Coupling between MRI-assessed regional aortic pulse wave velocity and diameters in patients with thoracic aortic aneurysm: a feasibility study
Aims Thoracic aortic aneurysm (TAA) is potentially life-threatening and requires close follow-up to prevent aortic dissection. Aortic stiffness and size are considered to be coupled. Regional aortic stiffness in patients with TAA is unknown. We aimed to evaluate coupling between regional pulse wave...
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| Veröffentlicht in: | Netherlands heart journal 2015-09, Vol.23 (10), p.493-501 |
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| creator | Kröner, E. S. J. Westenberg, J. J. M. Kroft, L. J. M. Brouwer, N. J. van den Boogaard, P. J. Scholte, A. J. H. A. |
| description | Aims
Thoracic aortic aneurysm (TAA) is potentially life-threatening and requires close follow-up to prevent aortic dissection. Aortic stiffness and size are considered to be coupled. Regional aortic stiffness in patients with TAA is unknown. We aimed to evaluate coupling between regional pulse wave velocity (PWV), a marker of vascular stiffness, and aortic diameter in TAA patients.
Methods
In 40 TAA patients (59 ± 13 years, 28 male), regional aortic diameters and regional PWV were assessed by 1.5 T MRI. The incidence of increased diameter and PWV were determined for five aortic segments (S1, ascending aorta; S2, aortic arch; S3, thoracic descending aorta; S4, suprarenal and S5, infrarenal abdominal aorta). In addition, coupling between regional PWV testing and aortic dilatation was evaluated and specificity and sensitivity were assessed.
Results
Aortic diameter was 44 ± 5 mm for the aortic root and 39 ± 5 mm for the ascending aorta. PWV was increased in 36 (19 %) aortic segments. Aortic diameter was increased in 28 (14 %) segments. Specificity of regional PWV testing for the prediction of increased regional diameter was ≥ 84 % in the descending thoracic to abdominal aorta and ≥ 68 % in the ascending aorta and aortic arch.
Conclusion
Normal regional PWV is related to absence of increased diameter, with high specificity in the descending thoracic to abdominal aorta and moderate results in the ascending aorta and aortic arch. |
| doi_str_mv | 10.1007/s12471-015-0735-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4580663</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2788793395</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-780a9c0f99518b7cb1bf4c50485056a16870feba0b7ff11765c3e7371d08dc6d3</originalsourceid><addsrcrecordid>eNp1kdtq3DAQhkVpaNK0D9CbIuhNb9yObOvgXhTK0kMgIRDaayHL410F23IleZd9iT5ztew2PUBBSAPzzT8z-gl5weANA5BvIytryQpgvABZ5esRuWBKikKUHB7nmAtVcKXUOXka4z0AlyWTT8h5KUrgDMoL8mPll3lw05q2mHaIE725uypMjJhPRwOunZ_MQI0PyVk6L0NEujNbpFscvHVpT83U0c6ZEROGSN1EZ5McTinSnUsbmjY-GJtrTxJmwiXs4_iOGtqjia51w0EmpqXbPyNnvcktnp_eS_Lt08evqy_F9e3nq9WH68LWElIhFZjGQt80nKlW2pa1fW051IoDF4YJJaHH1kAr-54xKbitUFaSdaA6K7rqkrw_6s5LO2Jn87jBDHoObjRhr71x-u_M5DZ67be65gqEqLLA65NA8N8XjEmPLlochryeX6Jmkomm4qBURl_9g977JeRPjbqUSsmmqhqeKXakbPAxBuwfhmGgD27ro9s6u60PbmvINS__3OKh4pe9GSiPQMypaY3hd-v_q_4EKqW4hQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2788793395</pqid></control><display><type>article</type><title>Coupling between MRI-assessed regional aortic pulse wave velocity and diameters in patients with thoracic aortic aneurysm: a feasibility study</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><source>Springer Nature OA Free Journals</source><creator>Kröner, E. S. J. ; Westenberg, J. J. M. ; Kroft, L. J. M. ; Brouwer, N. J. ; van den Boogaard, P. J. ; Scholte, A. J. H. A.</creator><creatorcontrib>Kröner, E. S. J. ; Westenberg, J. J. M. ; Kroft, L. J. M. ; Brouwer, N. J. ; van den Boogaard, P. J. ; Scholte, A. J. H. A.</creatorcontrib><description>Aims
Thoracic aortic aneurysm (TAA) is potentially life-threatening and requires close follow-up to prevent aortic dissection. Aortic stiffness and size are considered to be coupled. Regional aortic stiffness in patients with TAA is unknown. We aimed to evaluate coupling between regional pulse wave velocity (PWV), a marker of vascular stiffness, and aortic diameter in TAA patients.
