https://m2.mtmt.hu/ hun 2026-09-22 17:44 JournalArticle 34106961 VALIDATED true Department of Neurology, Semmelweis University, Budapest, Hungary János Szentágothai Doctoral School of Neurosciences, Semmelweis University, Budapest, Hungary Faculty of Medicine, Semmelweis University, Budapest, Hungary Department of Vascular and Endovascular Surgery, Semmelweis University, Budapest, Hungary Vascular Cognitive Impairment and Neurodegeneration Program, Oklahoma Center for Geroscience and Healthy Brain Aging, Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, 731042, OK, United States International Training Program in Geroscience, Doctoral School of Basic and Translational Medicine/Department of Public Health, Semmelweis University, Budapest, Hungary Peggy and Charles Stephenson Cancer Center, Oklahoma City, 73104, OK, United States Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States Department of Diagnostic Radiology, Heart and Vascular Center, Semmelweis University, Budapest, Hungary Research Center for Sport Physiology, Hungarian University of Sports Science, Budapest, Hungary Department of Morphology & Physiology, Faculty of Health Sciences, and Translational Medicine Institute, Faculty of Medicine, and ELKH-SE, Cerebrovascular and Neurocognitive Disorders Research Group, Semmelweis University, Budapest, Hungary Department of Physiology, New York Medical College, Valhalla, NY, United States Export Date: 10 July 2026; Cited By: 22; Correspondence Address: R. Magyar-Stang; János Szentágothai Doctoral School of Neurosciences, Semmelweis University, Budapest, Hungary; email: stang.rita@semmelweis.hu 0 false 2026-09-15T11:55:07.596+0000 2026-07-10T08:52:11.898+0000 2023-08-22T12:21:57.685+0000 true 10071714 Lukácsné Varga Judit /api/admin/10071714 Admin true 2026-08-27T12:25:22.641+0000 2026-06-25T08:29:07.662+0000 true 10062062 Gere Tamásné /api/admin/10062062 Admin true 10062062 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Magyar-Stang, Rita Assessment of cerebral autoregulatory function and inter-hemispheric blood flow in older adults with internal carotid artery stenosis using transcranial Doppler sonography-based measurement of transient hyperemic response after carotid artery compression true true /api/journal/10071822 REVIEWED true false 10071822 false 10071822 true 2509-2715 2509-2723 Journal FOREIGN 45 6 3333 3357 3333 25 2023 Unhealthy vascular aging promotes atherogenesis, which may lead to significant internal carotid artery stenosis (CAS) in 5 to 7.5% of older adults. The pathogenic factors that promote accelerated vascular aging and CAS also affect the downstream portion of the cerebral microcirculation in these patients. Primary treatments of significant CAS are eversion endarterectomy or endarterectomy with patch plasty. Factors that determine adequate hemodynamic compensation and thereby the clinical consequences of CAS as well as medical and surgical complications of carotid reconstruction surgery likely involve the anatomy of the circle of Willis (CoW), the magnitude of compensatory inter-hemispheric blood flow, and the effectiveness of cerebral microcirculatory blood flow autoregulation. This study aimed to test two hypotheses based on this theory. First, we hypothesized that patients with symptomatic and asymptomatic CAS would exhibit differences in autoregulatory function and inter-hemispheric blood flow. Second, we predicted that anatomically compromised CoW would associate with impaired inter-hemispheric blood flow compensation. We enrolled older adults with symptomatic or asymptomatic internal CAS (>70% NASCET criteria; n = 46) and assessed CoW integrity by CT angiography. We evaluated transient hyperemic responses in the middle cerebral arteries (MCA) after common carotid artery compression (CCC; 10 s) by transcranial Doppler sonography (TCD). We compared parameters reflecting autoregulatory function (e.g., transient hyperemic response ratio [THRR], return to baseline time [RTB], changes of vascular resistance) and inter-hemispheric blood flow (residual blood flow velocity). Our findings revealed that CAS was associated with impaired cerebral vascular reactivity. However, we did not observe significant differences in autoregulatory function or inter-hemispheric blood flow between patients with symptomatic and asymptomatic CAS. Moreover, anatomically compromised CoW did not significantly affect these parameters. Notably, we observed an inverse correlation between RTB and THRR, and 49% of CAS patients exhibited a delayed THRR, which associated with decreased inter-hemispheric blood flow. Future studies should investigate how TCD-based evaluation of autoregulatory function and inter-hemispheric blood flow can be used to