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The role of choroidal optical coherence tomography for follow-up of carotid cavernous fistula with anterior drainage
Background To evaluate the role of the choroidal vascularity index (CVI) and the tortuosity index (TI), along with choroidal thickness measurements, in follow-up for anteriorly draining carotid cavernous fistulas (CCF) that would otherwise necessitate an invasive carotid angiogram. Methods In this l...
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| Published in: | Eye (London) 2022-10, Vol.36 (10), p.2020-2027 |
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| container_end_page | 2027 |
| container_issue | 10 |
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| creator | Arat, Yonca Ozkan İnam, Onur Yavas, Guliz Fatma Arat, Anil |
| description | Background
To evaluate the role of the choroidal vascularity index (CVI) and the tortuosity index (TI), along with choroidal thickness measurements, in follow-up for anteriorly draining carotid cavernous fistulas (CCF) that would otherwise necessitate an invasive carotid angiogram.
Methods
In this longitudinal observational study, analysis of enhanced depth imaging spectral domain optical coherence tomography (SD-EDI-OCT) images of 22 patients with angiographically proven unilateral CCF with anterior drainage was performed for subfoveal choroidal thickness (SFCT), central foveal thickness (CFT), CVI and TI. Baseline measurements were compared with those taken at the last visit after occlusion of the fistula.
Results
Both in the clinically affected and unaffected eyes, there was a significant decrease in CFT (
p
= 0.015 and
p
= 0.005, respectively), SFCT (
p
= 0.000 for both eyes), CVI (
p
= 0.002 and 0.001, respectively) and all three TI parameters, including inferior (
p
|
| doi_str_mv | 10.1038/s41433-021-01744-2 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9500102</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2716792362</sourcerecordid><originalsourceid>FETCH-LOGICAL-c402t-9561eddd783f2e7e3af63bb5aea66e150677a7fbd39ffa59fbbaad807cf4d95c3</originalsourceid><addsrcrecordid>eNp9kc1rFTEUxYMo9ln9B1wNuHEzms_JzEaQUj-g4KaCu3AnuXmTMm8yJpmW_vfm9RVFFy7CWdzzO-TeQ8hrRt8xKvr3WTIpREs5aynTUrb8CdkxqbtWSSWfkh0dFG055z_OyIucbyitQ02fkzMhJe0FUztSridsUpyxib6xU0wxOJibuJZgq9o4YcLFYlPiIe4TrNN942Oqb57jXbutDxykWIKreotpiVtufMhlm6G5C2VqYCmYQoVcgrDAHl-SZx7mjK8e9Zx8_3R5ffGlvfr2-evFx6vWSspLO6iOoXNO98Jz1CjAd2IcFSB0HTJFO61B-9GJwXtQgx9HANdTbb10g7LinHw45a7beEBncSkJZrOmcIB0byIE8_dkCZPZx1tT70YZ5TXg7WNAij83zMUcQrY4z7BgXdNw1fGeD0qran3zj_Umbmmp6xmuWacHLrpjID-5bIo5J_S_P8OoOZZqTqWaWqp5KNUcIXGCcjUve0x_ov9D_QLQIadY</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2716792362</pqid></control><display><type>article</type><title>The role of choroidal optical coherence tomography for follow-up of carotid cavernous fistula with anterior drainage</title><source>Springer Link</source><source>PubMed Central</source><creator>Arat, Yonca Ozkan ; İnam, Onur ; Yavas, Guliz Fatma ; Arat, Anil</creator><creatorcontrib>Arat, Yonca Ozkan ; İnam, Onur ; Yavas, Guliz Fatma ; Arat, Anil</creatorcontrib><description>Background
To evaluate the role of the choroidal vascularity index (CVI) and the tortuosity index (TI), along with choroidal thickness measurements, in follow-up for anteriorly draining carotid cavernous fistulas (CCF) that would otherwise necessitate an invasive carotid angiogram.
Methods
In this longitudinal observational study, analysis of enhanced depth imaging spectral domain optical coherence tomography (SD-EDI-OCT) images of 22 patients with angiographically proven unilateral CCF with anterior drainage was performed for subfoveal choroidal thickness (SFCT), central foveal thickness (CFT), CVI and TI. Baseline measurements were compared with those taken at the last visit after occlusion of the fistula.
