Observation of blood flow characteristics of collateral circulation of ipsilateral ophthalmic artery in patients with internal carotid artery occlusion_Chinese Journal of Ocular Fundus Diseases

Authors：

Lei Tao ,  Wang Runsheng , Lyu Peilin , Zhang Aixiang , Qian Jian , Guo Gang , Zhang Lulu , Wang Junming

Department of Neurology (Lei Tao, Zhang Aixiang, Qian Jian, Guo Gang, Zhang Lulu), Department of Ophthalmology [Wang Runsheng, Lyu Peilin (now working at the Department of Ophthalmology, The First Hospital of Xi’an)], Radiological Department (Wang Junming), The Fourth Hospital of Xi’an, Xi’an 710004, China;

Corresponding author：

Wang Runsheng, Email: wangrunsheng0602@sohu.com

Keywords：

Arterial occlusive diseases; Ophthalmic artery; Collateral circulation; Angiography, digital subtraction; Ultrasonography, Doppler, transcranial

DOI：

10.3760/cma.j.issn.1005-1015.2017.05.012

Video：

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Objective To observe the characteristics of collateral circulation blood flow of ipsilateral ophthalmic artery in patients with internal carotid artery occlusion. Methods The imaging data of 20 patients with internal carotid artery occlusion were analyzed retrospectively. There were 11 males and 9 females, aged from 30 to 65 years, with an average age of (45±3) years. All the patients underwent digital subtraction angiography and transcranial Doppler examination, and 6 patients underwent simultaneous magnetic resonance angiography. The blood supply and collateral circulation of the ipsilateral ophthalmic artery were observed . Results All the patients had unilateral internal carotid artery occlusion. The blood supply of the ipsilateral internal carotid artery and ophthalmic artery comes from the collateral circulation between the middle meningeal artery branches of the external carotid artery and the ophthalmic artery in 18 patients (90.0%); it also comes from the anterior communicating artery of the contralateral internal carotid artery in 16 patients (80.0%); and the posterior communicating artery of the contralateral internal carotid artery in 12 patients (60.0%), respectively. Conclusion The blood flow of the ipsilateral ophthalmic artery mainly comes from the middle meningeal artery branch of the ipsilateral external carotid artery, also comes from the anterior and posterior communicating arteries of the contralateral internal carotid artery.

Citation： Lei Tao, Wang Runsheng, Lyu Peilin, Zhang Aixiang, Qian Jian, Guo Gang, Zhang Lulu, Wang Junming. Observation of blood flow characteristics of collateral circulation of ipsilateral ophthalmic artery in patients with internal carotid artery occlusion. Chinese Journal of Ocular Fundus Diseases, 2017, 33(5): 490-493. doi: 10.3760/cma.j.issn.1005-1015.2017.05.012 Copy

