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May 1, 1985Arteriosclerosis An Official Journal of the American Heart Association IncOpen Access

Pulsatile flow and atherosclerosis in the human carotid bifurcation. Positive correlation between plaque location and low oscillating shear stress.

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Population

Scale model of the human carotid bifurcation and carotid bifurcations obtained from cadavers

Design

Preclinical

Authors

DKDavid N. KuVascular MedicineDGDon P. GiddensCross-Cutting CardiologyCZChristopher K. ZarinsVascular / Pulmonary Vascular

Discussion

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Implication

Low shear stress correlates with intimal thickening in animal models; hypothesis-generating for human atherogenesis mechanisms.

Structured PICO

P
Population
Scale model of the human carotid bifurcation and carotid bifurcations obtained from cadavers
I
Intervention
Measurement of fluid velocities by laser Doppler velocimetry under pulsatile flow conditions
O
Outcome
Correlation between flow velocity/wall shear stress and intimal plaque thicknesssurrogate

This study demonstrates that atherosclerotic plaques in the carotid bifurcation tend to form in areas of low shear stress, and that marked oscillations in the direction of wall shear may enhance atherogenesis.

Cite This Study

Ku et al. (1985) studied this question.

synapsesocial.com/papers/69dbdb35f7e0c66ced836857https://doi.org/10.1161/01.atv.5.3.293
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Pulsatile flow in a model carotid bifurcation.1983 · 237 citations
  2. 2The Dynamic Response of Vascular Endothelial Cells to Fluid Shear Stress1981 · 1,144 citations
  3. 3Atheroma and arterial wall shear - Observation, correlation and proposal of a shear dependent mass transfer mechanism for atherogenesis1971 · 1,360 citations
  4. 4Platelet aggregate formation in a region of separated blood flow1977 · 38 citations
  5. 5Hemodynamics and the Arterial Wall: An Introduction1981 · 8 citations