Results
Both in the clinically affected and unaffected eyes, there was a significant decrease in CFT (
p
= 0.015 and
p
= 0.005, respectively), SFCT (
p
= 0.000 for both eyes), CVI (
p
= 0.002 and 0.001, respectively) and all three TI parameters, including inferior (
p
< 0.001 and
p
= 0.01, respectively) and superior temporal vein tortuosity index (
p
= 0.005 and
p
= 0.02, respectively) as well as total venular tortuosity index (
p
< 0.001 and
p
= 0.002, respectively) after successful closure of the fistula compared to first presentation. Changes in all parameters were similar between the D-CCF and I-CCF groups except for CVI.
Conclusions
In this first study concerning follow-up of anteriorly draining unilateral CCFs by SD-EDI-OCT, we not only demonstrated involvement of the clinically unaffected eye but also showed that, this modality, utilizing CVI and TI together with choroidal thickness measurements, can be used as a readily available, noninvasive first-line followup method for evaluating occlusion of fistulas by endovascular treatment or spontaneous resolution.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/s41433-021-01744-2</identifier><identifier>PMID: 34408315</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/409 ; 692/699/3161/3164 ; Cardiovascular system ; Fistula ; Fistulae ; Laboratory Medicine ; Medicine ; Medicine & Public Health ; Occlusion ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Surgery ; Surgical Oncology ; Tomography ; Wound drainage</subject><ispartof>Eye (London), 2022-10, Vol.36 (10), p.2020-2027</ispartof><rights>The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2021</rights><rights>The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c402t-9561eddd783f2e7e3af63bb5aea66e150677a7fbd39ffa59fbbaad807cf4d95c3</cites><orcidid>0000-0002-6578-7444 ; 0000-0002-4726-1190</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9500102/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9500102/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Arat, Yonca Ozkan</creatorcontrib><creatorcontrib>İnam, Onur</creatorcontrib><creatorcontrib>Yavas, Guliz Fatma</creatorcontrib><creatorcontrib>Arat, Anil</creatorcontrib><title>The role of choroidal optical coherence tomography for follow-up of carotid cavernous fistula with anterior drainage</title><title>Eye (London)</title><addtitle>Eye</addtitle><description>Background
To evaluate the role of the choroidal vascularity index (CVI) and the tortuosity index (TI), along with choroidal thickness measurements, in follow-up for anteriorly draining carotid cavernous fistulas (CCF) that would otherwise necessitate an invasive carotid angiogram.
Methods
In this longitudinal observational study, analysis of enhanced depth imaging spectral domain optical coherence tomography (SD-EDI-OCT) images of 22 patients with angiographically proven unilateral CCF with anterior drainage was performed for subfoveal choroidal thickness (SFCT), central foveal thickness (CFT), CVI and TI. Baseline measurements were compared with those taken at the last visit after occlusion of the fistula.
Results
Both in the clinically affected and unaffected eyes, there was a significant decrease in CFT (
p
= 0.015 and
p
= 0.005, respectively), SFCT (
p
= 0.000 for both eyes), CVI (
p
= 0.002 and 0.001, respectively) and all three TI parameters, including inferior (
p
< 0.001 and
p
= 0.01, respectively) and superior temporal vein tortuosity index (
p
= 0.005 and
p
= 0.02, respectively) as well as total venular tortuosity index (
p
< 0.001 and
p
= 0.002, respectively) after successful closure of the fistula compared to first presentation. Changes in all parameters were similar between the D-CCF and I-CCF groups except for CVI.