Methods
In 40 TAA patients (59 ± 13 years, 28 male), regional aortic diameters and regional PWV were assessed by 1.5 T MRI. The incidence of increased diameter and PWV were determined for five aortic segments (S1, ascending aorta; S2, aortic arch; S3, thoracic descending aorta; S4, suprarenal and S5, infrarenal abdominal aorta). In addition, coupling between regional PWV testing and aortic dilatation was evaluated and specificity and sensitivity were assessed.
Results
Aortic diameter was 44 ± 5 mm for the aortic root and 39 ± 5 mm for the ascending aorta. PWV was increased in 36 (19 %) aortic segments. Aortic diameter was increased in 28 (14 %) segments. Specificity of regional PWV testing for the prediction of increased regional diameter was ≥ 84 % in the descending thoracic to abdominal aorta and ≥ 68 % in the ascending aorta and aortic arch.
Conclusion
Normal regional PWV is related to absence of increased diameter, with high specificity in the descending thoracic to abdominal aorta and moderate results in the ascending aorta and aortic arch.</description><identifier>ISSN: 1568-5888</identifier><identifier>EISSN: 1876-6250</identifier><identifier>DOI: 10.1007/s12471-015-0735-0</identifier><identifier>PMID: 26205102</identifier><language>eng</language><publisher>Houten: Bohn Stafleu van Loghum</publisher><subject>Abdomen ; Age ; Aortic aneurysms ; Aortic dissection ; Cardiology ; Coronary vessels ; Diaphragm (Anatomy) ; Feasibility studies ; Magnetic resonance imaging ; Marfan syndrome ; Mechanical properties ; Medical Education ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Patients ; Software ; Veins & arteries ; Velocity</subject><ispartof>Netherlands heart journal, 2015-09, Vol.23 (10), p.493-501</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-780a9c0f99518b7cb1bf4c50485056a16870feba0b7ff11765c3e7371d08dc6d3</citedby><cites>FETCH-LOGICAL-c470t-780a9c0f99518b7cb1bf4c50485056a16870feba0b7ff11765c3e7371d08dc6d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580663/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580663/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41096,42165,51551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26205102$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kröner, E. S. J.</creatorcontrib><creatorcontrib>Westenberg, J. J. M.</creatorcontrib><creatorcontrib>Kroft, L. J. M.</creatorcontrib><creatorcontrib>Brouwer, N. J.</creatorcontrib><creatorcontrib>van den Boogaard, P. J.</creatorcontrib><creatorcontrib>Scholte, A. J. H. A.</creatorcontrib><title>Coupling between MRI-assessed regional aortic pulse wave velocity and diameters in patients with thoracic aortic aneurysm: a feasibility study</title><title>Netherlands heart journal</title><addtitle>Neth Heart J</addtitle><addtitle>Neth Heart J</addtitle><description>Aims
Thoracic aortic aneurysm (TAA) is potentially life-threatening and requires close follow-up to prevent aortic dissection. Aortic stiffness and size are considered to be coupled. Regional aortic stiffness in patients with TAA is unknown. We aimed to evaluate coupling between regional pulse wave velocity (PWV), a marker of vascular stiffness, and aortic diameter in TAA patients.
