Research

Variations in atherosclerosis and remodeling patterns in aorta and carotids

Katsumi Hayashi¹ , Venkatesh Mani¹ , Ajay Nemade¹ , Silvia Aguiar¹ , John E Postley² , Valentin Fuster³ and Zahi A Fayad^1,3

¹  Imaging Science Laboratories, Translational and Molecular imaging Institute, Department of Radiology, Mount Sinai School of Med, New York, NY, USA

²  College of Physicians and Surgeons, Columbia University, New York, NY, USA

³  Department of Medicine, Mount Sinai School of Medicine, New York, NY, USA

author email corresponding author email

Journal of Cardiovascular Magnetic Resonance 2010, 12:10doi:10.1186/1532-429X-12-10

Published:	5 March 2010

Abstract

Background

Atherosclerosis is a progressive disease that causes vascular remodeling that can be positive or negative. The evolution of arterial wall thickening and changes in lumen size under current "standard of care" in different arterial beds is unclear. The purpose of this study was to examine arterial remodeling and progression/regression of atherosclerosis in aorta and carotid arteries of individuals at risk for atherosclerosis normalized over a 1-year period.

Methods

In this study, 28 patients underwent at least 2 black-blood in vivo cardiovascular magnetic resonance (CMR) scans of aorta and carotids over a one-year period (Mean 17.8 ± 7.5 months). Clinical risk profiles for atherosclerosis and medications were documented and patients were followed by their referring physicians under current "standard of care" guidelines. Carotid and aortic wall lumen areas were matched across the time-points from cross-sectional images.

Results

The wall area increased by 8.67%, 10.64%, and 13.24% per year (carotid artery, thoracic aorta and abdominal aorta respectively, p < 0.001). The lumen area of the abdominal aorta increased by 4.97% per year (p = 0.002), but the carotid artery and thoracic aorta lumen areas did not change significantly. The use of statin therapy did not change the rate of increase of wall area of carotid artery, thoracic and abdominal aorta, but decreased the rate of change of lumen area of carotid artery (-3.08 ± 11.34 vs. 0.19 ± 12.91 p < 0.05).

Conclusions

Results of this study of multiple vascular beds indicated that different vascular locations exhibited varying progression of atherosclerosis and remodeling as monitored by CMR.