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Remodeling of the common carotid artery in oncohematological pathology by ultrasound

https://doi.org/10.20538/1682-0363-2018-4-47-53

Abstract

The aim is the assessment of structural and functional state of common carotid artery by ultrasound in patients with non-Hodgkin malignant lymphomas (NHML) before and after chemotherapy.

Materials and methods. The common carotid artery of 111 patients at different stages of NHML were examined via a “LOGIC 400” ultrasound.

Results. The common carotid artery of patients with NHML is undergoing morphological modification with changes in thickness and diameter, which corresponds to a hypertrophic type of remodeling. There is an increase in the thickness of the complex “intima-media” and Kernogan`s index with decreasing the common carotid artery diameter by comparison with the control group. Chemotherapy improves the parameters of the common carotid artery while reducing the thickness of the complex “intima-media” and Kernogan`s index at different stages of NHML.

Conclusion. Remodeling of the common carotid artery is associated with the developmental stage of NHML. Chemotherapy leads to an improvement of the morphological parameters of the common carotid artery, which evaluates the effect of the treatment.

About the Authors

V. D. Koptev
National Research Novosibirsk State University (NRNSU)
Russian Federation

Koptev Vladimir D., PhD, Associate Professor, Department of Fundamental Medicine

2, Pirogov Str., Novosibirsk, 630090



V. V. Nimaev
Institute of Clinical and Experimental Lymphology (ICEL)
Russian Federation

Nimaev Vadim V., DM, Head of the Laboratory of Surgical Lymphology and Lymphodetoxication

2, Timakov Str., Novosibirsk, 630060



V. N. Gorchakov
National Research Novosibirsk State University (NRNSU); Institute of Clinical and Experimental Lymphology (ICEL)
Russian Federation

Gorchakov Vladimir N., DM, Professor, Head of the Laboratory of Functional Morphology of the Lymphatic System, ICEL; Professor, Department of Fundamental Medicine, NNRSU

2, Pirogov Str., Novosibirsk, 630090, 

2, Timakov Str., Novosibirsk, 630060




References

1. Vanzhula O.R. The cardiovascular system in patients with malignant lymphoma in different periods after radiation and chemotherapy: аbstract of. dis. of cand. of medical sciences. St. Petersburg, 2008: 21 (in Russ.)

2. Gadaev I.Iu., Ershov V.I., Bochkarnikova O.V., Sokolova I.Ya. et al. Damage of the heart in lymphomas. Literature review and case description of the clinical course of large B-cell lymphoma. Ratcionalnaja farmakoterapija v kardiologii – Rational Рharmacotherapy in Сardiology. 2015; 11 (6): 610–617 (in Russ.)

3. Mazurok L.A. Primary mediastinal large B-cell lymphoma. Onkogematologija – Oncohematology. 2007; 2: 16–23 (in Russ.)

4. Koptev V.D., Gorchakov V.N., Pospelova T.I. Intrarenal parenchymal blood flow in patients with non-Hodgkin’s malignant lymphomas at different stages of disease development. Sovremennye problemy nauki i obrazovanija – Modern Рroblems of Sience and Еducation. 2015; 3: URL: https://scienceeducation.ru/ru/article/view?id=20203 (reference date: 29.04.2015) (in Russ.)

5. Bessmeltsev S.S. Sonographic diagnosis of non-Hodgkin’s malignant lymphomas. SonoAce International. 2001; 6: 11–22 (in Russ.)

6. Leliuk V.G., Leliuk S.E. Ultrasonic angiology. M.: Realnoe Vremya Publ., 2003: 322 (in Russ.)

7. Goncharenko N.I. Instrumental diagnostics of early disorders of endothelial function in children. Zdorovye Ukrainy – Health of Ukraine. 2010; 6 (June): 50–51 (in Russ.)

8. Fisher R.J., Gaynor E.R., Dahlberg S. et al. Comparison of a standard regimen (CHOP) with three intensive chemotherapy regimens for advanced non-Hodgkin’s lymphoma. N. Engl. J. Med. 1993; 328(14): 1002–1006.

