Skip to main content
Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology 6/2016

18.02.2016 | Neurophthalmology

Pulse waveform analysis in the optic nerve head circulation reflects systemic vascular resistance obtained via a Swan–Ganz catheter

verfasst von: Tomoaki Shiba, Mao Takahashi, Ryuya Hashimoto, Tadashi Matsumoto, Yuichi Hori

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 6/2016

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To determine whether a pulse waveform analysis in the optic nerve head (ONH) circulation as determined by laser speckle flowgraphy (LSFG) can provide systemic hemodynamic values — the systemic vascular resistance (SVR) in particular — similar to those obtained by using a Swan–Ganz catheter, which is an invasive method.

Method

Sixteen consecutive subjects were examined. Hemodynamic monitoring was obtained from right heart catheterization with a Swan–Ganz catheter and coronary angiography without an intracoronary nitroglycerin administration. Direct blood pressure was measured with a trans-radial approach. Single regression analyses were used to determine the relationship between the blowout score and blowout time, which are the items of the pulse waveform analysis in the ONH, by using LSFG and the hemodynamic parameters.

Results

The blowout time was significantly and negatively correlated with the SVR (r = −0.52, p = 0.04), the ocular perfusion pressure with the mean arterial blood pressure of the radial artery (r = −0.52, p = 0.04) and the radial artery pulse pressure (r = −0.52, p = 0.04).The pulmonary capillary wedge pressure (r  = −0.44, p = 0.09) and the mean arterial blood pressure of the radial artery (r  = −0.44, p = 0.09) tended to be correlated with the blowout time, but did not reach significance. The blowout score was significantly and negatively correlated with the radial artery blood pressure (r = −0.51, p = 0.046).

