Evidence map›Paper›PMID 34837589›Full record

ArticleGeroScience2022

The effect of systemic factors on retinal blood flow in patients with carotid stenosis: an optical coherence tomography angiography study.

Lilla István, Cecilia Czakó, Fruzsina Benyó, Ágnes Élő, Zsuzsa Mihály, Péter Sótonyi, Andrea Varga, Zoltán Zsolt Nagy, Illés Kovács

Open access · hybridAbstract read
In one paragraph

Article in GeroScience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
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  5. Influence of Carotid Artery Stenting on the Retina and Choroid.Translational vision science & technology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Lilla IstvánDepartment of Ophthalmology, Semmelweis University, 39 Mária Street, 1085, Budapest, Hungary.
Cecilia CzakóDepartment of Ophthalmology, Semmelweis University, 39 Mária Street, 1085, Budapest, Hungary.
Fruzsina BenyóDepartment of Ophthalmology, Semmelweis University, 39 Mária Street, 1085, Budapest, Hungary.
Ágnes ÉlőDepartment of Ophthalmology, Semmelweis University, 39 Mária Street, 1085, Budapest, Hungary.
Zsuzsa MihályDepartment of Vascular & Endovascular Surgery, Semmelweis University, Budapest, Hungary.
Péter SótonyiDepartment of Vascular & Endovascular Surgery, Semmelweis University, Budapest, Hungary.
Andrea VargaDepartment of Vascular & Endovascular Surgery, Semmelweis University, Budapest, Hungary.
Zoltán Zsolt NagyDepartment of Ophthalmology, Semmelweis University, 39 Mária Street, 1085, Budapest, Hungary.
Illés KovácsDepartment of Ophthalmology, Semmelweis University, 39 Mária Street, 1085, Budapest, Hungary. kovacsilles@yahoo.com.
Semmelweis University · HUCornell University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carotid artery stenosis (CAS) is among the leading causes of mortality and permanent disabilities in the Western world. CAS is a consequence of systemic atherosclerotic disease affecting the majority of the aging population. Optical coherence tomography angiography (OCTA) is a novel imaging technique for visualizing retinal blood flow. It is a noninvasive, fast method for qualitative and quantitative assessment of the microcirculation. Cerebral and retinal circulation share similar anatomy, physiology, and embryology; thus, retinal microvasculature provides a unique opportunity to study the pathogenesis of cerebral small vessel disease in vivo. In this study, we aimed to analyze the effect of systemic risk factors on retinal blood flow in the eyes of patients with significant carotid artery stenosis using OCT angiography. A total of 112 eyes of 56 patients with significant carotid stenosis were included in the study. We found that several systemic factors, such as decreased estimated glomerular filtration rate (eGFR), hypertension, and carotid occlusion have a significant negative effect on retinal blood flow, while statin use and carotid surgery substantially improve ocular microcirculation. Neither diabetes, clopidogrel or acetylsalicylic acid use, BMI, serum lipid level, nor thrombocyte count showed a significant effect on ocular blood flow. Our results demonstrate that a systematic connection does exist between certain systemic risk factors and retinal blood flow in this patient population. OCTA could help in the assessment of cerebral circulation of patients with CAS due to its ability to detect subtle changes in retinal microcirculation that is considered to represent changes in intracranial blood flow.

Indexed as

Carotid StenosisAgedAngiographyHumansMicrocirculationRetinaTomography, Optical CoherenceCarotid artery stenosisOCT angiographyRetinal biomarkersRetinal imaging

Identifiers

PMID34837589
PMCPMC8810958
OpenAlexW3217489580

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.