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Contributing Mechanisms of Aortic Atheroma in Ischemic Cerebrovascular Disease

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机构: [1]the Department of Neurology, Xuanwu Hospital, the Capital Medical University, Beijing, China.
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关键词: Aortic atheroma Aortogenic brain embolism Atherosclerosis burden Hypercoagulability Ischemic cerebrovascular disease

摘要:
In recent years, the correlation between aortic atheroma (AA) and the occurrence and recurrence of ischemic cerebrovascular disease (ICVD) has attracted much attention, but the contributory mechanisms remain controversial. This review analyzes related research on the roles of AA in ICVD, and demonstrates the correlation between the formation and development of AA and abnormal metabolism, inflammation, hemodynamic changes, and other contributory factors. The presence of complex aortic plaque (CAP) in the ascending aorta and aortic arch increases the risk of cerebral embolism and degree of injury, while the association between CAP in the descending aorta and cerebral embolism remains ambiguous. AA also functions as an indicator of atherosclerosis burden as well as hypercoagulability, which may further increase the risk of ICVD. Further study on the relationship of AA to ICVD will improve diagnosis and treatment in clinical practice. (C) 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

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出版当年[2014]版:
大类 | 4 区 医学
小类 | 4 区 神经科学 4 区 外周血管病
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 神经科学 4 区 外周血管病
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出版当年[2013]版:
Q3 PERIPHERAL VASCULAR DISEASE Q3 NEUROSCIENCES
最新[2023]版:
Q3 NEUROSCIENCES Q3 PERIPHERAL VASCULAR DISEASE

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第一作者机构: [1]the Department of Neurology, Xuanwu Hospital, the Capital Medical University, Beijing, China.
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通讯机构: [*1]Department of Neurology, Xuanwu Hospital, the Capital Medical University, 45 Changchun Street, Beijing, China.
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