abdominal Aortic ◽  
Aneurysm Growth ◽  
Aortic Stiffening

Stiffening of the aortic wall is a phenomenon consistently observed in abdominal aortic aneurysm (AAA). However, its role in AAA pathophysiology is largely undefined. Using an established murine elastase-induced AAA model, we demonstrate that segmental aortic stiffening (SAS) precedes aneurysm growth. Finite elements analysis (FEA)-based wall stress calculations reveal that early stiffening of the aneurysm-prone aortic segment leads to axial (longitudinal) stress generated by cyclic (systolic) tethering of adjacent, more compliant wall segments. Interventional stiffening of AAA-adjacent segments (via external application of surgical adhesive) significantly reduces aneurysm growth. These changes correlate with reduced segmental stiffness of the AAA-prone aorta (due to equalized stiffness in adjacent aortic segments), reduced axial wall stress, decreased production of reactive oxygen species (ROS), attenuated elastin breakdown, and decreased expression of inflammatory cytokines and macrophage infiltration, as well as attenuated apoptosis within the aortic wall. Cyclic pressurization of stiffened aortic segments ex vivo increases the expression of genes related to inflammation and extracellular matrix (ECM) remodeling. Finally, human ultrasound studies reveal that aging, a significant AAA risk factor, is accompanied by segmental infrarenal aortic stiffening. The present study introduces the novel concept of segmental aortic stiffening (SAS) as an early pathomechanism generating aortic wall stress and thereby triggering AAA growth. Therefore monitoring SAS by ultrasound might help to better identify patients at risk for AAA disease and better predict the susceptibility of small AAA to further growth. Moreover our results suggest that interventional mechanical stiffening of the AAA-adjacent aorta may be further tested as a novel treatment option to limit early AAA growth.

Abstract 482: Attachment Site Curvature of Thoracic Endografts is Correlated to Adjacent Aortic Wall Stress and Stress Distribution

2014 ◽  
Vol 34 (suppl_1) ◽  
Author(s):  
Nathan Couper ◽  
Michael Richards ◽  
Ankur Chandra
Keyword(s):  
Stress Distribution ◽  
Aortic Root ◽  
Mean Curvature ◽  
Aortic Wall ◽  
Attachment Site ◽  
Wall Stress ◽  
Patient Specific ◽  
Clinical Tool ◽  
Element Analysis ◽  
Clinical Series

INTRODUCTION: TEVAR has been seen to cause acute and chronic stent-induced tears of the adjacent aortic wall after treatment in 10-25% of cases with increasing frequency as the stent is placed closer to the aortic valve. The underlying cause for these tears and the ability to predict their occurrence is poorly understood. We hypothesize the cause of these tears is related to stent-induced changes in the adjacent aortic wall which could be quantified and predicted through finite element analysis (FEA) of stent-aorta interface. METHODS: Abaqus TM was used to resolve the FEA model of the stent-aorta interface in three configurations. The maximum principal stress in the vessel wall was averaged over the volume around the stent attachment point and the curvature of the stent was calculated at both the distal and proximal ends. (Figure 1). RESULTS: As the curvature of the attachment site increased, an increase in adjacent aortic wall stress was noted. These ranged from mean curvature (1/m) of 0.1 with wall stress of 49kPa for the distal attachment, position #2 to mean curvature of 6.7 and wall stress of 82kPa for the distal attachment site in position #3. There was an increase in maximum stress distribution as the TEVAR approached the aortic root of 104kPa, 109kPa, and 112kPa for positions 1-3 repectively. CONCLUSIONS: An increase in adjacent aortic wall stress and stress distribution was noted as TEVAR were placed closer to the aortic root which corresponds to the increase in stent-induced aortic tears observed in clinical series. This approach provides the basis for a predictive clinical tool to allow for patient-specific TEVAR planning with associated aortic wall stress analysis to minimize adjacent aortic trauma and assist in future stent design.

Pregnancy in a woman with a chronic descending thoracic aortic dissection

2020 ◽  
pp. 1753495X1990041
Author(s):  
Govind Krishna Kumar Nair ◽  
Catriona Bhagra ◽  
Mathew Sermer ◽  
Candice K Silversides ◽  
Birgit Pfaller
Keyword(s):  
Aortic Dissection ◽  
Aortic Wall ◽  
Aortic Rupture ◽  
Balloon Dilation ◽  
Wall Stress ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type ◽  
Planned Pregnancy ◽  
History Of

Pregnancy increases aortic wall stress and, for a woman with a chronic dissection, this can lead to extension of the dissection, aortic rupture, and death. We report a pregnancy in a woman with a history of a chronic type B aortic dissection. As a child, she had repeat balloon dilation of aortic coarctation, and one of the procedures was complicated by an iatrogenic dissection at the dilation site. At the age of 27 years, she had a planned pregnancy.

scholarly journals Increased Ascending Aortic Wall Stress in Patients With Bicuspid Aortic Valves

2011 ◽  
Vol 92 (4) ◽  
pp. 1384-1389 ◽  
Author(s):  
Derek P. Nathan ◽  
Chun Xu ◽  
Ted Plappert ◽  
Benoit Desjardins ◽  
Joseph H. Gorman ◽  
...  
Keyword(s):  
Aortic Wall ◽  
Wall Stress ◽  
Aortic Valves ◽  
Bicuspid Aortic Valves

scholarly journals HISTOLOGICAL AND MORPHOMETRIC ASPECTS OF STRUCTURE OF AORTIC WALL AND ITS HEMOMICROCIRCULATORY BED IN LATE STAGES OF EXPERIMENTAL DIABETES MELLITUS

2021 ◽  
Vol 21 (3) ◽  
pp. 222-228
Author(s):  
M.N. Tsitovskyi ◽  
M.V. Logash ◽  
I.I. Savka
Keyword(s):  
Diabetes Mellitus ◽  
Cardiovascular Diseases ◽  
Aortic Wall ◽  
Social Issues ◽  
Experimental Diabetes ◽  
White Male ◽  
Male Rats ◽  
World Health ◽  
Significant Difference ◽  
Streptozotocin Induced Diabetes

According to the World Health Organization, cardiovascular diseases and diabetes mellitus occupy a significant niche in the structure of diseases with high disability and mortality impact and pose major healthcare and social issues. It should be stressed that 50-80% of fatal cases in patients with diabetes are associated with cardiovascular diseases. The purpose of this study is to determine the histostructural characteristics and to perform morphometric analysis of the components of the aortic wall and its hemomicrocirculatory bed of the aorta in 6 and 8 weeks of streptozotocin-induced diabetes mellitus. The material for the histological study included the sections of the wall of the ascending aorta, the aortic arch, and the descending aorta taken from 26 sexually mature white male rats weighing 100 - 160 g. For morphometric examination, a series of photos of the aortic wall was taken using a Meiji MT4300 LED microscope with an x40 objective, x10 ocular. The measurements were carried out using the Image J software. The development of micro - and macroangiopathies in experimental animals with 8-week streptozotocin-induced diabetes mellitus was histologically confirmed. Statistical analysis revealed a significant difference in all morphometric parameters of the components of the aortic wall and the vessels of its hemomicrocirculatory bed after 8 weeks of experimental diabetes as compared with the normal values, control values, and in values obtained at the 6-week period of the experiment. The study has demonstrated clear dependence between the severity of destructive changes in the aortic wall and sections of its hemomicrocirculatory bed and the duration of the experiment.

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