optimize surgical techniques and patient selection for internal carotid artery revascularization. Funding 2030247 /api/funding/2030247 false true Funding 2030248 /api/funding/2030248 false true Funding 2030249 /api/funding/2030249 false true Funding 2030250 /api/funding/2030250 false true Funding 2030251 /api/funding/2030251 false true Funding 2030252 /api/funding/2030252 false true Funding 2030253 /api/funding/2030253 false true Funding 2030254 /api/funding/2030254 false true Funding 2030255 /api/funding/2030255 false true true NATIONAL 2023 true true true false true false GOLD 2026-09-15 true https://doi.org/10.1007/s11357-023-00896-1 26 0 26 17 9 26 26 20 22 23 23 14 14 17 9 0 26 17 26 17 0 24 24 Folyóiratcikk Journal Article 24 26 Könyvrészlet Chapter in Book 25 0 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 0 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet 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/api/reference/44501196 126 false true Reference 44501197 /api/reference/44501197 127 10.1590/1414-431x20175670 false true /api/publication/34106961 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10067272"><a href="/gui2/?type=authors&mode=browse&sel=10067272" target="_blank">Magyar-Stang Rita ✉ (<span class="authorship-author-name">Stang Rita</span> <span class="authorAux-mtmt"> Neurológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Neurológiai Klinika; <span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10085496"><a href="/gui2/?type=authors&mode=browse&sel=10085496" target="_blank">Pál Hanga (<span class="authorship-author-name">Pál Hanga</span> <span class="authorAux-mtmt"> Neurológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Neurológiai Klinika; <span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10102328"><a href="/gui2/?type=authors&mode=browse&sel=10102328" target="_blank">Csányi Borbála (<span class="authorship-author-name">Csányi Borbála</span> <span class="authorAux-mtmt"> Neurológia, agyi vasoregulatio</span>) </a> </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10090038"><a href="/gui2/?type=authors&mode=browse&sel=10090038" target="_blank">Gaál Anna (<span class="authorship-author-name">Gaál Anna</span> <span class="authorAux-mtmt"> neurológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/Általános Orvostudományi Kar</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10032733"><a href="/gui2/?type=authors&mode=browse&sel=10032733" target="_blank">Mihály Zsuzsanna (<span class="authorship-author-name">Mihály Zsuzsanna</span> <span class="authorAux-mtmt"> Általános orvos</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Érsebészeti és Endovaszkuláris Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10069726"><a href="/gui2/?type=authors&mode=browse&sel=10069726" target="_blank">Czinege Zsófia (<span class="authorship-author-name">Czinege Zsófia</span> <span class="authorAux-mtmt"> </span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Érsebészeti és Endovaszkuláris Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10055259"><a href="/gui2/?type=authors&mode=browse&sel=10055259" target="_blank">Csípő Tamás (<span class="authorship-author-name">Csípő Tamás</span> <span class="authorAux-mtmt"> kardiológia, vaszkuláris biológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Intézet">I</span>/Népegészségtani Intézet; <span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Intézet">I</span>/Transzlációs Medicina Intézet; <span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10043602"><a href="/gui2/?type=authors&mode=browse&sel=10043602" target="_blank">Ungvári Zoltán (<span class="authorship-author-name">Ungvári Zoltán István</span> <span class="authorAux-mtmt"> Orvostudomány, megelőző orvostan, népegészségta...</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Intézet">I</span>/Népegészségtani Intézet; <span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10011801"><a href="/gui2/?type=authors&mode=browse&sel=10011801" target="_blank">Sótonyi Péter (<span class="authorship-author-name">Sótonyi Péter</span> <span class="authorAux-mtmt"> Érsebészet</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Érsebészeti és Endovaszkuláris Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10068175"><a href="/gui2/?type=authors&mode=browse&sel=10068175" target="_blank">Varga Andrea (<span class="authorship-author-name">Varga Andrea</span> <span class="authorAux-mtmt"> Radiológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Intervenciós Radiológiai Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10025180"><a href="/gui2/?type=authors&mode=browse&sel=10025180" target="_blank">Horváth Tamás (<span class="authorship-author-name">Horváth Tamás</span> <span