Evidence map›Paper›PMID 22762729›Full record

ArticleAtherosclerosis2012

Critical mechanical conditions around neovessels in carotid atherosclerotic plaque may promote intraplaque hemorrhage.

Zhongzhao Teng, Jing He, Andrew J Degnan, Shengyong Chen, Umar Sadat, Nasim Sheikh Bahaei, James H F Rudd, Jonathan H Gillard

Abstract read
In one paragraph

Article in Atherosclerosis, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. CT imaging features of carotid artery plaque vulnerability.Annals of translational medicine · 2020
    Review
  10. Review
  11. Review
  12. Article
  13. Stress-Relaxation and Cyclic Behavior of Human Carotid Plaque Tissue.Frontiers in bioengineering and biotechnology · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. Association of severity between carotid and intracranial artery atherosclerosis.Annals of clinical and translational neurology · 2018
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zhongzhao TengUniversity Department of Radiology, University of Cambridge, UK. zt215@cam.ac.uk
Jing He
Andrew J Degnan
Shengyong Chen
Umar Sadat
Nasim Sheikh Bahaei
James H F Rudd
Jonathan H Gillard

Funding

British Heart Foundation FS/12/29/29463British Heart Foundation PG/09/083/27667British Heart Foundation PG/11/74/29100
6 · The paper itself

Abstract

objectiveIntraplaque hemorrhage is an increasingly recognized contributor to plaque instability. Neovascularization of plaque is believed to facilitate the entry of inflammatory and red blood cells (RBC). Under physiological conditions, neovessels are subject to mechanical loading from the deformation of atherosclerotic plaque by blood pressure and flow. Local mechanical environments around neovessels and their relevant pathophysiologic significance have not yet been examined. METHODS AND

resultsFour carotid plaque samples removed at endarcterectomy were collected for histopathological examination. Neovessels and other components were manually segmented to build numerical models for mechanical analysis. Each component was assumed to be non-linear isotropic, piecewise homogeneous and incompressible. The results indicated that local maximum principal stress and stretch and their variations during one cardiac cycle were greatest around neovessels. Neovessels surrounded by RBC underwent a much larger stretch during systole than those without RBCs present nearby (median [inter quartile range]; 1.089 [1.056, 1.131] vs. 1.034 [1.020, 1.067]; p<0.0001) and much larger stress (5.3kPa [3.4, 8.3] vs. 3.1kPa [1.6, 5.5]; p<0.0001) and stretch (0.0282 [0.0190, 0.0427] vs. 0.0087 [0.0045, 0.0185]; p<0.0001) variations during the cardiac cycle.

conclusionsLocal critical mechanical conditions may lead to the rupture of neovessels resulting in the formation and expansion of intraplaque hemorrhage.

Indexed as

HemodynamicsNeovascularization, PathologicAgedAged, 80 and overBlood PressureCarotid ArteriesCarotid Artery DiseasesComputer SimulationEndarterectomy, CarotidErythrocytesFemaleHemorrhageHumansMaleMiddle AgedModels, Cardiovascular

Identifiers

PMID22762729
PMCPMC3437553

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.