1.	雷涛, 王润生, 吕沛霖, 等. 缺血性脑血管病患者眼动脉及其主要分支的数字减影血管造影观察[J]. 中华眼底病杂志, 2012, 28(5): 489-492. DOI:10.3760/cma.j.issn.1005-1015.2012.05.014.Lei T, Wang RS, Lu PL, et al. Digital subtraction angiography characteristics of ophthalmic artery and its main branches in ischemic cerebrovascular disease[J] Chin J Ocul Fundus Dis, 2012, 28(5): 489-492. DOI:10.3760/cma.j.issn.1005-1015.2012.05.014.
2.	朱丹, 李琳, 安立春, 等. 颈内动脉狭窄与缺血性眼病的相关性研究[J]. 中华试验眼科杂志, 2011, 29(12): 1116-1119. DOI:10.3700/cma.j.issn.2095-0160.2011.12.014.Zhu D, Li L, Song LC, et al. A study of correlation analysis on ocular ischemic disease and carotid stenosis[J].Chin J Exp Ophthalmo, 2011, 29(12): 1116-1119. DOI:10.3700/cma.j.issn.2095-0160.2011.12.014.
3.	邵嘉涛, 李萍, 王海波, 等. 不同程度颈内动脉狭窄对患者眼部缺血表现及视网膜中央动脉和眼动脉血流动力学的影响[J]. 中华眼底病杂志, 2015, 31(1): 49-51. DOI: 10.3760/cma.j.issn.1005-1015.20l5.01.013.Shao JT, Li P, Wang HB, et al. Ocular ischemic appearance associated with different carotid artery stenosis degree and its effects on hemodynamics of eye and central retinal artery[J] Chin J Ocul Fundus Dis, 2015, 31(1): 49-51. DOI: 10.3760/cma.j.issn.1005-1015.20l5.01.013.
4.	王润生, 雷涛, 王毅, 等. 超选择性眼动脉及选择性颈内动脉溶栓治疗视网膜中央动脉阻塞的疗效观察[J]. 中华眼底病杂志, 2014, 30(5): 450-453. DOI:10.3760/cma.j.issn.1005-1015.2014.05.005.Wang RS, Lei T, Wang Y, et al. Super-selective ophthalmic artery or selective carotid artery thrombolytic therapy for central retinal artery occlusion[J]. Chin J Ocul Fundus Dis, 2014, 30(5): 450-453. DOI:10.3760/cma.j.issn.1005-1015.2014.05.005.
5.	唐维强, 魏世辉, 李生, 等. 与颈动脉狭窄相关眼部表现的临床分析[J]. 中华眼底病杂志, 2006, 22(6): 376-378.Tang WQ, Wei SH, LI S, et al. Clinical analysis of ocular manifestations related to carotid artery stenosis[J] Chin J Ocul Fundus Dis, 2006, 22(6): 376-378.
6.	潘为领, 王学廷, 冯丽, 等. 256层CTA对颈动脉不同部位闭塞患者侧支循环的评价[J]. 实用放射学杂志, 2014, 30(9): 1458-1461. DOI:10.3969/j.issn.1002-1671.2014.09.009.Pan WL, Wang XT, Feng L, et al. Diagnostic value of 256-slice CT angiography in collateral circulation about carotid artery different segment occlusion [J]. J Pract Radiol, 2014, 30(9): 1458-1461. DOI:10.3969/j.issn.1002-1671.2014.09.009.
7.	Ahn JH, Cho YD, Kang HS, et al. Endovascular treatment of ophthalmic artery aneurysms: assessing balloon test occlusion and preservation of vision in coil embolization[J]. AJNR Am J Neuroradiol, 2014, 35(11): 2146-2152. DOI: 10.3174/ajnr.A3999.
8.	Rouchaud A, Leclerc O, Benayoun Y, et al. Visual outcomes with flow-diverter stents covering the ophthalmic artery for treatment of internal carotid artery aneurysms[J]. AJNR Am J Neuroradiol, 2015, 36(2): 330-336. DOI: 10.3174/ajnr.A4129.
9.	赵云辉, 马著彬. 颈内动脉狭窄或闭塞侧支循环途径及其与临床关系的研究进展[J]. 影像诊断与放射学杂志, 2001, 10(4): 250-251. DOI:10.3969/j.issn.1005-8001.2001.04.025.Zhao YH, Ma ZB. Collateral circulation pathways of internal carotid artery stenosis or occlusion and their relationship with clinical[J]. Journal of Diagnostic Imaging and Radiology, 2001, 10(4): 250-251. DOI:10.3969/j.issn.1005-8001.2001.04.025.
10.	郭佳, 勇强, 孟忻, 等. 严重颈内动脉狭窄时眼动脉血流变化的研究[J]. 心肺血管病杂志, 2013, 32(3): 299-301. DOI:10.3969/j.issn.1007-S062.2013.03.017.Guo J, Yong Q, Ming X, et al. Ocular hemodynamic changes in patients with severe internal carotid artery stenosis disease[J]. Journal of Cardiovascular and Pulmonary Diseases, 2013, 32(3): 299-301.DOI:10.3969/j.issn.1007-S062.2013.03.017.
11.	Durst CR, Starke RM, Gaughen J, et al. Vision outcomes and major complications after endovascular coil embolization of ophthalmic segment aneurysms[J]. AJNR Am J Neuroradiol, 2014, 35(11): 2140-2145. DOI: 10.3174/ajnr.A4032.
12.	Shaibani A, Khawar S, Bendok B, et al. Temporary balloon occlusion to test adequacy of collateral flow to the retina and tolerance for endovascular aneurysmal coiling[J]. AJNR Am J Neuroradiol, 2004, 25(8): 1384-1386.
13.	王润生, 李官禄, 王为农, 等. 眼动脉逆行药物灌注术临床小结[J]. 中国实用眼科杂志, 2000, 18(4): 223-224. DOI: 10.3760/cma.j.issn.1006-4443.2000.04.012.Wang RS, Li GL, Wang WN, et al. Clinical observation on operation of drugs perfusion retrograde into ophthalmol artery[J]. Chin J Pract Ophthalmol, 2000, 18(4): 223-224. DOI: 10.3760/cma.j.issn.1006-4443.2000.04.012.
14.	王润生, 李官禄, 王煊, 等. 犬眶下动脉终末支逆行插管导药入眼实验研究[J]. 眼科新进展, 2000, 20(4): 255-256. DOI:10.3969/j.issn.1003-5141.2000.04.006.Wang RS, Li GL, Wang X, et al. Experimental sturdy of retrograde catheterization and administration of drugs into eyes through the infraorbital arteries in dogs[J]. Rev Adv Ophthalmol, 2000, 20(4): 255-256. DOI:10.3969/j.issn.1003-5141.2000.04.006.
15.	王润生, 钱路, 王毅, 等. 眼动脉分支逆行介入溶栓治疗视网膜中央动脉阻塞疗效观察[J]. 中华眼底病杂志, 2016, 32(4): 377-381. DOI: 10.3760/cma.j.issn.1005-1015.2016.04.008.Wang RS, Qian L, Wang Y, et al. Ophthalmic artery branch retrograde interventional therapy for central retinal artery occlusion[J]. Chin J Ocul Fundus Dis, 2016, 32(4): 377-381. DOI: 10.3760/cma.j.issn.1005-1015.2016.04.008.

