Clinical Physiology of Circulation

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Issue's catalogue ➤ КФК. 2023; 20 (4): 321-410 ➤ Влияние угла бифуркации общей сонной артерии на изменение параметров локальной гемодинамики

The influence of the bifurcation angle of the common carotid artery on changes in local hemodynamic parameters

Authors: Derbilova V.P.1 2, Vinogradov R.A.1 2, Zakharov Yu.N.3, Borisov V.G., 3 4 Kheteeva E.E.1 2, Vinogradova E.R.1, Ivashchuk V.Yu.1, Meshcheryakova O.M.2, Gagin V.A.2, Zyablova E.I.2, Baryshev A.G.1 2, Porkhanov V.A.2

Company:
1 Kuban State Medical University, Krasnodar, Russian Federation
2 Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1 , Krasnodar, Russian Federation
3 Federal Research Center for Information and Computational Technologies, Novosibirsk, Russian Federation
4 Kemerovo State University, Kemerovo, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2023-20-4-371-379

UDC: 616.133-007.2

Link: Clinical Physiology of Blood Circulaiton. 2023; 4 (20): 371-379

Quote as: Derbilova V.P., Vinogradov R.A., Zakharov Yu.N., Borisov V.G., Kheteeva E.E., Vinogradova E.R., Ivashchuk V.Yu., Meshcheryakova O.M., Gagin V.A., Zyablova E.I., Baryshev A.G., Porkhanov V.A. The influence of the bifurcation angle of the common carotid artery on changes in local hemodynamic parameters. Clinical Physiology of Circulation. 2023; 20 (4): 371–9 (in Russ.). DOI: 10.24022/1814-6910-2023-20-4-371-379

Keywords:  atherosclerosis anatomy of the bifurcation of the common carotid artery geometry of the bifurcation of the common carotid artery hemodynamics

Received / Accepted:  09.11.2023 / 04.12.2023

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Abstract

Objective. To study the influence of the bifurcation angle of the common carotid artery on changes in local hemodynamic parameters in isolation and in combination with other geometric parameters and systemic risk factors for atherosclerosis.

Material and methods. We analyzed the anatomy and geometry of the bifurcation of the common carotid artery (CCA) in patients without pathology. Geometric parameters were studied on the basis of computed tomography data of patients undergoing research at the Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1 in Krasnodar for another reason not related to cerebral atherosclerosis. Using specialized software, geometric models were built and hemodynamics in the area of the bifurcation of the common carotid artery were studied. The data obtained answer the question about the dependence of hemodynamics on the magnitude of the CCA bifurcation angle.

Results. In total, the study included 85 models of CCA bifurcation, 47 (55.3%) female models of bifurcation, 38 (44.7%) male models. The relationship between the bifurcation angle and age, the presence of systemic risk factors for the development of atherosclerosis, as well as other geometric parameters of the CCA bifurcation was analyzed. A statistically significant relationship was found when comparing the bifurcation angle with age, the type of blood flow in the proximal part of the CCA, and the diameter of the ICA.

Conclusion. The bifurcation angle of the common carotid artery, when combined with systemic risk factors, or with an increase in the diameter of the ICA bulb, increases the likelihood of the formation of a carotid atherosclerotic plaque.

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About Authors

  • Viktoriya P. Derbilova, Postgraduate, Vascular Surgeon; ORCID
  • Roman A. Vinogradov, Dr. Med. Sci., Professor of Chair of Surgery, Head of Department of Vascular Surgery; ORCID
  • Yuriy N. Zakharov, Dr. Phys.-Math. Sci., Professor, Head of Laboratory; ORCID
  • Vladimir G. Borisov, Cand. Phys.-Math. Sci., Senior Researcher; ORCID
  • Elina E. Kheteeva, Postgraduate, Cardiovascular Surgeon; ORCID
  • Elvira R. Vinogradova, Student; ORCID
  • Valeriy Yu. Ivashchuk, Student; ORCID
  • Olga M. Meshcheryakova, Ultrasound Diagnostician; ORCID
  • Vladimir A. Gagin, Radiologist; ORCID
  • Elena I. Zyablova, Head of X-ray Department; ORCID
  • Aleksandr G. Baryshev, Dr. Med. Sci., Deputy Chief Physician; ORCID
  • Vladimir A. Porkhanov, Dr. Med. Sci., Professor, Academician of the Russian Academy of Sciences, Chief Physician; ORCID

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