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超声溶栓

Sonothrombolysis.

作者信息

Bader Kenneth B, Bouchoux Guillaume, Holland Christy K

机构信息

Division of Cardiovascular Health and Disease, Department of Internal Medicine, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.

出版信息

Adv Exp Med Biol. 2016;880:339-62. doi: 10.1007/978-3-319-22536-4_19.

DOI:10.1007/978-3-319-22536-4_19
PMID:26486347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4933511/
Abstract

Thrombo-occlusive disease is a leading cause of morbidity and mortality. In this chapter, the use of ultrasound to accelerate clot breakdown alone or in combination with thrombolytic drugs will be reported. Primary thrombus formation during cardiovascular disease and standard treatment methods will be discussed. Mechanisms for ultrasound enhancement of thrombolysis, including thermal heating, radiation force, and cavitation, will be reviewed. Finally, in-vitro, in-vivo and clinical evidence of enhanced thrombolytic efficacy with ultrasound will be presented and discussed.

摘要

血栓闭塞性疾病是发病和死亡的主要原因。在本章中,将报告单独使用超声或与溶栓药物联合使用以加速血栓溶解的情况。还将讨论心血管疾病期间的原发性血栓形成及标准治疗方法。将回顾超声增强溶栓的机制,包括热加热、辐射力和空化作用。最后,将展示并讨论超声增强溶栓疗效的体外、体内及临床证据。

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Sonothrombolysis.超声溶栓
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本文引用的文献

1
A theoretical study of inertial cavitation from acoustic radiation force impulse imaging and implications for the mechanical index.基于声辐射力脉冲成像的惯性空化理论研究及其对机械指数的意义
Ultrasound Med Biol. 2015 Feb;41(2):472-85. doi: 10.1016/j.ultrasmedbio.2014.09.012.
2
Effects of varying duty cycle and pulse width on high-intensity focused ultrasound (HIFU)-induced transcranial thrombolysis.不同占空比和脉冲宽度对高强度聚焦超声(HIFU)诱导的经颅溶栓的影响。
J Ther Ultrasound. 2013 Oct 1;1:18. doi: 10.1186/2050-5736-1-18. eCollection 2013.
3
Shaken and stirred: mechanisms of ultrasound-enhanced thrombolysis.
在深静脉血栓形成的小鼠模型中使用微流控产生的微泡进行超声溶栓
Ann Biomed Eng. 2025 Jan;53(1):109-119. doi: 10.1007/s10439-024-03609-7. Epub 2024 Sep 9.
4
Ultrasound enhancing agents in cardiovascular imaging: expanding horizons beyond coronary arteries.心血管成像中的超声增强剂:超越冠状动脉的视野拓展。
Cardiovasc Ultrasound. 2024 Aug 8;22(1):10. doi: 10.1186/s12947-024-00330-2.
5
An in vitro comparative study on clot lysis efficiency of urokinase and reteplase with the synergy of ultrasound needle.尿激酶和瑞替普酶在超声针协同作用下的体外溶栓效率比较研究
Heliyon. 2024 Feb 19;10(5):e26624. doi: 10.1016/j.heliyon.2024.e26624. eCollection 2024 Mar 15.
6
Sonothrombolysis: State-of-the-Art and Potential Applications in Children.超声溶栓:儿童的最新技术及潜在应用
Children (Basel). 2023 Dec 31;11(1):57. doi: 10.3390/children11010057.
7
Quantifying the Effect of Acoustic Parameters on Temporal and Spatial Cavitation Activity: Gauging Cavitation Dose.量化声学参数对时空空化活动的影响:评估空化剂量。
Ultrasound Med Biol. 2023 Nov;49(11):2388-2397. doi: 10.1016/j.ultrasmedbio.2023.08.002. Epub 2023 Aug 28.
8
A Model of High-Speed Endovascular Sonothrombolysis with Vortex Ultrasound-Induced Shear Stress to Treat Cerebral Venous Sinus Thrombosis.一种利用涡旋超声诱导剪切应力进行高速血管内超声溶栓治疗脑静脉窦血栓形成的模型。
Research (Wash D C). 2023;6:0048. doi: 10.34133/research.0048. Epub 2023 Feb 9.
9
EGFR-Targeted Perfluorohexane Nanodroplets for Molecular Ultrasound Imaging.用于分子超声成像的表皮生长因子受体靶向全氟己烷纳米液滴
Nanomaterials (Basel). 2022 Jun 30;12(13):2251. doi: 10.3390/nano12132251.
10
Feasibility of sonothrombolysis in the ambulance for ST-elevation myocardial infarction.在救护车上对ST段抬高型心肌梗死进行超声溶栓的可行性。
Int J Cardiovasc Imaging. 2022 May;38(5):1089-1098. doi: 10.1007/s10554-021-02487-7. Epub 2021 Dec 7.
摇晃与搅动:超声增强溶栓的机制
Ultrasound Med Biol. 2015 Jan;41(1):187-96. doi: 10.1016/j.ultrasmedbio.2014.08.018. Epub 2014 Nov 15.
4
Sonothrombolysis of Ear Marginal Vein of Rabbits Monitored with High-frequency Ultrasound Needle Transducer.高频超声针状换能器监测下兔耳缘静脉的超声溶栓
J Med Biol Eng. 2013;33(1):103-110.
5
High-intensity focused ultrasound sonothrombolysis: the use of perfluorocarbon droplets to achieve clot lysis at reduced acoustic power.高强度聚焦超声溶栓:使用全氟碳微滴在降低的声功率下实现血栓溶解。
Ultrasound Med Biol. 2014 Sep;40(9):2151-61. doi: 10.1016/j.ultrasmedbio.2014.03.026. Epub 2014 Jul 9.
6
In vivo thrombolysis with targeted microbubbles loading tissue plasminogen activator in a rabbit femoral artery thrombus model.在兔股动脉血栓模型中使用负载组织纤溶酶原激活剂的靶向微泡进行体内溶栓
J Thromb Thrombolysis. 2014 Jul;38(1):57-64. doi: 10.1007/s11239-014-1071-8.
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In silico study of low-frequency transcranial ultrasound fields in acute ischemic stroke patients.急性缺血性中风患者低频经颅超声场的计算机模拟研究
Ultrasound Med Biol. 2014 Jun;40(6):1154-66. doi: 10.1016/j.ultrasmedbio.2013.12.025. Epub 2014 Mar 14.
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Improved sonothrombolysis from a modified diagnostic transducer delivering impulses containing a longer pulse duration.通过改进的诊断换能器传递包含更长脉冲持续时间的脉冲来改善超声溶栓效果。
Ultrasound Med Biol. 2014 Jul;40(7):1545-53. doi: 10.1016/j.ultrasmedbio.2014.01.015. Epub 2014 Mar 7.
9
Sonothrombolysis in acute middle cerebral artery stroke.急性大脑中动脉卒中的超声溶栓治疗。
Neurol India. 2014 Jan-Feb;62(1):62-5. doi: 10.4103/0028-3886.128308.
10
Ultrasound-assisted thrombolysis for acute pulmonary embolism: a systematic review.超声辅助溶栓治疗急性肺栓塞:系统评价。
Eur Heart J. 2014 Mar;35(12):758-64. doi: 10.1093/eurheartj/ehu029. Epub 2014 Feb 3.