Conclusions
In this first study concerning follow-up of anteriorly draining unilateral CCFs by SD-EDI-OCT, we not only demonstrated involvement of the clinically unaffected eye but also showed that, this modality, utilizing CVI and TI together with choroidal thickness measurements, can be used as a readily available, noninvasive first-line followup method for evaluating occlusion of fistulas by endovascular treatment or spontaneous resolution.</description><subject>692/308/409</subject><subject>692/699/3161/3164</subject><subject>Cardiovascular system</subject><subject>Fistula</subject><subject>Fistulae</subject><subject>Laboratory Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Occlusion</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Tomography</subject><subject>Wound drainage</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kc1rFTEUxYMo9ln9B1wNuHEzms_JzEaQUj-g4KaCu3AnuXmTMm8yJpmW_vfm9RVFFy7CWdzzO-TeQ8hrRt8xKvr3WTIpREs5aynTUrb8CdkxqbtWSSWfkh0dFG055z_OyIucbyitQ02fkzMhJe0FUztSridsUpyxib6xU0wxOJibuJZgq9o4YcLFYlPiIe4TrNN942Oqb57jXbutDxykWIKreotpiVtufMhlm6G5C2VqYCmYQoVcgrDAHl-SZx7mjK8e9Zx8_3R5ffGlvfr2-evFx6vWSspLO6iOoXNO98Jz1CjAd2IcFSB0HTJFO61B-9GJwXtQgx9HANdTbb10g7LinHw45a7beEBncSkJZrOmcIB0byIE8_dkCZPZx1tT70YZ5TXg7WNAij83zMUcQrY4z7BgXdNw1fGeD0qran3zj_Umbmmp6xmuWacHLrpjID-5bIo5J_S_P8OoOZZqTqWaWqp5KNUcIXGCcjUve0x_ov9D_QLQIadY</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Arat, Yonca Ozkan</creator><creator>İnam, Onur</creator><creator>Yavas, Guliz Fatma</creator><creator>Arat, Anil</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6578-7444</orcidid><orcidid>https://orcid.org/0000-0002-4726-1190</orcidid></search><sort><creationdate>20221001</creationdate><title>The role of choroidal optical coherence tomography for follow-up of carotid cavernous fistula with anterior drainage</title><author>Arat, Yonca Ozkan ; İnam, Onur ; Yavas, Guliz Fatma ; Arat, Anil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-9561eddd783f2e7e3af63bb5aea66e150677a7fbd39ffa59fbbaad807cf4d95c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>692/308/409</topic><topic>692/699/3161/3164</topic><topic>Cardiovascular system</topic><topic>Fistula</topic><topic>Fistulae</topic><topic>Laboratory Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Occlusion</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Tomography</topic><topic>Wound drainage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arat, Yonca Ozkan</creatorcontrib><creatorcontrib>İnam, Onur</creatorcontrib><creatorcontrib>Yavas, Guliz Fatma</creatorcontrib><creatorcontrib>Arat, Anil</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arat, Yonca Ozkan</au><au>İnam, Onur</au><au>Yavas, Guliz Fatma</au><au>Arat, Anil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of choroidal optical coherence tomography for follow-up of carotid cavernous fistula with anterior drainage</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><date>2022-10-01</date><risdate>2022</risdate><volume>36</volume><issue>10</issue><spage>2020</spage><epage>2027</epage><pages>2020-2027</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><abstract>Background
To evaluate the role of the choroidal vascularity index (CVI) and the tortuosity index (TI), along with choroidal thickness measurements, in follow-up for anteriorly draining carotid cavernous fistulas (CCF) that would otherwise necessitate an invasive carotid angiogram.
Methods
In this longitudinal observational study, analysis of enhanced depth imaging spectral domain optical coherence tomography (SD-EDI-OCT) images of 22 patients with angiographically proven unilateral CCF with anterior drainage was performed for subfoveal choroidal thickness (SFCT), central foveal thickness (CFT), CVI and TI. Baseline measurements were compared with those taken at the last visit after occlusion of the fistula.
Results
Both in the clinically affected and unaffected eyes, there was a significant decrease in CFT (
p
= 0.015 and
p
= 0.005, respectively), SFCT (
p
= 0.000 for both eyes), CVI (
p
= 0.002 and 0.001, respectively) and all three TI parameters, including inferior (
p
< 0.001 and
p
= 0.01, respectively) and superior temporal vein tortuosity index (
p
= 0.005 and
p
= 0.02, respectively) as well as total venular tortuosity index (
p
< 0.001 and
p
= 0.002, respectively) after successful closure of the fistula compared to first presentation. Changes in all parameters were similar between the D-CCF and I-CCF groups except for CVI.
Conclusions
In this first study concerning follow-up of anteriorly draining unilateral CCFs by SD-EDI-OCT, we not only demonstrated involvement of the clinically unaffected eye but also showed that, this modality, utilizing CVI and TI together with choroidal thickness measurements, can be used as a readily available, noninvasive first-line followup method for evaluating occlusion of fistulas by endovascular treatment or spontaneous resolution.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>34408315</pmid><doi>10.1038/s41433-021-01744-2</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6578-7444</orcidid><orcidid>https://orcid.org/0000-0002-4726-1190</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Eye (London), 2022-10, Vol.36 (10), p.2020-2027 |
| issn | 0950-222X 1476-5454 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9500102 |
| source | Springer Link; PubMed Central |
| subjects | 692/308/409 692/699/3161/3164 Cardiovascular system Fistula Fistulae Laboratory Medicine Medicine Medicine & Public Health Occlusion Ophthalmology Pharmaceutical Sciences/Technology Surgery Surgical Oncology Tomography Wound drainage |
| title | The role of choroidal optical coherence tomography for follow-up of carotid cavernous fistula with anterior drainage |
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