9. Poddubnaya I.V., Savchenko V.G. Russian clinical recommendations on diagnostics and treatment of lymphoproliferative disorders]. M.: Media Medika Publ., 2013: 104 (in Russ.)

10. Chambless L.E., Folsom A.R., Clegg L.X., Sharrett A.R. et al. Carotid wall thickness is predictive of incident clinical stroke: The Atherosclerosis Risk in Communities (ARIC) Study. American Journal of Epidemiology. 2000; 151 (5): 478–487

11. Storozhakov G.I., Cherviakova Yu.B., Vereshchagina G.S., Fedotova N.M. Evaluation of the carotid intima–media thickness in cardiovascular diseases. Lechebnoe delo – Medical Business. 2005; 1: 46–49 (in Russ.)

12. Akchurin R.S., Vasyuk Iu.A., Karpov Iu.A., Lupanov V.P. et. al. National guidelines for the diagnosis and treatment of stable angina. Kardiovaskuljarnaja terapija i profilaktika – Cardiovascular Therapy and Prevention. 2008; 7 (6): (prilozh. 4): 33–45 (in Russ.)

13. Pignoli P., Tremoli E., Poli A., Oreste P., Paoletti R. Intimal plus medial thickness of the arterial wall: a direct measurement with ultrasound imaging. Circulation. 1986; 74 (6): 1399–1406.

14. Salonen R., Salonen J.T. Determinants of carotid intimamedia thickness: a population-based ultrasonography study in Eastern Finnish men. Journal of Internal Medicine. 1991; 229 (3): 225–231.

15. Kobalava Zh.D., Kotovskaya Iu.V. Arterial hypertension and atherosclerosis: a review of the results of ELSA study]. Serdtce – Heart. 2002; 1 (3): 144–150 (in Russ.)

16. Dzau V.J., Gibbons G.Н. Vascular remodeling: mechanisms and implications. J. Cardiovasc Pharmacol. 1993; 21 (suppl. I): 1–5.

17. Gibbons Н.Н., Dzau V.J. The emerging concept of vascular remodeling. N. Engl. J. Med. 1994; 330: 1431–1438.

18. Mulvany M.J. Vascular remodelling of resistance vessels: can we define this? Cardiovascular Research. 1999; 41: 9–13.

19. Polivoda S.N., Cherepok A.A., Sychyov R.A. Remodeling of elastic-type arteries in patients with hypertensive disease: diagnostic importance of pulse pressure. Clin. meditsina – Clin. Medicine. 2004; 82 (9): 35–39 (in Russ.)

20. Kovaleva O.N., Demidenko A.V. Diagnostic value of determining the intima-media complex to evaluate the features of remodeling and atherosclerotic vascular lesions. Praktichnaja angiologija – Practical Аngiology. 2009; 1 (20): 41–45. http://angiology.com.ua/ru-issue-article-194 (in Russ.)

21. Douglas A.R. Arterial coupling for microvascular free tissue transfer in head and neck reconstruction. Arch. Otolaryngol. Head and Neck Surgery. 2005; 131 (10): 891–895.

22. Martinez М.C. Andriantsitohaina R. Microparticles in angiogenesis: therapeutic potential. Circulation Res. 2011; 109 (1): 110–119. DOI: 10.1161/CIRCRESAHA.110.233049.

23. Spinale R.G. Myocardial matrix remodeling and the matrix metalloproteinases: influence on cardiac form and function. Physiol. Rev. 2007; 87: 1285–1342.

24. Park S., Lakatta E.G. Role of inflammation in the pathogenesis of arterial stiffness. Yonsei Med. J. 2012; 53(2): 258–261. DOI: 10.3349/ymj.2012.53.2.258.


Review

For citations:


Koptev V.D., Nimaev V.V., Gorchakov V.N. Remodeling of the common carotid artery in oncohematological pathology by ultrasound. Bulletin of Siberian Medicine. 2018;17(4):47-53. (In Russ.) https://doi.org/10.20538/1682-0363-2018-4-47-53

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ISSN 1682-0363 (Print)
ISSN 1819-3684 (Online)