Cardioembolic origin in patients with embolic stroke: Spectrum of imaging findings on cardiac MDCT

American Journal of Roentgenology

Volumn 195, Issue 1, 2010, Pages

  Jin, Kwang Nam ^a   Chun, Eun Ju ^a   Choi, Sang Il ^a   Ko, Sung Min ^b   Han, Moon Ku ^a   Bae, Hee Joon ^a   Park, Jae Hyung ^c  

^a Seoul National University Bundang Hospital   (South Korea)

^b Konkuk University Hospital   (South Korea)

^c Seoul National University College of Medicine   (South Korea)

Author keywords

Cardiac MDCT; Cardioembolic stroke; Embolic stroke; MDCT; Thrombus

Indexed keywords

DIAGNOSTIC ACCURACY; EMBOLISM; HEART ATRIUM THROMBOSIS; HEART MUSCLE; HEART TUMOR; HEART VENTRICLE THROMBOSIS; HEMOSTASIS; HUMAN; IMAGE ANALYSIS; MULTIDETECTOR COMPUTED TOMOGRAPHY; PARADOXICAL EMBOLISM; PATIENT; PRIORITY JOURNAL; REVIEW; STROKE; VALVULAR HEART DISEASE; COMPUTER ASSISTED TOMOGRAPHY; DIFFERENTIAL DIAGNOSIS; DIFFUSION WEIGHTED IMAGING; HEART DISEASE; METHODOLOGY; RADIOGRAPHY; SENSITIVITY AND SPECIFICITY; THROMBOSIS;

CONTRAST MEDIUM; DIAGNOSTIC AGENT;

CONTRAST MEDIA; DIAGNOSIS, DIFFERENTIAL; DIFFUSION MAGNETIC RESONANCE IMAGING; HEART DISEASES; HUMANS; SENSITIVITY AND SPECIFICITY; STROKE; THROMBOSIS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 77954745030     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.09.3218     Document Type: Review

References (18)

1. Wein TH, Bornstein NM. Stroke prevention: cardiac and carotid-related stroke. Neurol Clin 2000; 18:321-341
2. Kolominsky-Rabas PL, Weber M, Gefeller O, et al. Epidemiology of ischemic stroke subtypes according to TOAST criteria: incidence, recurrence, and long-term survival in ischemic stroke subtypes - a population-based study. Stroke 2001; 32:2735-2740
3. Ferro JM. Cardioembolic stroke: an update. Lancet Neurol 2003; 2:177-188
4. Scheffel H, Baumueller S, Stolzmann P, et al. Atrial myxomas and thrombi: comparison of imaging features on CT. AJR 2009; 192:639-645
5. Kim YJ, Hur J, Choe KO, et al. Interatrial shunt detected in coronary computed tomography angiography: differential features of a patent foramen ovale and an atrial septal defect. J Comput Assist Tomogr 2008; 32:663-667
6. Williamson EE, Kirsch J, Araoz PA, et al. ECG-gated cardiac CT angiography using 64-MDCT for detection of patent foramen ovale. AJR 2008; 190:929-933
7. Hur J, Kim YJ, Nam JE, et al. Thrombus in the left atrial appendage in stroke patients: detection with cardiac CT angiography - a preliminary report. Radiology 2008; 249:81-87
8. Kim YY, Klein AL, Halliburton SS, et al. Left atrial appendage filling defects identified by multidetector computed tomography in patients undergoing radiofrequency pulmonary vein antral isolation: a comparison with transesophageal echocardiography. Am Heart J 2007; 154:1199-1205
9. Choi SI, George RT, Schuleri KH, Chun EJ, Lima JA, Lardo AC. Recent developments in wide-detector cardiac computed tomography. Int J Cardiovasc Imaging 2009; 25[suppl 1]:23-29
10. Srichai MB, Junor C, Rodriguez LL, et al. Clinical, imaging, and pathological characteristics of left ventricular thrombus: a comparison of contrast-enhanced magnetic resonance imaging, transthoracic echocardiography, and transesophageal echocardiography with surgical or pathological validation. Am Heart J 2006; 152:75-84
11. Bayer AS, Bolger AF, Taubert KA, et al. Diagnosis and management of infective endocarditis and its complications. Circulation 1998; 98:2936-2948
12. Hagen PT, Scholz DG, Edwards WD, et al. Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc 1984; 59:17-20
13. Kerut EK, Norfleet WT, Plotnick GD, et al. Patent foramen ovale: a review of associated conditions and the impact of physiological size. J Am Coll Cardiol 2001; 38:613-623
14. Kim YJ, Hur J, Shim CY, et al. Patent foramen ovale: diagnosis with multidetector CT - comparison with transesophageal echocardiography. Radiology 2009; 250:61-67
15. Mugge A, Daniel WG, Angermann C, et al. Atrial septal aneurysm in adult patients: a multicenter study using transthoracic and transesophageal echocardiography. Circulation 1995; 91:2785-2792
16. Khositseth A, Cabalka AK, Sweeney JP, et al. Transcatheter Amplatzer device closure of atrial septal defect and patent foramen ovale in patients with presumed paradoxical embolism. Mayo Clin Proc 2004; 79:35-41
17. Perloff JK. Neurologic disorders. In: Perloff JK, Child JS, eds. Congenital heart disease in adults, 2nd ed. Philadelphia, PA: Saunders, 1998:236-246
18. Hur J, Kim YJ, Lee HJ, et al. Left atrial appendage thrombi in stroke patients: detection with two-phase cardiac CT angiography versus transesophageal echocardiography. Radiology 2009; 251: 683-690