Thrombus in the left atrial appendage in stroke patients: Detection with cardiac CT angiography-A preliminary report

Radiology

Volumn 249, Issue 1, 2008, Pages 81-87

  Hur, Jin ^a   Kim, Young Jin ^a   Nam, Ji Eun ^a   Choe, Kyu Ok ^a   Choi, Eui Young ^b   Shim, Chi Young ^b   Choi, Byoung Wook ^a  

^a Research Institute of Radiological Science   (South Korea)

^b Yonsei University College of Medicine   (South Korea)

Author keywords

[No Author keywords available]

Indexed keywords

IOPAMIDOL; PRANOL; PROPRANOLOL; UNCLASSIFIED DRUG;

ADULT; AGED; ARTICLE; CLINICAL FEATURE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; FEMALE; HEART ATRIUM APPENDAGE; HEART ATRIUM THROMBOSIS; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; STROKE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ANGIOCARDIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; ECHOGRAPHY; HEART DISEASE; MIDDLE AGED; RADIOGRAPHY; THROMBOSIS;

AGED; AGED, 80 AND OVER; ATRIAL APPENDAGE; CORONARY ANGIOGRAPHY; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; HEART DISEASES; HUMANS; MALE; MIDDLE AGED; STROKE; THROMBOSIS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 53749104503     PISSN: 00338419     EISSN: 15271315     Source Type: Journal    
DOI: 10.1148/radiol.2491071544     Document Type: Article

References (22)

1. Bonita R. Epidemiology of stroke. Lancet 1992;339:342-344.
2. Agmon Y, Khandheria BK, Gentile F, Seward JB. Echocardiographic assessment of the left atrial appendage. J Am Coll Cardiol 1999;34:1867-1877.
3. Al-Saady NM, Obel OA, Camm AJ. Left atrial appendage: structure, function and role in thromboembolism. Heart 1999;82: 547-555.
4. Carerj S, Trifiro MP, Granata A, Luzza F, Arrigo F, Oreto G. Comparison between trans-esophageal echocardiography and transthoracic echocardiography with harmonic tissue imaging for left atrial appendage assessment. Clin Cardiol 2002;25:268-270.
5. Omran H, Jung W, Rabahieh R, et al. Imaging of thrombi and assessment of left atrial appendage function: a prospective study comparing transthoracic and transesophageal echocardiography. Heart 1999;81:192-198.
6. Tomoda H, Hoshiai M, Furuya H, et al. Evaluation of intracardiac thrombus with computed tomography. Am J Cardiol 1983;51:843-852.
7. Love BB, Struck LK, Stanford W, Biller J, Kerber R, Marcus M. Comparison of two-dimensional echocardiography and ultrafast cardiac computed tomography for evaluating intracardiac thrombi in cerebral ischemia. Stroke 1990;21:1033-1038.
8. Kitayama H, Kiuchi K, Endo T, Hayakawa H. Value of cardiac ultrafast computed tomography for detecting right atrial thrombi in chronic atrial fibrillation. Am J Cardiol 1997;79:1292-1295.
9. Foster CJ, Sekiya T, Love HG, Brownlee WC, Griffin JF, Isherwood I. Identification of intracardiac thrombus: comparison of computed tomography and cross-sectional echocardiography. Br J Radiol 1987;60:327-331.
10. Nakanishi T, Hamada S, Takamiya M, et al. A pitfall in ultrafast CT scanning for the detection of left atrial thrombi. J Comput Assist Tomogr 1993;17:42-45.
11. Tani T, Yamakami S, Matsushita T, et al. Usefulness of electron beam tomography in the prone position for detecting atrial thrombi in chronic atrial fibrillation. J Comput Assist Tomogr 2003;27:78- 84.
12. Nikolaou K, Flohr T, Knez A, et al. Advances in cardiac CT imaging: 64-slice scanner. Int J Cardiovasc Imaging 2004;20:535-540.
13. Raff GL, Gallagher MJ, O'Neill WW, Goldstein JA. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol 2005;46:552-557.
14. Mollet NR, Cademartiri F, van Mieghem CA, et al. High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation 2005;112:
15. 2318-2323.
16. Newcombe RG. Two-sided confidence intervals for the single proportion: comparison of seven methods. Stat Med 1998;17:857-872.
17. Hwang JJ, Chen JJ, Lin SC, et al. Diagnostic accuracy of transesophageal echocardiography for detection of left atrial thrombi in patients with rheumatic heart disease having undergone mitral valve operations. Am J Cardiol 1993;72:677-681.
18. Rustemli A, Bhatti TK, Wolff SD. Evaluating cardiac sources of embolic stroke with MRI. Echocardiography 2007;24:301-308.
19. Black IW, Hopkins AP, Lee LCL, Walsh WF. Left atrial spontaneous echo contrast: a clinical and echocardiographic analysis. J Am Coll Cardiol 1991;18:398- 404.
20. Fatkin D, Kelly RP, Feneley MP. Relations between left atrial appendage blood flow velocity, spontaneous echocardiographic contrast and thromboembolic risk in vivo. J Am Coll Cardiol 1994;23:961-969.
21. García-Fernández MA, Torrecilla EG, San Román D, et al. Left atrial appendage Doppler flow patterns: implications on thrombus formation. Am Heart J 1992;124:955-961.
22. Rubin DN, Katz SE, Riley MF, Douglas PS, Manning WJ. Evaluation of left atrial appendage anatomy and function in recent-onset atrial fibrillation by transesophageal echocardiography. Am J Cardiol 1996;78:774-778.