class="authorAux-mtmt"> Élettan</span>) </a> </span> <span class="author-affil"><span title="Magyar Testnevelési és Sporttudományi Egyetem">MTSE</span>/<span title="Sport- és Egészségtudományi Intézet">SETI</span>/Sportélettani Kutató Központ</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10000800"><a href="/gui2/?type=authors&mode=browse&sel=10000800" target="_blank">Bereczki Dániel (<span class="authorship-author-name">Bereczki Dániel</span> <span class="authorAux-mtmt"> Stroke</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Neurológiai Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10002221"><a href="/gui2/?type=authors&mode=browse&sel=10002221" target="_blank">Koller Ákos (<span class="authorship-author-name">Koller Ákos</span> <span class="authorAux-mtmt"> Szív és vérkeringés</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Egészségtudományi Kar">ETK2007</span>/Morfológiai és Fiziológiai Tanszék; <span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Intézet">I</span>/Transzlációs Medicina Intézet; <span title="Magyar Testnevelési és Sporttudományi Egyetem">MTSE</span>/Sport- és Egészségtudományi Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10024001"><a href="/gui2/?type=authors&mode=browse&sel=10024001" target="_blank">Debreczeni Róbert (<span class="authorship-author-name">Debreczeni Róbert</span> <span class="authorAux-mtmt"> Cerebrovascularis/Stroke, Neurosonologia (Doppler)</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Neurológiai Klinika</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;34106961" target="_blank">Assessment of cerebral autoregulatory function and inter-hemispheric blood flow in older adults with internal carotid artery stenosis using transcranial Doppler sonography-based measurement of transient hyperemic response after carotid artery compression</a></div> <div> <span class="journal-title">GEROSCIENCE: OFFICIAL JOURNAL OF THE AMERICAN AGING ASSOCIATION (AGE)</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/2509-2715">2509-2715</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/2509-2723">2509-2723</a>)</span>: <span class="journal-volume">45</span> <span class="journal-issue">6</span> <span class="page"> pp 3333-3357 </span> <span class="year">(2023)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_GOLD" title=" Gold "> <a style="color:blue" title="10.1007/s11357-023-00896-1" target="_blank" href="https://doi.org/10.1007/s11357-023-00896-1"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="001051524700001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/001051524700001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85168388254" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85168388254"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="37599343" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=37599343&dopt=Abstract"> PubMed </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="https://link.springer.com/10.1007/s11357-023-00896-1" target="_blank" href="https://link.springer.com/10.1007/s11357-023-00896-1"> Egyéb URL </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Complementary and Alternative Medicine&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Veterinary (miscellaneous)&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Aging&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Cardiology and Cardiovascular Medicine&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Geriatrics and Gerontology&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 26</span> | Független: 17 | Függő: 9 | Nem jelölt: 0 | WoS jelölt: 20 | Scopus jelölt:&nbsp;22 | WoS/Scopus jelölt:&nbsp;23 | DOI jelölt:&nbsp;26 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;34106961&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 24 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 34106961</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">kézi felvitel</span> </div> <div class="funder"> (Open access funding provided by Semmelweis University), (K129277) Támogató: NKFI, (TKP2021-NKTA-47), (RRF-2.3.1-21-2022-00003), TKP2021-EGA-37(TKP2021-EGA-37), (TKP2021-NVA), (K 132596 K_19) Támogató: OTKA, (NRDI TKP2021-EGA), (Post-Covid 2021–34.) Támogató: MTA </div> <div class="lastModified">Utolsó módosítás: 2026.07.10. 10:52 Fi Tamás (SE_AOK_Nepegeszsegtan_Admin5_FT, admin) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Department of Neurology, Semmelweis University, Budapest, Hungary János Szentágothai Doctoral School of Neurosciences, Semmelweis University, Budapest, Hungary Faculty of Medicine, Semmelweis University, Budapest, Hungary Department of Vascular and Endovascular Surgery, Semmelweis University, Budapest, Hungary ...</pre> </div></div>