Microembolic signals after 7 days but not within 24 hours of stroke onset should be predictor of stroke recurrence

Journal of the Neurological Sciences

Volumn 263, Issue 1-2, 2007, Pages 54-58

  Iguchi, Yasuyuki ^a   Kimura, Kazumi ^a   Kobayashi, Kazuto ^a   Yamashita, Shinji ^a   Shibazaki, Kensaku ^a   Inoue, Takeshi ^a  

^a KAWASAKI MEDICAL SCHOOL   (Japan)

Author keywords

Ischemic Stroke; Microembolic Signals; Recurrence; Transcranial Doppler

Indexed keywords

ADULT; AGED; ARTICLE; CONFIDENCE INTERVAL; CONTROLLED STUDY; DISEASE ASSOCIATION; DOPPLER ECHOGRAPHY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MICROEMBOLISM; PREDICTION; PRIORITY JOURNAL; PROPORTIONAL HAZARDS MODEL; PROSPECTIVE STUDY; RECURRENT DISEASE; STROKE; TIME;

AGED; AGED, 80 AND OVER; FEMALE; HUMANS; INTRACRANIAL EMBOLISM; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; PREVALENCE; PROPORTIONAL HAZARDS MODELS; PROSPECTIVE STUDIES; RECURRENCE; STATISTICS, NONPARAMETRIC; STROKE; TIME FACTORS; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL;

EID: 35649026361     PISSN: 0022510X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jns.2007.05.030     Document Type: Article

References (22)

1. Spencer M.P., Thomas G.I., Nicholls S.C., and Sauvage LR. Detection of middle cerebral artery emboli during carotid endarterectomy using transcranial Doppler ultrasonography. Stroke 21 3 (1990) 415-423
2. Markus H.S., and Harrison M.J. Microembolic signal detection using ultrasound. Stroke 26 9 (1995) 1517-1519
3. Al-Mubarak N., Roubin G.S., Vitek J.J., Iyer S.S., New G., and Leon M.B. Effect of the distal-balloon protection system on microembolization during carotid stenting. Circulation 104 17 (2001) 1999-2002
4. Babikian V.L., Wijman C.A., Hyde C., Cantelmo N.L., Winter M.R., Baker E., et al. Cerebral microembolism and early recurrent cerebral or retinal ischemic events. Stroke 28 7 (1997) 1314-1318
5. Valton L., Larrue V., Pavy Le Traon A., and Geraud G. Cerebral microembolism in patients with stroke or transient ischaemic attack as a risk factor for early recurrence. J Neurol Neurosurg Psychiatry 63 6 (1997) 784-787
6. Valton L., Larrue V., le Traon A.P., Massabuau P., and Geraud G. Microembolic signals and risk of early recurrence in patients with stroke or transient ischemic attack. Stroke 29 10 (1998) 2125-2128
7. Sliwka U., Lingnau A., Stohlmann W.D., Schmidt P., Mull M., Diehl R.R., et al. Prevalence and time course of microembolic signals in patients with acute stroke. A prospective study. Stroke 28 2 (1997) 358-363
8. Kimura K., Minematsu K., Yasaka M., Wada K., and Yamaguchi T. The duration of symptoms in transient ischemic attack. Neurology 52 5 (1999) 976-980
9. Koga M., Kimura K., Minematsu K., and Yamaguchi T. Diagnosis of internal carotid artery stenosis greater than 70% with power Doppler duplex sonography. AJNR Am J Neuroradiol 22 2 (2001) 413-417
10. Yasaka M., Omae T., Tsuchiya T., and Yamaguchi T. Ultrasonic evaluation of the site of carotid axis occlusion in patients with acute cardioembolic stroke. Stroke 23 3 (1992) 420-422
11. Goldstein L.B., Jones M.R., Matchar D.B., Edwards L.J., Hoff J., Chilukuri V., et al. Improving the reliability of stroke subgroup classification using the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) criteria. Stroke 32 5 (2001) 1091-1098
12. Adams Jr. H.P., Davis P.H., Leira E.C., Chang K.C., Bendixen B.H., Clarke W.R., et al. Baseline NIH Stroke Scale score strongly predicts outcome after stroke: a report of the Trial of Org 10172 in Acute Stroke Treatment (TOAST). Neurology 53 1 (1999) 126-131
13. DeGraba T.J., Hallenbeck J.M., Pettigrew K.D., Dutka A.J., and Kelly B.J. Progression in acute stroke: value of the initial NIH stroke scale score on patient stratification in future trials. Stroke 30 6 (1999) 1208-1212
14. Chernyshev O.Y., Garami Z., Calleja S., Song J., Campbell M.S., Noser E.A., et al. Yield and accuracy of urgent combined carotid/transcranial ultrasound testing in acute cerebral ischemia. Stroke 36 1 (2005) 32-37
15. Nakajima M., Kimura K., Shimode A., Miyashita F., Uchino M., Naritomi H., et al. Microembolic signals within 24 hours of stroke onset and diffusion-weighted MRI abnormalities. Cerebrovasc Dis 23 4 (2006) 282-288
16. Ringelstein E.B., Droste D.W., Babikian V.L., Evans D.H., Grosset D.G., Kaps M., et al. Consensus on microembolus detection by TCD. International Consensus Group on Microembolus Detection. Stroke 29 3 (1998) 725-729
17. Kaposzta Z., Young E., Bath P.M., and Markus H.S. Clinical application of asymptomatic embolic signal detection in acute stroke: a prospective study. Stroke 30 9 (1999) 1814-1818
18. Poppert H., Sadikovic S., Sander K., Wolf O., and Sander D. Embolic signals in unselected stroke patients: prevalence and diagnostic benefit. Stroke 37 8 (2006) 2039-2043
19. Markus H.S., Droste D.W., Kaps M., Larrue V., Lees K.R., Siebler M., et al. Dual antiplatelet therapy with clopidogrel and aspirin in symptomatic carotid stenosis evaluated using Doppler embolic signal detection: the Clopidogrel and Aspirin for Reduction of Emboli in Symptomatic Carotid Stenosis (CARESS) trial. Circulation 111 17 (2005) 2233-2240
20. Itoh T., Matsumoto M., Handa N., Maeda H., Hougaku H., Hashimoto H., et al. Rate of successful recording of blood flow signals in the middle cerebral artery using transcranial Doppler sonography. Stroke 24 8 (1993) 1192-1195
21. Marinoni M., Ginanneschi A., Forleo P., and Amaducci L. Technical limits in transcranial Doppler recording: inadequate acoustic windows. Ultrasound Med Biol 23 8 (1997) 1275-1277
22. Blaser T., Glanz W., Krueger S., Wallesch C.W., Kropf S., and Goertler M. Time period required for transcranial Doppler monitoring of embolic signals to predict recurrent risk of embolic transient ischemic attack and stroke from arterial stenosis. Stroke 35 9 (2004) 2155-2159