Methods
In 40 TAA patients (59 ± 13 years, 28 male), regional aortic diameters and regional PWV were assessed by 1.5 T MRI. The incidence of increased diameter and PWV were determined for five aortic segments (S1, ascending aorta; S2, aortic arch; S3, thoracic descending aorta; S4, suprarenal and S5, infrarenal abdominal aorta). In addition, coupling between regional PWV testing and aortic dilatation was evaluated and specificity and sensitivity were assessed.
Results
Aortic diameter was 44 ± 5 mm for the aortic root and 39 ± 5 mm for the ascending aorta. PWV was increased in 36 (19 %) aortic segments. Aortic diameter was increased in 28 (14 %) segments. Specificity of regional PWV testing for the prediction of increased regional diameter was ≥ 84 % in the descending thoracic to abdominal aorta and ≥ 68 % in the ascending aorta and aortic arch.
Conclusion
Normal regional PWV is related to absence of increased diameter, with high specificity in the descending thoracic to abdominal aorta and moderate results in the ascending aorta and aortic arch.</description><subject>Abdomen</subject><subject>Age</subject><subject>Aortic aneurysms</subject><subject>Aortic dissection</subject><subject>Cardiology</subject><subject>Coronary vessels</subject><subject>Diaphragm (Anatomy)</subject><subject>Feasibility studies</subject><subject>Magnetic resonance imaging</subject><subject>Marfan syndrome</subject><subject>Mechanical properties</subject><subject>Medical Education</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Patients</subject><subject>Software</subject><subject>Veins & arteries</subject><subject>Velocity</subject><issn>1568-5888</issn><issn>1876-6250</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kdtq3DAQhkVpaNK0D9CbIuhNb9yObOvgXhTK0kMgIRDaayHL410F23IleZd9iT5ztew2PUBBSAPzzT8z-gl5weANA5BvIytryQpgvABZ5esRuWBKikKUHB7nmAtVcKXUOXka4z0AlyWTT8h5KUrgDMoL8mPll3lw05q2mHaIE725uypMjJhPRwOunZ_MQI0PyVk6L0NEujNbpFscvHVpT83U0c6ZEROGSN1EZ5McTinSnUsbmjY-GJtrTxJmwiXs4_iOGtqjia51w0EmpqXbPyNnvcktnp_eS_Lt08evqy_F9e3nq9WH68LWElIhFZjGQt80nKlW2pa1fW051IoDF4YJJaHH1kAr-54xKbitUFaSdaA6K7rqkrw_6s5LO2Jn87jBDHoObjRhr71x-u_M5DZ67be65gqEqLLA65NA8N8XjEmPLlochryeX6Jmkomm4qBURl_9g977JeRPjbqUSsmmqhqeKXakbPAxBuwfhmGgD27ro9s6u60PbmvINS__3OKh4pe9GSiPQMypaY3hd-v_q_4EKqW4hQ</recordid><startdate>20150901</startdate><enddate>20150901</enddate><creator>Kröner, E. S. J.</creator><creator>Westenberg, J. J. M.</creator><creator>Kroft, L. J. M.</creator><creator>Brouwer, N. J.</creator><creator>van den Boogaard, P. J.</creator><creator>Scholte, A. J. H. A.</creator><general>Bohn Stafleu van Loghum</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150901</creationdate><title>Coupling between MRI-assessed regional aortic pulse wave velocity and diameters in patients with thoracic aortic aneurysm: a feasibility study</title><author>Kröner, E. S. J. ; Westenberg, J. J. M. ; Kroft, L. J. M. ; Brouwer, N. J. ; van den Boogaard, P. J. ; Scholte, A. J. H. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-780a9c0f99518b7cb1bf4c50485056a16870feba0b7ff11765c3e7371d08dc6d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abdomen</topic><topic>Age</topic><topic>Aortic aneurysms</topic><topic>Aortic dissection</topic><topic>Cardiology</topic><topic>Coronary vessels</topic><topic>Diaphragm (Anatomy)</topic><topic>Feasibility studies</topic><topic>Magnetic resonance imaging</topic><topic>Marfan syndrome</topic><topic>Mechanical properties</topic><topic>Medical Education</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Patients</topic><topic>Software</topic><topic>Veins & arteries</topic><topic>Velocity</topic><toplevel>online_resources</toplevel><creatorcontrib>Kröner, E. S. J.