This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Strauss, A. L. Articles by Schoop, W. Search for Related Content PubMed PubMed Citation Articles by Strauss, A. L. Articles by Schoop, W.

Stroke, Vol 20, 1012-1015, Copyright © 1989 by American Heart Association

ARTICLES

Doppler ophthalmic blood pressure measurement in the hemodynamic evaluation of occlusive carotid artery disease

AL Strauss, H Rieger, FJ Roth and W Schoop
Aggertalklinik, Hospital for Vascular Disease, Engelskirchen, Federal Republic of Germany.

In 102 patients with angiographically proven occlusive carotid artery disease of 60-100% diameter reduction, Doppler ophthalmic artery pressure and blood flow direction were recorded by the recently developed ophthalmomanometry-Doppler technique. Among these 102 patients, 50 presented with complete carotid artery occlusions and 52 with carotid artery diameter stenoses of greater than or equal to 60%. Mean +/- SD Doppler ophthalmic artery pressure was 69 +/- 15 mm Hg ipsilateral to the occlusion and 86 +/- 18 mm Hg ipsilateral to a stenosis of the carotid artery (p less than 0.001). The mean +/- SD Doppler ophthalmic pressure index (ratio of the ophthalmic artery to systemic blood pressure) was lower ipsilateral to the occlusion (0.46 +/- 0.08) than ipsilateral to a carotid artery stenosis (0.54 +/- 0.08; p less than 0.001); in both, the index was clearly diminished compared with normal values (0.68 +/- 0.04; p less than 0.001). It is concluded that the intracranial hemodynamic consequences in the patients with occlusion are on average more profound than in the patients with stenosis. In carotid artery occlusions, the mean +/- SD ipsilateral ophthalmic pressure index was 0.46 +/- 0.06 for antegrade and 0.46 +/- 0.09 for retrograde ophthalmic artery blood flow. In carotid artery stenoses, the mean +/- SD ipsilateral ophthalmic pressure index was 0.55 +/- 0.07 for antegrade and 0.48 +/- 0.06 for retrograde ophthalmic artery blood flow (p less than 0.01). These results indicate that in carotid stenoses the collateral capacity of the ophthalmic artery is insufficient compared with intracranial collaterals, while in carotid occlusions the blood flow direction in the ophthalmic artery does not predict intracranial hemodynamic compensation.

This article has been cited by other articles:

				D. R. Rutgers, C. J. M. Klijn, L. J. Kappelle, A. C. van Huffelen, and J. van der Grond A Longitudinal Study of Collateral Flow Patterns in the Circle of Willis and the Ophthalmic Artery in Patients With a Symptomatic Internal Carotid Artery Occlusion Stroke, August 1, 2000; 31(8): 1913 - 1920. [Abstract] [Full Text] [PDF]

				T.-H. Lee, S.-J. Ryu, S.-T. Chen, Y.-H. Liu, and K.-Y. Tseng Forward Doppler Ophthalmic Artery Flow in Patients with Extracranial Carotid Artery Occlusion--A Case Report Angiology, August 1, 1993; 44(8): 661 - 667. [Abstract] [PDF]