NCT05082402

Brief Summary

This study aims to determine whether changes in retinal vasculature seen on SS-OCTA can be correlated to degree of cardiovascular disease as measured by carotid duplex ultrasonography.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P25-P50 for not_applicable cardiovascular-diseases

Timeline
Completed

Started Aug 2021

Typical duration for not_applicable cardiovascular-diseases

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 17, 2021

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

October 5, 2021

Completed
14 days until next milestone

First Posted

Study publicly available on registry

October 19, 2021

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2024

Completed
Last Updated

March 22, 2024

Status Verified

March 1, 2024

Enrollment Period

3.4 years

First QC Date

October 5, 2021

Last Update Submit

March 21, 2024

Conditions

Keywords

retinal vasculaturecardiovascular diseaseswept source optical coherence tomography angiographySS-OCTAcarotid duplex ultrasonography

Outcome Measures

Primary Outcomes (1)

  • Correlation with and prediction of the presence/degree of carotid occlusive disease as determined by carotid duplex ultrasonography

    Determining whether measures taken from SS-OCTA, color fundus photography, and retinal exams can correlate with and predict the presence/degree of carotid occlusive disease as determined by carotid duplex ultrasonography by examining the following parameters: retinal vessel caliber, retinal vessel density, retinal vessel perfusion, retinal vessel tortuosity, presence of Hellenhorst or other plaques, and/or areas of ischemia.

    2 hours

Study Arms (1)

All Participants

EXPERIMENTAL

50 participants identified in the Northwestern Medicine Division of Vascular Surgery.

Diagnostic Test: Swept Source Optical Coherence Tomography Angiography

Interventions

The PLEX Elite 9000 is an FDA cleared research device for use in ocular imaging obtained by Northwestern University by way of a purchase agreement with the manufacturer, Carl Zeiss Meditec, Inc. It is currently unavailable outside of participation in the ARI Network, a cloudbased storage and image processing platform using deidentified information shared between academic institutions. The ARI Network is managed by a group of physicians and scientists from around the world that are working to better understand eye diseases.

All Participants

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects between 18 and 80 years of age.
  • No known prior history of retinal disease.
  • Able to participate in a clinical eye examination setting.
  • Able to consent.
  • Subjects receiving standard of care carotid duplex ultrasounds.

You may not qualify if:

  • Known ophthalmologic disease (e.g. glaucoma, macular degeneration, ocular injury) other than corrected refractive error.
  • Lack of capacity to provide informed consent.
  • Subjects younger than 18 years of age or older than 80 years of age.
  • History of stroke or acute loss of vision.
  • Unable to participate in a clinical eye examination setting.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Northwestern University/Northwestern Medical Group, Department of Ophthalmology

Chicago, Illinois, 60611, United States

RECRUITING

Related Publications (20)

  • Climie RE, van Sloten TT, Bruno RM, Taddei S, Empana JP, Stehouwer CDA, Sharman JE, Boutouyrie P, Laurent S. Macrovasculature and Microvasculature at the Crossroads Between Type 2 Diabetes Mellitus and Hypertension. Hypertension. 2019 Jun;73(6):1138-1149. doi: 10.1161/HYPERTENSIONAHA.118.11769. No abstract available.

    PMID: 31067192BACKGROUND
  • Cade WT. Diabetes-related microvascular and macrovascular diseases in the physical therapy setting. Phys Ther. 2008 Nov;88(11):1322-35. doi: 10.2522/ptj.20080008. Epub 2008 Sep 18.

    PMID: 18801863BACKGROUND
  • Wang SB, Mitchell P, Plant AJ, Phan K, Liew G, Thiagalingam A, Burlutsky G, Gopinath B. Metabolic syndrome and retinal microvascular calibre in a high cardiovascular disease risk cohort. Br J Ophthalmol. 2016 Aug;100(8):1041-6. doi: 10.1136/bjophthalmol-2015-307637. Epub 2015 Nov 3.

    PMID: 26531050BACKGROUND
  • Zhao Y, Yang K, Wang F, Liang Y, Peng Y, Shen R, Wong T, Wang N. Associations between metabolic syndrome and syndrome components and retinal microvascular signs in a rural Chinese population: the Handan Eye Study. Graefes Arch Clin Exp Ophthalmol. 2012 Dec;250(12):1755-63. doi: 10.1007/s00417-012-2109-2. Epub 2012 Sep 5.

    PMID: 22948948BACKGROUND
  • Michelson EL, Morganroth J, Nichols CW, MacVaugh H 3rd. Retinal arteriolar changes as an indicator of coronary artery disease. Arch Intern Med. 1979 Oct;139(10):1139-41.

    PMID: 485746BACKGROUND
  • Phan K, Mitchell P, Liew G, Plant AJ, Wang SB, Au C, Chiha J, Kovoor P, Thiagalingam A, Burlutsky G, Gopinath B. Association between Retinal Arteriolar and Venule Calibre with Prevalent Heart Failure: A Cross-Sectional Study. PLoS One. 2015 Dec 11;10(12):e0144850. doi: 10.1371/journal.pone.0144850. eCollection 2015.

    PMID: 26659133BACKGROUND
  • Wong TY, Cheung N, Islam FM, Klein R, Criqui MH, Cotch MF, Carr JJ, Klein BE, Sharrett AR. Relation of retinopathy to coronary artery calcification: the multi-ethnic study of atherosclerosis. Am J Epidemiol. 2008 Jan 1;167(1):51-8. doi: 10.1093/aje/kwm256. Epub 2007 Sep 24.