1. 雷涛, 王润生, 吕沛霖, 等. 缺血性脑血管病患者眼动脉及其主要分支的数字减影血管造影观察[J]. 中华眼底病杂志, 2012, 28(5): 489-492. DOI:10.3760/cma.j.issn.1005-1015.2012.05.014.Lei T, Wang RS, Lu PL, et al. Digital subtraction angiography characteristics of ophthalmic artery and its main branches in ischemic cerebrovascular disease[J] Chin J Ocul Fundus Dis, 2012, 28(5): 489-492. DOI:10.3760/cma.j.issn.1005-1015.2012.05.014.
2. 朱丹, 李琳, 安立春, 等. 颈内动脉狭窄与缺血性眼病的相关性研究[J]. 中华试验眼科杂志, 2011, 29(12): 1116-1119. DOI:10.3700/cma.j.issn.2095-0160.2011.12.014.Zhu D, Li L, Song LC, et al. A study of correlation analysis on ocular ischemic disease and carotid stenosis[J].Chin J Exp Ophthalmo, 2011, 29(12): 1116-1119. DOI:10.3700/cma.j.issn.2095-0160.2011.12.014.
3. 邵嘉涛, 李萍, 王海波, 等. 不同程度颈内动脉狭窄对患者眼部缺血表现及视网膜中央动脉和眼动脉血流动力学的影响[J]. 中华眼底病杂志, 2015, 31(1): 49-51. DOI: 10.3760/cma.j.issn.1005-1015.20l5.01.013.Shao JT, Li P, Wang HB, et al. Ocular ischemic appearance associated with different carotid artery stenosis degree and its effects on hemodynamics of eye and central retinal artery[J] Chin J Ocul Fundus Dis, 2015, 31(1): 49-51. DOI: 10.3760/cma.j.issn.1005-1015.20l5.01.013.
4. 王润生, 雷涛, 王毅, 等. 超选择性眼动脉及选择性颈内动脉溶栓治疗视网膜中央动脉阻塞的疗效观察[J]. 中华眼底病杂志, 2014, 30(5): 450-453. DOI:10.3760/cma.j.issn.1005-1015.2014.05.005.Wang RS, Lei T, Wang Y, et al. Super-selective ophthalmic artery or selective carotid artery thrombolytic therapy for central retinal artery occlusion[J]. Chin J Ocul Fundus Dis, 2014, 30(5): 450-453. DOI:10.3760/cma.j.issn.1005-1015.2014.05.005.
5. 唐维强, 魏世辉, 李生, 等. 与颈动脉狭窄相关眼部表现的临床分析[J]. 中华眼底病杂志, 2006, 22(6): 376-378.Tang WQ, Wei SH, LI S, et al. Clinical analysis of ocular manifestations related to carotid artery stenosis[J] Chin J Ocul Fundus Dis, 2006, 22(6): 376-378.
6. 潘为领, 王学廷, 冯丽, 等. 256层CTA对颈动脉不同部位闭塞患者侧支循环的评价[J]. 实用放射学杂志, 2014, 30(9): 1458-1461. DOI:10.3969/j.issn.1002-1671.2014.09.009.Pan WL, Wang XT, Feng L, et al. Diagnostic value of 256-slice CT angiography in collateral circulation about carotid artery different segment occlusion [J]. J Pract Radiol, 2014, 30(9): 1458-1461. DOI:10.3969/j.issn.1002-1671.2014.09.009.
7. Ahn JH, Cho YD, Kang HS, et al. Endovascular treatment of ophthalmic artery aneurysms: assessing balloon test occlusion and preservation of vision in coil embolization[J]. AJNR Am J Neuroradiol, 2014, 35(11): 2146-2152. DOI: 10.3174/ajnr.A3999.
8. Rouchaud A, Leclerc O, Benayoun Y, et al. Visual outcomes with flow-diverter stents covering the ophthalmic artery for treatment of internal carotid artery aneurysms[J]. AJNR Am J Neuroradiol, 2015, 36(2): 330-336. DOI: 10.3174/ajnr.A4129.
