[논문]The slope of cerebral oxyhemoglobin oscillation is associated with vascular reserve capacity in large artery steno-occlusion

Kim, Tae Jung; Kim, Jae-Myoung; Park, Soo-Hyun; Choi, Jong-Kwan; Bae, Hyeon-Min; Ko, Sang-Bae

doi:10.1038/s41598-021-88198-4

[해외논문] The slope of cerebral oxyhemoglobin oscillation is associated with vascular reserve capacity in large artery steno-occlusion 원문보기

Scientific reports, v.11 no.1, 2021년, pp.8568 -

Kim, Tae Jung (Department of Neurology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080 Republic of Korea) , Kim, Jae-Myoung (Department of Research and Development, Optics Brain Electronics Laboratory, OBELAB Inc, Seoul, Republic of Korea) , Park, Soo-Hyun (Department of Neurology, Inha University Hospital, Incheon, Republic of Korea) , Choi, Jong-Kwan (Department of Research and Development, Optics Brain Electronics Laboratory, OBELAB Inc, Seoul, Republic of Korea) , Bae, Hyeon-Min (Department of Electrical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea) , Ko, Sang-Bae (Department of Neurology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080 Republic of Korea)

Abstract ▼ AI-Helper

Inadequate cerebral perfusion is a risk factor for cerebral ischemia in patients with large artery steno-occlusion. We investigated whether prefrontal oxyhemoglobin oscillation (ΔHbO2, 0.6–2 Hz) was associated with decreased vascular reserve in patients with steno-occlusion in the large anterior circulation arteries. Thirty-six patients with steno-occlusion in the anterior circulation arteries (anterior cerebral artery, middle cerebral artery, and internal carotid artery) were included and compared to thirty-six control subjects. Patients were categorized into two groups (deteriorated vascular reserve vs. preserved vascular reserve) based on the results of Diamox single- photon emission computed tomography imaging. HbO2 data were collected using functional near-infrared spectroscopy. The slope of ΔHbO2 and the ipsilateral/contralateral slope ratio of ΔHbO2 were analyzed. Among the included patients (n = 36), 25 (69.4%) had deteriorated vascular reserve. Patients with deteriorated vascular reserve had a significantly higher average slope of ΔHbO2 on the ipsilateral side (5.01 ± 2.14) and a higher ipsilateral/contralateral ratio (1.44 ± 0.62) compared to those with preserved vascular reserve (3.17 ± 1.36, P = 0.014; 0.93 ± 0.33, P = 0.016, respectively) or the controls (3.82 ± 1.69, P = 0.019; 0.94 ± 0.29, P = 0.001). The ipsilateral/contralateral ΔHbO2 ratio could be used as a surrogate for vascular reserve in patients with severe steno-occlusion in the anterior circulation arteries.

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