    PMID: 17893402BACKGROUND
  • Liew G, Mitchell P, Chiha J, Plant AJH, White A, Joachim N, Wang S, Burlutsky G, Kovoor P, Thiagalingam A, Gopinath B. Retinal microvascular changes in microvascular angina: Findings from the Australian Heart Eye Study. Microcirculation. 2019 Aug;26(6):e12536. doi: 10.1111/micc.12536. Epub 2019 Mar 20.

    PMID: 30758094BACKGROUND
  • Liew G, Wang JJ, Mitchell P, Wong TY. Retinal vascular imaging: a new tool in microvascular disease research. Circ Cardiovasc Imaging. 2008 Sep;1(2):156-61. doi: 10.1161/CIRCIMAGING.108.784876.

    PMID: 19808533BACKGROUND
  • Tabatabaee A, Asharin MR, Dehghan MH, Pourbehi MR, Nasiri-Ahmadabadi M, Assadi M. Retinal vessel abnormalities predict coronary artery diseases. Perfusion. 2013 May;28(3):232-7. doi: 10.1177/0267659112473173. Epub 2013 Jan 15.

    PMID: 23322671BACKGROUND
  • Wang SB, Mitchell P, Liew G, Wong TY, Phan K, Thiagalingam A, Joachim N, Burlutsky G, Gopinath B. A spectrum of retinal vasculature measures and coronary artery disease. Atherosclerosis. 2018 Jan;268:215-224. doi: 10.1016/j.atherosclerosis.2017.10.008. Epub 2017 Oct 10.

    PMID: 29050745BACKGROUND
  • Cheung N, Bluemke DA, Klein R, Sharrett AR, Islam FM, Cotch MF, Klein BE, Criqui MH, Wong TY. Retinal arteriolar narrowing and left ventricular remodeling: the multi-ethnic study of atherosclerosis. J Am Coll Cardiol. 2007 Jul 3;50(1):48-55. doi: 10.1016/j.jacc.2007.03.029. Epub 2007 Jun 18.

    PMID: 17601545BACKGROUND
  • Wang L, Wong TY, Sharrett AR, Klein R, Folsom AR, Jerosch-Herold M. Relationship between retinal arteriolar narrowing and myocardial perfusion: multi-ethnic study of atherosclerosis. Hypertension. 2008 Jan;51(1):119-26. doi: 10.1161/HYPERTENSIONAHA.107.098343. Epub 2007 Nov 12.

    PMID: 17998474BACKGROUND
  • Murray CSG, Nahar T, Kalashyan H, Becher H, Nanda NC. Ultrasound assessment of carotid arteries: Current concepts, methodologies, diagnostic criteria, and technological advancements. Echocardiography. 2018 Dec;35(12):2079-2091. doi: 10.1111/echo.14197.

    PMID: 30506607BACKGROUND
  • Kadian-Dodov D, Papolos A, Olin JW. Diagnostic utility of carotid artery duplex ultrasonography in the evaluation of syncope: a good test ordered for the wrong reason. Eur Heart J Cardiovasc Imaging. 2015 Jun;16(6):621-5. doi: 10.1093/ehjci/jeu315. Epub 2015 Feb 10.

    PMID: 25669837BACKGROUND
  • Lahme L, Marchiori E, Panuccio G, Nelis P, Schubert F, Mihailovic N, Torsello G, Eter N, Alnawaiseh M. Changes in retinal flow density measured by optical coherence tomography angiography in patients with carotid artery stenosis after carotid endarterectomy. Sci Rep. 2018 Nov 21;8(1):17161. doi: 10.1038/s41598-018-35556-4.

    PMID: 30464189BACKGROUND
  • Wong TY, Klein R, Klein BE, Tielsch JM, Hubbard L, Nieto FJ. Retinal microvascular abnormalities and their relationship with hypertension, cardiovascular disease, and mortality. Surv Ophthalmol. 2001 Jul-Aug;46(1):59-80. doi: 10.1016/s0039-6257(01)00234-x.

    PMID: 11525792BACKGROUND
  • Heitmar R, Cubbidge RP, Lip GY, Gherghel D, Blann AD. Altered blood vessel responses in the eye and finger in coronary artery disease. Invest Ophthalmol Vis Sci. 2011 Aug 3;52(9):6199-205. doi: 10.1167/iovs.10-6628.

    PMID: 21474768BACKGROUND
  • McClintic BR, McClintic JI, Bisognano JD, Block RC. The relationship between retinal microvascular abnormalities and coronary heart disease: a review. Am J Med. 2010 Apr;123(4):374.e1-7. doi: 10.1016/j.amjmed.2009.05.030.

    PMID: 20362758BACKGROUND
  • Wang J, Jiang J, Zhang Y, Qian YW, Zhang JF, Wang ZL. Retinal and choroidal vascular changes in coronary heart disease: an optical coherence tomography angiography study. Biomed Opt Express. 2019 Mar 4;10(4):1532-1544. doi: 10.1364/BOE.10.001532. eCollection 2019 Apr 1.

    PMID: 31061756BACKGROUND

MeSH Terms

Conditions

Cardiovascular Diseases

Study Officials

  • Rukhsana Mirza, MD

    Northwestern University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator, M.D., MS

Study Record Dates

First Submitted

October 5, 2021

First Posted

October 19, 2021

Study Start

August 17, 2021

Primary Completion

December 31, 2024

Study Completion

December 31, 2024

Last Updated

March 22, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will not share

Locations