Advances in Knowledge Regarding Arterial Curvature and its Relationship to Ischemic Stroke: A Narrative Review

Abstract Curvature of large arteries in the cervical and intracranial regions represents a common morphological vascular alteration. However, the precise mechanisms underlying its formation and progression remain unclear. Increasing evidence suggests a potential correlation between arterial curvatur...

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Main Authors: Lin-Han Zhang, Fei Cao
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Artery Research
Subjects:
Online Access:https://doi.org/10.1007/s44200-024-00067-3
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author Lin-Han Zhang
Fei Cao
author_facet Lin-Han Zhang
Fei Cao
author_sort Lin-Han Zhang
collection DOAJ
description Abstract Curvature of large arteries in the cervical and intracranial regions represents a common morphological vascular alteration. However, the precise mechanisms underlying its formation and progression remain unclear. Increasing evidence suggests a potential correlation between arterial curvature and ischemic stroke. This manuscript involves a review of the relevant literature that delineates the measurement techniques for assessing arterial curvature, the mechanisms contributing to its formation, and recent evidence linking arterial curvature to stroke. Arterial curvature is primarily influenced by genetic factors, hypertension, sex, and age, and it may indicate weakened arterial walls. Furthermore, the haemodynamic changes associated with arterial curvature can result in reduced cerebral perfusion pressure, endothelial dysfunction, oxidative stress, and inflammatory responses. These factors contribute to the development of atherosclerosis and the formation of arterial dissections. The degree of arterial curvature may serve as a risk factor for cerebral ischemia, alongside traditional vascular risk factors. Further investigation into arterial curvature could yield valuable insights for clinicians managing patients with curved vessels.
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spelling doaj-art-97a7e1bddb9f4982b25366eae4d6e9082025-01-19T12:16:17ZengBMCArtery Research1876-44012025-01-0131111110.1007/s44200-024-00067-3Advances in Knowledge Regarding Arterial Curvature and its Relationship to Ischemic Stroke: A Narrative ReviewLin-Han Zhang0Fei Cao1Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Curvature of large arteries in the cervical and intracranial regions represents a common morphological vascular alteration. However, the precise mechanisms underlying its formation and progression remain unclear. Increasing evidence suggests a potential correlation between arterial curvature and ischemic stroke. This manuscript involves a review of the relevant literature that delineates the measurement techniques for assessing arterial curvature, the mechanisms contributing to its formation, and recent evidence linking arterial curvature to stroke. Arterial curvature is primarily influenced by genetic factors, hypertension, sex, and age, and it may indicate weakened arterial walls. Furthermore, the haemodynamic changes associated with arterial curvature can result in reduced cerebral perfusion pressure, endothelial dysfunction, oxidative stress, and inflammatory responses. These factors contribute to the development of atherosclerosis and the formation of arterial dissections. The degree of arterial curvature may serve as a risk factor for cerebral ischemia, alongside traditional vascular risk factors. Further investigation into arterial curvature could yield valuable insights for clinicians managing patients with curved vessels.https://doi.org/10.1007/s44200-024-00067-3Arterial curvatureIschemic strokeAtherosclerosisArterial dissection
spellingShingle Lin-Han Zhang
Fei Cao
Advances in Knowledge Regarding Arterial Curvature and its Relationship to Ischemic Stroke: A Narrative Review
Artery Research
Arterial curvature
Ischemic stroke
Atherosclerosis
Arterial dissection
title Advances in Knowledge Regarding Arterial Curvature and its Relationship to Ischemic Stroke: A Narrative Review
title_full Advances in Knowledge Regarding Arterial Curvature and its Relationship to Ischemic Stroke: A Narrative Review
title_fullStr Advances in Knowledge Regarding Arterial Curvature and its Relationship to Ischemic Stroke: A Narrative Review
title_full_unstemmed Advances in Knowledge Regarding Arterial Curvature and its Relationship to Ischemic Stroke: A Narrative Review
title_short Advances in Knowledge Regarding Arterial Curvature and its Relationship to Ischemic Stroke: A Narrative Review
title_sort advances in knowledge regarding arterial curvature and its relationship to ischemic stroke a narrative review
topic Arterial curvature
Ischemic stroke
Atherosclerosis
Arterial dissection
url https://doi.org/10.1007/s44200-024-00067-3
work_keys_str_mv AT linhanzhang advancesinknowledgeregardingarterialcurvatureanditsrelationshiptoischemicstrokeanarrativereview
AT feicao advancesinknowledgeregardingarterialcurvatureanditsrelationshiptoischemicstrokeanarrativereview