Conclusion

A pulse waveform analysis in the ONH by LSFG may be one of the useful methods for understanding the SVR.
Literatur
1.
Zurück zum Zitat Weber KT, Janicki JS, Hunter WC, Shroff S, Pearlman ES, Fishman AP (1982) The contractile behavior of the heart and its functional coupling to the circulation. Prog Cardiovasc Dis 24:375–400CrossRefPubMed Weber KT, Janicki JS, Hunter WC, Shroff S, Pearlman ES, Fishman AP (1982) The contractile behavior of the heart and its functional coupling to the circulation. Prog Cardiovasc Dis 24:375–400CrossRefPubMed
2.
Zurück zum Zitat O'Rourke MF (1982) Vascular impedance in studies of arterial and cardiac function. Physiol Rev 62:570–623PubMed O'Rourke MF (1982) Vascular impedance in studies of arterial and cardiac function. Physiol Rev 62:570–623PubMed
3.
Zurück zum Zitat Gould KL, Lipscomb K, Hamilton GW, Kennedy JW (1974) Relation of left ventricular shape, function and wall stress in man. Am J Cardiol 34:627–634CrossRefPubMed Gould KL, Lipscomb K, Hamilton GW, Kennedy JW (1974) Relation of left ventricular shape, function and wall stress in man. Am J Cardiol 34:627–634CrossRefPubMed
4.
Zurück zum Zitat Weber KT, Janicki JS (1980) The dynamics of ventricular contraction: force, length, and shortening. Fed Proc 39:188–195PubMed Weber KT, Janicki JS (1980) The dynamics of ventricular contraction: force, length, and shortening. Fed Proc 39:188–195PubMed
5.
Zurück zum Zitat Sorensen MB, Bille-Brake NE, Engell HC (1976) Cardiac output measurement by thermal dilution: reproducibility and comparison with the dye-dilution technique. Ann Surg 183:67–72CrossRefPubMedPubMedCentral Sorensen MB, Bille-Brake NE, Engell HC (1976) Cardiac output measurement by thermal dilution: reproducibility and comparison with the dye-dilution technique. Ann Surg 183:67–72CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Ganz W, Donoso R, Marcus HS, Forrester JS, Swan HJ (1971) A new technique for measurement of cardiac output by thermodilution in man. Am J Cardiol 27:392–396CrossRefPubMed Ganz W, Donoso R, Marcus HS, Forrester JS, Swan HJ (1971) A new technique for measurement of cardiac output by thermodilution in man. Am J Cardiol 27:392–396CrossRefPubMed
7.
Zurück zum Zitat Ganz W, Swan HJ (1972) Measurement of blood flow by thermodilution. Am J Cardiol 29:241–246CrossRefPubMed Ganz W, Swan HJ (1972) Measurement of blood flow by thermodilution. Am J Cardiol 29:241–246CrossRefPubMed
8.
Zurück zum Zitat Batson GA, Chandrasekhar KP, Payas Y, Rickards DF (1972) Measurement of pulmonary wedge pressure by the flow directed Swan–Ganz catheter. Cardiovasc Res 6:748–752CrossRefPubMed Batson GA, Chandrasekhar KP, Payas Y, Rickards DF (1972) Measurement of pulmonary wedge pressure by the flow directed Swan–Ganz catheter. Cardiovasc Res 6:748–752CrossRefPubMed
9.
Zurück zum Zitat Tamaki Y, Araie M, Kawamoto E, Eguchi S, Fujii H (1995) Non-contact, two-dimensional measurement of tissue circulation in choroid and optic nerve head using laser speckle phenomenon. Exp Eye Res 60:373–383CrossRefPubMed Tamaki Y, Araie M, Kawamoto E, Eguchi S, Fujii H (1995) Non-contact, two-dimensional measurement of tissue circulation in choroid and optic nerve head using laser speckle phenomenon. Exp Eye Res 60:373–383CrossRefPubMed
10.
Zurück zum Zitat Isono H, Kishi S, Kimura Y, Hagiwara N, Konishi N, Fujii H (2003) Observation of choroidal circulation using index of erythrocytic velocity. Arch Ophthalmol 121:225–231CrossRefPubMed Isono H, Kishi S, Kimura Y, Hagiwara N, Konishi N, Fujii H (2003) Observation of choroidal circulation using index of erythrocytic velocity. Arch Ophthalmol 121:225–231CrossRefPubMed
11.
Zurück zum Zitat Fujii H (1994) Visualisation of retinal blood flow by laser speckle flow-graphy. Med Biol Eng Comput 32:302–304CrossRefPubMed Fujii H (1994) Visualisation of retinal blood flow by laser speckle flow-graphy. Med Biol Eng Comput 32:302–304CrossRefPubMed
12.
Zurück zum Zitat Fujii H (2000) Laser speckle flowgraphy. In: Singh M, Radhakrishnan S, Patil KM (Eds) Medical diagnostic techniques and procedures. Narosa, New Delhi, pp 216–224 Fujii H (2000) Laser speckle flowgraphy. In: Singh M, Radhakrishnan S, Patil KM (Eds) Medical diagnostic techniques and procedures. Narosa, New Delhi, pp 216–224
13.
Zurück zum Zitat Takahashi H, Sugiyama T, Tokushige H, Maeno T, Nakazawa T, Ikeda T, Araie M (2013) Comparison of CCD-equipped laser speckle flowgraphy with hydrogen gas clearance method in the measurement of optic nerve head microcirculation in rabbits. Exp Eye Res 108:10–15CrossRefPubMed Takahashi H, Sugiyama T, Tokushige H, Maeno T, Nakazawa T, Ikeda T, Araie M (2013) Comparison of CCD-equipped laser speckle flowgraphy with hydrogen gas clearance method in the measurement of optic nerve head microcirculation in rabbits. Exp Eye Res 108:10–15CrossRefPubMed
14.
Zurück zum Zitat Sugiyama T, Araie M, Riva CE, Schmetterer L, Orgul S (2010) Use of laser speckle flowgraphy in ocular blood flow research. Acta Ophthalmol 88:723–729CrossRefPubMed Sugiyama T, Araie M, Riva CE, Schmetterer L, Orgul S (2010) Use of laser speckle flowgraphy in ocular blood flow research. Acta Ophthalmol 88:723–729CrossRefPubMed
15.
Zurück zum Zitat Shiba T, Takahashi M, Hori Y, Maeno T (2012) Pulse-wave analysis of optic nerve head circulation is significantly correlated with brachial–ankle pulse-wave velocity, carotid intima–media thickness, and age. Graefes Arch Clin Exp Ophthalmol 250:1275–1281CrossRefPubMed Shiba T, Takahashi M, Hori Y, Maeno T (2012) Pulse-wave analysis of optic nerve head circulation is significantly correlated with brachial–ankle pulse-wave velocity, carotid intima–media thickness, and age. Graefes Arch Clin Exp Ophthalmol 250:1275–1281CrossRefPubMed
