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不同品种犬颅外脑循环(颈总动脉、颈外动脉和颈内动脉)的超声评估

Ultrasound Evaluation of Extracranial Cerebral Circulation (The Common, External and Internal Carotid Artery) in Different Breeds of Dogs.

作者信息

Ševčíková Marieta K, Figurová Mária, Ševčík Karol, Hluchý Marián, Domaniža Michal, Lapšanská Mária, Drahovská Zuzana, Žert Zdeněk

机构信息

Small Animal Clinic, University of Veterinary Medicine and Pharmacy in Košice, Komenského 73, 041 81 Košice, Slovakia.

Clinic of Horses, University of Veterinary Medicine and Pharmacy in Košice, Komenského 73, 041 81 Košice, Slovakia.

出版信息

Animals (Basel). 2023 May 9;13(10):1584. doi: 10.3390/ani13101584.

Abstract

Noninvasive Doppler ultrasonography (US) examination is a standard method for the clinical evaluation of the carotid arteries. Extracranial cerebral circulation includes the common carotid artery (CCA), the external carotid artery (ECA), and the extracranial part of the internal carotid artery (ICA). The present study was conducted with the objective of assessing physiological normative values and describing the appearance of spectral waveforms of extracranial arteries in 104 healthy dogs of eight breeds divided into four groups according to weight. We also focused on searching for correlations for carotid blood velocities with the resistive index (RI), body weight and diameter, and differences between observers and the influence of sex in the calculations of Doppler parameters. In the evaluated breeds, significant differences were found in the velocity of peak systolic velocity (PSV) and end diastolic velocity (EDV). There was a strong correlation between body weight and peak systolic velocity, the RI index and CCA diameter. The intra-observer agreement for the PSV and EDV parameters in each vessel was considered excellent reliability, and overall interobserver agreement showed very good reliability. This study could improve the descriptions of physiological values and waveforms recorded in carotid arteries. Defining the physiological values of velocity and the resistive index (RI) helps in the easier identification of pathology and diagnosis of disease. Our results may be used for further studies of vascular diseases in veterinary medicine that correlate with the pathology of neurological disorders of ischemic origin, further in thromboembolism, oncologic disease and degenerative, proliferative and inflammatory diseases of the arteries that lead to stenosis.

摘要

无创多普勒超声检查(US)是评估颈动脉的临床标准方法。颅外脑循环包括颈总动脉(CCA)、颈外动脉(ECA)和颈内动脉(ICA)的颅外部分。本研究旨在评估104只八个品种的健康犬的生理正常值,并描述根据体重分为四组的颅外动脉频谱波形的表现。我们还着重研究了颈动脉血流速度与阻力指数(RI)、体重和直径之间的相关性,以及观察者之间的差异和性别对多普勒参数计算的影响。在所评估的品种中,收缩期峰值速度(PSV)和舒张末期速度(EDV)存在显著差异。体重与收缩期峰值速度、RI指数和CCA直径之间存在很强的相关性。每个血管中PSV和EDV参数的观察者内一致性被认为具有极好的可靠性,总体观察者间一致性显示出非常好的可靠性。本研究可以改进对颈动脉记录的生理值和波形的描述。确定速度和阻力指数(RI)的生理值有助于更轻松地识别病变和疾病诊断。我们的结果可用于兽医学中与缺血性起源的神经疾病病理学相关的血管疾病的进一步研究,进一步用于血栓栓塞、肿瘤疾病以及导致狭窄的动脉退行性、增殖性和炎性疾病的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7547/10215418/4db40e457ab0/animals-13-01584-g001.jpg

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