Retrograde embolism from the descending aorta visualization by multidirectional 3D velocity mapping in cryptogenic stroke

Stroke

Volumn 40, Issue 4, 2009, Pages 1505-1508

  Harloff, Andreas ^a,b   Strecker, Christoph ^a   Dudler, Patrick ^a   Nußbaumer, Andrea ^a   Frydrychowicz, Alex ^a   Olschewski, Manfred ^a   Bock, Jelena ^a   Stalder, Aurelien F ^a   Stroh, Anna L ^a   Weiller, Cornelius ^a   Hennig, Jürgen ^a   Markl, Michael ^a  

^a UNIVERSITY OF FREIBURG   (Germany)

^b UNIVERSITY OF FREIBURG   (Germany)

Author keywords

Acute stroke; Atherosclerosis; Embolic stroke; MRI; TEE

Indexed keywords

GADOBENATE DIMEGLUMINE;

ADULT; AGED; AORTA THROMBOSIS; ARTICLE; BRAIN ISCHEMIA; BRAIN STEM; CEREBELLUM; CONTROLLED STUDY; EMBOLISM; HUMAN; MAGNETIC RESONANCE ANGIOGRAPHY; MAJOR CLINICAL STUDY; NEUROIMAGING; POSTERIOR CEREBRAL ARTERY; PRIORITY JOURNAL; RISK FACTOR; STROKE; THREE DIMENSIONAL ECHOCARDIOGRAPHY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ACUTE DISEASE; AORTA DISEASE; ATHEROSCLEROSIS; BRAIN EMBOLISM; CLINICAL TRIAL; DIASTOLE; METHODOLOGY; NUCLEAR MAGNETIC RESONANCE IMAGING; PATHOLOGY; PROSPECTIVE STUDY; SUBCLAVIAN ARTERY; THORACIC AORTA; THREE DIMENSIONAL IMAGING; VERTEBRAL ARTERY;

ACUTE DISEASE; AORTA, THORACIC; AORTIC DISEASES; ATHEROSCLEROSIS; BRAIN ISCHEMIA; DIASTOLE; HUMANS; IMAGING, THREE-DIMENSIONAL; INTRACRANIAL EMBOLISM; MAGNETIC RESONANCE IMAGING; PROSPECTIVE STUDIES; STROKE; SUBCLAVIAN ARTERY; VERTEBRAL ARTERY;

EID: 65249150706     PISSN: 00392499     EISSN: None     Source Type: Journal    
DOI: 10.1161/STROKEAHA.108.530030     Document Type: Article

References (14)

1. Kronzon I, Tunick PA. Aortic atherosclerotic disease and stroke. Circulation. 2006; 114:63-75.
2. Cohen A, Tzourio C, Bertrand B, Chauvel C, Bousser MG, Amarenco P. Aortic plaque morphology and vascular events: a follow-up study in patients with ischemic stroke. FAPS Investigators French Study of Aortic Plaques in Stroke. Circulation. 1997;96:3838-3841.
3. Harloff A, Handke M, Reinhard M, Geibel A, Hetzel A. Therapeutic strategies after examination by transesophageal echocardiography in 503 patients with ischemic stroke. Stroke. 2006;37:859-864.
4. Tenenbaum A, Motro M, Feinberg MS, Schwammenthal E, Stroh CI, Vered Z, Fisman EZ. Retrograde flow in the thoracic aorta in patients with systemic emboli: a transesophageal echocardiographic evaluation of mobile plaque motion. Chest. 2000; 118:1703-1708.
5. Bogren HG, Buonocore MH. Blood flow measurements in the aorta and major arteries with MR velocity mapping. J Magn Reson Imaging. 1994; 4:119-130.
6. Kilner PJ, Yang GZ, Wilkes AJ, Mohiaddin RH, Firmin DN, Yacoub MH. Asymmetric redirection of flow through the heart. Nature. 2000; 404:759-761.
7. Kilner PJ, Yang GZ, Mohiaddin RH, Firmin DN, Longmore DB. Helical and retrograde secondary flow patterns in the aortic arch studied by three-directional magnetic resonance velocity mapping. Circulation. 1993;88:2235-2247.
8. Bogren HG, Mohiaddin RH, Kilner PJ, Jimenez-Borreguero LJ, Yang GZ, Firmin DN. Blood flow patterns in the thoracic aorta studied with three-directional MR velocity mapping: the effects of age and coronary artery disease. J Magn Reson Imaging. 1997;7:784-793.
9. Bogren HG, Buonocore MH. 4D magnetic resonance velocity mapping of blood flow patterns in the aorta in young vs. elderly normal subjects. J Magn Reson Imaging. 1999;10:861-869.
10. Harloff A, Strecker C, Frydrychowicz AP, Dudler P, Hetzel A, Geibel A, Kollum M, Weiller C, Hennig J, Markl M. Plaques in the descending aorta: A new risk factor for stroke? Visualization of potential emboli-zation pathways by 4D MRI. J Magn Reson Imaging. 2007;26: 1651-1655.
11. Ringelstein EB, Koschorke S, Holling A, Thron A, Lambertz H, Minale C. Computed tomographic patterns of proven embolic brain infarctions. Ann Neurol. 1989;26:759-765.
12. Adams HP Jr, Bendixen BH, Kappelle LJ, Biller J, Love BB, Gordon DL, Marsh EE, III. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke. 1993;24:35-41.
13. Harloff A, Dudler P, Frydrychowicz A, Strecker C, Stroh AL, Geibel A, Weiller C, Hetzel A, Hennig J, Markl M. Reliability of Aortic MRI at 3Tesla in Patients with Acute Cryptogenic Stroke. J Neurol Neurosurg Psychiatry. 2008;79:540-546.
14. Meissner I, Khandheria BK, Sheps SG, Schwartz GL, Wiebers DO, Whisnant JP, Covalt JL, Petterson TM, Christianson TJ, Agmon Y. Atherosclerosis of the aorta: risk factor, risk marker, or innocent bystander? A prospective population-based transesophageal echocardiography study. J Am Coll Cardiol. 2004;44:1018-1024.