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July 15, 2026Cerebrovascular Diseases

Association of Local Wall Shear Stress with Plaque Features in Carotid Artery Disease: Insights from Histopathological and Neutrophil Extracellular Trap Analysis

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Authors

KSKoji ShimonagaNYNaoto YamadaJOJunichiro Ochiai

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Overview

Observational study examines plaque characteristics linked to wall shear stress in carotid artery disease, suggesting implications for plaque biology.

Key Points

  • To explore the relationship between local wall shear stress and plaque features in carotid artery disease.
  • Single-center observational study
  • Analyzed data from 49 patients undergoing carotid endarterectomy
  • Used computational fluid dynamics to quantify wall shear stress.
  • WSS_min associated with ulcerated plaques and symptomatic presentation, particularly in ulcerated lesions.
  • WSS_max correlated with stenosis severity and prevalent in asymptomatic lesions.
  • Higher NET accumulation observed in WSS_min regions compared to WSS_max regions.

Cite This Study

Shimonaga et al. (2026) studied this question.

synapsesocial.com/papers/6a5723fd88b21df8754807cbhttps://doi.org/10.1159/000553502
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Also Consider

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

  1. 1The Correlation Between Wall Shear Stress and Plaque Composition in Advanced Human Carotid Atherosclerosis2022 · 63 citations
  2. 2Localized Elevation of Wall Shear Stress Is Linked to Recent Symptoms in Patients with Carotid Stenosis2022 · 17 citations
  3. 3Association of Coronary Wall Shear Stress With Atherosclerotic Plaque Burden, Composition, and Distribution in Patients With Coronary Artery Disease2012 · 170 citations
  4. 4In Vitro Shear Stress Measurements Using Particle Image Velocimetry in a Family of Carotid Artery Models: Effect of Stenosis Severity, Plaque Eccentricity, and Ulceration2014 · 42 citations
  5. 5High shear stress relates to intraplaque haemorrhage in asymptomatic carotid plaques2016 · 109 citations