PMID- 35892420 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230308 IS - 2076-3425 (Print) IS - 2076-3425 (Electronic) IS - 2076-3425 (Linking) VI - 12 IP - 8 DP - 2022 Jul 25 TI - Retinal Thickness Correlates with Cerebral Hemodynamic Changes in Patients with Carotid Artery Stenosis. LID - 10.3390/brainsci12080979 [doi] LID - 979 AB - Background: We aimed to assess the retinal structural and choroidal changes in carotid artery stenosis (CAS) patients and their association with cerebral hemodynamic changes. Asymptomatic and symptomatic patients with unilateral CAS were enrolled in our study. Material and methods: Swept-source optical coherence tomography (SS-OCT) was used to image the retinal nerve fiber layer (RNFL), ganglion cell-inner plexiform layer (GCIPL), while SS-OCT angiography (SS-OCTA) was used to image and measure the choroidal vascular volume (CVV) and choroidal vascular index (CVI). Computed Tomography Perfusion (CTP) was used to assess the cerebral perfusion parameters; relative perfusion (r) was calculated as the ratio of the value on the contralateral side to that on the ipsilateral side. Results: Compared with contralateral eyes, ipsilateral eyes showed significantly thinner RNFL (p < 0.001), GCIPL (p = 0.013) and CVV (p = 0.001). Relative cerebral blood volume (rCBV) showed a significant correlation with RNFL (p < 0.001), GCIPL (p < 0.001) and CVI (p = 0.027), while the relative permeability surface (rPS) correlated with RNFL (p < 0.001) and GCIPL (p < 0.001). Conclusions: Our report suggests that retinal and choroidal changes have the potential to detect hemodynamic changes in CAS patients and could predict the risk of stroke. FAU - Kwapong, William Robert AU - Kwapong WR AUID- ORCID: 0000-0001-9633-4694 AD - Neurology Department, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, China. FAU - Liu, Junfeng AU - Liu J AD - Neurology Department, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, China. FAU - Wan, Jincheng AU - Wan J AD - Neurology Department, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, China. FAU - Tao, Wendan AU - Tao W AD - Neurology Department, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, China. FAU - Ye, Chen AU - Ye C AUID- ORCID: 0000-0003-2969-5486 AD - Neurology Department, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, China. FAU - Wu, Bo AU - Wu B AD - Neurology Department, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu 610041, China. LA - eng GR - 81901199; 81601022/National Natural Science Foundation of China/ GR - ZYGD18009/1.3.5 Project for Disciplines of excellence, West China Hospital, Sichuan University/ PT - Journal Article DEP - 20220725 PL - Switzerland TA - Brain Sci JT - Brain sciences JID - 101598646 PMC - PMC9331379 OTO - NOTNLM OT - carotid artery stenosis OT - cerebral hemodynamics OT - choroid OT - computed tomography perfusion OT - retinal thickness COIS- The authors declare no conflict of interest. EDAT- 2022/07/28 06:00 MHDA- 2022/07/28 06:01 PMCR- 2022/07/25 CRDT- 2022/07/27 04:53 PHST- 2022/06/22 00:00 [received] PHST- 2022/07/11 00:00 [revised] PHST- 2022/07/22 00:00 [accepted] PHST- 2022/07/27 04:53 [entrez] PHST- 2022/07/28 06:00 [pubmed] PHST- 2022/07/28 06:01 [medline] PHST- 2022/07/25 00:00 [pmc-release] AID - brainsci12080979 [pii] AID - brainsci-12-00979 [pii] AID - 10.3390/brainsci12080979 [doi] PST - epublish SO - Brain Sci. 2022 Jul 25;12(8):979. doi: 10.3390/brainsci12080979.