16.
Zurück zum Zitat Shiba T, Takahashi M, Hori Y, Maeno T, Shirai K (2012) Optic nerve head circulation determined by pulse wave analysis is significantly correlated with cardio ankle vascular index, left ventricular diastolic function, and age. J Atheroscler Thromb 19:999–1005CrossRefPubMed Shiba T, Takahashi M, Hori Y, Maeno T, Shirai K (2012) Optic nerve head circulation determined by pulse wave analysis is significantly correlated with cardio ankle vascular index, left ventricular diastolic function, and age. J Atheroscler Thromb 19:999–1005CrossRefPubMed
17.
Zurück zum Zitat Sugiyama T (2014) Basic technology and clinical applications of the updated model of laser speckle flowgraphy to ocular diseases. Photonics 1:220–234CrossRef Sugiyama T (2014) Basic technology and clinical applications of the updated model of laser speckle flowgraphy to ocular diseases. Photonics 1:220–234CrossRef
18.
Zurück zum Zitat Yanagida K, Iwase T, Yamamoto K, Ra E, Kaneko H, Murotani K, Matsui S, Terasaki H (2015) Sex-related differences in ocular blood flow of healthy subjects using laser speckle flowgraphy. Invest Ophthalmol Vis Sci 56:4880–4890CrossRefPubMed Yanagida K, Iwase T, Yamamoto K, Ra E, Kaneko H, Murotani K, Matsui S, Terasaki H (2015) Sex-related differences in ocular blood flow of healthy subjects using laser speckle flowgraphy. Invest Ophthalmol Vis Sci 56:4880–4890CrossRefPubMed
19.
Zurück zum Zitat Rina M, Shiba T, Takahashi M, Hori Y, Maeno T (2015) Pulse waveform analysis of optic nerve head circulation for predicting carotid atherosclerotic changes. Graefes Arch Clin Exp Ophthalmol. doi:10.1007/s00417-015-3123-y PubMed Rina M, Shiba T, Takahashi M, Hori Y, Maeno T (2015) Pulse waveform analysis of optic nerve head circulation for predicting carotid atherosclerotic changes. Graefes Arch Clin Exp Ophthalmol. doi:10.​1007/​s00417-015-3123-y PubMed
20.
Zurück zum Zitat Aizawa N, Yokoyama Y, Chiba N, Omodaka K, Yasuda M, Otomo T, Nakamura M, Fuse N, Nakazawa T (2011) Reproducibility of retinal circulation measurements obtained using laser speckle flowgraphy-NAVI in patients with glaucoma. Clin Ophthalmol 5:1171–1176PubMedPubMedCentral Aizawa N, Yokoyama Y, Chiba N, Omodaka K, Yasuda M, Otomo T, Nakamura M, Fuse N, Nakazawa T (2011) Reproducibility of retinal circulation measurements obtained using laser speckle flowgraphy-NAVI in patients with glaucoma. Clin Ophthalmol 5:1171–1176PubMedPubMedCentral
21.
Zurück zum Zitat Batson GA, Chandrasekhar KP, Payas Y, Rickards DF (1972) Measurement of pulmonary wedge pressure by the flow directed Swan–Ganz catheter. Cardiovasc Res 6:748–752CrossRefPubMed Batson GA, Chandrasekhar KP, Payas Y, Rickards DF (1972) Measurement of pulmonary wedge pressure by the flow directed Swan–Ganz catheter. Cardiovasc Res 6:748–752CrossRefPubMed
23.
Zurück zum Zitat Michelson G, Harazny J (1997) Increased vascular resistance for venous outflow in central retinal vein occlusion. Ophthalmology 104:659–663CrossRefPubMed Michelson G, Harazny J (1997) Increased vascular resistance for venous outflow in central retinal vein occlusion. Ophthalmology 104:659–663CrossRefPubMed
24.
Zurück zum Zitat Basturk T, Akcay M, Albayrak R, Unsal A, Ulas T, Koc Y (2012) Correlation between the resistive index values of renal and orbital arteries. Kidney Blood Press Res 35:332–329CrossRefPubMed Basturk T, Akcay M, Albayrak R, Unsal A, Ulas T, Koc Y (2012) Correlation between the resistive index values of renal and orbital arteries. Kidney Blood Press Res 35:332–329CrossRefPubMed
25.
Zurück zum Zitat Liu KH, Chu WC, Kong AP, Ko GT, Ma RC, Chan JW, So WY, Luk AO, Cheung KK, Ozaki R, Ahuja AT, Chan JC (2013) Intrarenal arterial resistance is associated with microvascular complications in Chinese type 2 diabetic patients. Nephrol Dial Transplant 28:651–658CrossRefPubMed Liu KH, Chu WC, Kong AP, Ko GT, Ma RC, Chan JW, So WY, Luk AO, Cheung KK, Ozaki R, Ahuja AT, Chan JC (2013) Intrarenal arterial resistance is associated with microvascular complications in Chinese type 2 diabetic patients. Nephrol Dial Transplant 28:651–658CrossRefPubMed
26.
Zurück zum Zitat Shiba T, Takahashi M, Maeno T (2014) Pulse-wave analysis of optic nerve head circulation is significantly correlated with kidney function in patients with and without chronic kidney disease. J Ophthalmol 2014, 291687CrossRefPubMedPubMedCentral Shiba T, Takahashi M, Maeno T (2014) Pulse-wave analysis of optic nerve head circulation is significantly correlated with kidney function in patients with and without chronic kidney disease. J Ophthalmol 2014, 291687CrossRefPubMedPubMedCentral
Metadaten
Titel
Pulse waveform analysis in the optic nerve head circulation reflects systemic vascular resistance obtained via a Swan–Ganz catheter
verfasst von
Tomoaki Shiba
Mao Takahashi
Ryuya Hashimoto
Tadashi Matsumoto
Yuichi Hori
Publikationsdatum
18.02.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 6/2016
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-016-3289-y

Weitere Artikel der Ausgabe 6/2016

Graefe's Archive for Clinical and Experimental Ophthalmology 6/2016 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Open Access 22.02.2024 | Peeling | Originalien

Selektive Vitalfarbstoffe in der Makulachirurgie

Erhöhen sie die Wahrscheinlichkeit der intraoperativen ILM-Identifizierung auch bei einem erfahrenen Operateur?

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.