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超越沉默:在对抗心血管血栓挑战的战斗中不断发展的超声策略。

Beyond silence: evolving ultrasound strategies in the battle against cardiovascular thrombotic challenges.

机构信息

Echo Lab, Department of Ultrasound Imaging, Renmin Hospital of Wuhan University, 238# Jiefang Road, Wuhan, 430060, Hubei, People's Republic of China.

出版信息

J Thromb Thrombolysis. 2024 Aug;57(6):1040-1050. doi: 10.1007/s11239-024-02989-w. Epub 2024 Apr 30.

Abstract

Cardiovascular thrombotic events have long been a perplexing factor in clinical settings, influencing patient prognoses significantly. Ultrasound-mediated acoustic therapy, an innovative thrombolytic treatment method known for its high efficiency, non-invasiveness, safety, and convenience, has demonstrated promising potential for clinical applications and has gradually become a focal point in cardiovascular thrombotic disease research. The current challenge lies in the technical complexities of preparing ultrasound-responsive carriers with thrombus-targeting capabilities and high thrombolytic efficiency. Additionally, optimizing the corresponding acoustic treatment mode is crucial to markedly enhance the thrombolytic effectiveness of ultrasound-mediated acoustic therapy. In light of the current status, this article provides a comprehensive review of the research progress in innovative ultrasound-mediated acoustic therapy for cardiovascular thrombotic diseases. It explores the impact of technical methods, therapeutic mechanisms, and influencing factors on the thrombolytic efficiency and clinical potential of ultrasound-mediated acoustic therapy. The review places particular emphasis on identifying solutions and key considerations in addressing the challenges associated with this cutting-edge therapeutic approach.

摘要

心血管血栓栓塞事件一直是临床中的一个令人困惑的因素,对患者的预后有重大影响。超声介导的声动力疗法作为一种高效、微创、安全、方便的新型溶栓治疗方法,具有广阔的临床应用前景,已逐渐成为心血管血栓性疾病研究的焦点。目前的挑战在于制备具有血栓靶向能力和高溶栓效率的超声响应载体的技术复杂性。此外,优化相应的声治疗模式对于显著提高超声介导的声动力疗法的溶栓效果至关重要。有鉴于此,本文全面综述了用于心血管血栓性疾病的创新超声介导的声动力疗法的研究进展。探讨了技术方法、治疗机制和影响因素对超声介导的声动力疗法溶栓效率和临床潜力的影响。本综述特别强调了确定解决这一前沿治疗方法相关挑战的解决方案和关键考虑因素。

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