</creatorcontrib><creatorcontrib>Westenberg, J. J. M.</creatorcontrib><creatorcontrib>Kroft, L. J. M.</creatorcontrib><creatorcontrib>Brouwer, N. J.</creatorcontrib><creatorcontrib>van den Boogaard, P. J.</creatorcontrib><creatorcontrib>Scholte, A. J. H. A.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Netherlands heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kröner, E. S. J.</au><au>Westenberg, J. J. M.</au><au>Kroft, L. J. M.</au><au>Brouwer, N. J.</au><au>van den Boogaard, P. J.</au><au>Scholte, A. J. H. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coupling between MRI-assessed regional aortic pulse wave velocity and diameters in patients with thoracic aortic aneurysm: a feasibility study</atitle><jtitle>Netherlands heart journal</jtitle><stitle>Neth Heart J</stitle><addtitle>Neth Heart J</addtitle><date>2015-09-01</date><risdate>2015</risdate><volume>23</volume><issue>10</issue><spage>493</spage><epage>501</epage><pages>493-501</pages><issn>1568-5888</issn><eissn>1876-6250</eissn><abstract>Aims
Thoracic aortic aneurysm (TAA) is potentially life-threatening and requires close follow-up to prevent aortic dissection. Aortic stiffness and size are considered to be coupled. Regional aortic stiffness in patients with TAA is unknown. We aimed to evaluate coupling between regional pulse wave velocity (PWV), a marker of vascular stiffness, and aortic diameter in TAA patients.
Methods
In 40 TAA patients (59 ± 13 years, 28 male), regional aortic diameters and regional PWV were assessed by 1.5 T MRI. The incidence of increased diameter and PWV were determined for five aortic segments (S1, ascending aorta; S2, aortic arch; S3, thoracic descending aorta; S4, suprarenal and S5, infrarenal abdominal aorta). In addition, coupling between regional PWV testing and aortic dilatation was evaluated and specificity and sensitivity were assessed.
Results
Aortic diameter was 44 ± 5 mm for the aortic root and 39 ± 5 mm for the ascending aorta. PWV was increased in 36 (19 %) aortic segments. Aortic diameter was increased in 28 (14 %) segments. Specificity of regional PWV testing for the prediction of increased regional diameter was ≥ 84 % in the descending thoracic to abdominal aorta and ≥ 68 % in the ascending aorta and aortic arch.
Conclusion
Normal regional PWV is related to absence of increased diameter, with high specificity in the descending thoracic to abdominal aorta and moderate results in the ascending aorta and aortic arch.</abstract><cop>Houten</cop><pub>Bohn Stafleu van Loghum</pub><pmid>26205102</pmid><doi>10.1007/s12471-015-0735-0</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Netherlands heart journal, 2015-09, Vol.23 (10), p.493-501 |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; Springer Nature OA Free Journals |
| subjects | Abdomen Age Aortic aneurysms Aortic dissection Cardiology Coronary vessels Diaphragm (Anatomy) Feasibility studies Magnetic resonance imaging Marfan syndrome Mechanical properties Medical Education Medicine Medicine & Public Health Original Original Article Patients Software Veins & arteries Velocity |
| title | Coupling between MRI-assessed regional aortic pulse wave velocity and diameters in patients with thoracic aortic aneurysm: a feasibility study |
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