9. 赵云辉, 马著彬. 颈内动脉狭窄或闭塞侧支循环途径及其与临床关系的研究进展[J]. 影像诊断与放射学杂志, 2001, 10(4): 250-251. DOI:10.3969/j.issn.1005-8001.2001.04.025.Zhao YH, Ma ZB. Collateral circulation pathways of internal carotid artery stenosis or occlusion and their relationship with clinical[J]. Journal of Diagnostic Imaging and Radiology, 2001, 10(4): 250-251. DOI:10.3969/j.issn.1005-8001.2001.04.025.
10. 郭佳, 勇强, 孟忻, 等. 严重颈内动脉狭窄时眼动脉血流变化的研究[J]. 心肺血管病杂志, 2013, 32(3): 299-301. DOI:10.3969/j.issn.1007-S062.2013.03.017.Guo J, Yong Q, Ming X, et al. Ocular hemodynamic changes in patients with severe internal carotid artery stenosis disease[J]. Journal of Cardiovascular and Pulmonary Diseases, 2013, 32(3): 299-301.DOI:10.3969/j.issn.1007-S062.2013.03.017.
11. Durst CR, Starke RM, Gaughen J, et al. Vision outcomes and major complications after endovascular coil embolization of ophthalmic segment aneurysms[J]. AJNR Am J Neuroradiol, 2014, 35(11): 2140-2145. DOI: 10.3174/ajnr.A4032.
12. Shaibani A, Khawar S, Bendok B, et al. Temporary balloon occlusion to test adequacy of collateral flow to the retina and tolerance for endovascular aneurysmal coiling[J]. AJNR Am J Neuroradiol, 2004, 25(8): 1384-1386.
13. 王润生, 李官禄, 王为农, 等. 眼动脉逆行药物灌注术临床小结[J]. 中国实用眼科杂志, 2000, 18(4): 223-224. DOI: 10.3760/cma.j.issn.1006-4443.2000.04.012.Wang RS, Li GL, Wang WN, et al. Clinical observation on operation of drugs perfusion retrograde into ophthalmol artery[J]. Chin J Pract Ophthalmol, 2000, 18(4): 223-224. DOI: 10.3760/cma.j.issn.1006-4443.2000.04.012.
14. 王润生, 李官禄, 王煊, 等. 犬眶下动脉终末支逆行插管导药入眼实验研究[J]. 眼科新进展, 2000, 20(4): 255-256. DOI:10.3969/j.issn.1003-5141.2000.04.006.Wang RS, Li GL, Wang X, et al. Experimental sturdy of retrograde catheterization and administration of drugs into eyes through the infraorbital arteries in dogs[J]. Rev Adv Ophthalmol, 2000, 20(4): 255-256. DOI:10.3969/j.issn.1003-5141.2000.04.006.
15. 王润生, 钱路, 王毅, 等. 眼动脉分支逆行介入溶栓治疗视网膜中央动脉阻塞疗效观察[J]. 中华眼底病杂志, 2016, 32(4): 377-381. DOI: 10.3760/cma.j.issn.1005-1015.2016.04.008.Wang RS, Qian L, Wang Y, et al. Ophthalmic artery branch retrograde interventional therapy for central retinal artery occlusion[J]. Chin J Ocul Fundus Dis, 2016, 32(4): 377-381. DOI: 10.3760/cma.j.issn.1005-1015.2016.04.008.

Chinese Journal of Ocular Fundus Diseases

Observation of blood flow characteristics of collateral circulation of ipsilateral ophthalmic artery in patients with internal carotid artery occlusion

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