Treatable potential cardiac sources of embolism in patients with cerebral ischemic events: A selective transesophageal echocardiographic study

Southern Medical Journal

Volumn 97, Issue 11, 2004, Pages 1055-1059

  Yahia, Abutaher M ^a,b   Shaukat, Aasma B ^a   Kirmani, Jawad F ^a   Xavier, Andrew ^a   Manalio, Nancy G ^a   Qureshi, Adnan I ^a  

^a RUTGERS NEW JERSEY MEDICAL SCHOOL   (United States)

^b East Lansing   (United States)

Author keywords

Atrial thrombus; Cardioembolic sources; Patent foramen ovale; Thoracic aortic plaque; Transesophageal echocardiography; Transient ischemic attack

Indexed keywords

ADULT; AGE DISTRIBUTION; AGED; ARTICLE; ATHEROSCLEROTIC PLAQUE; BRAIN CIRCULATION; BRAIN ISCHEMIA; BRAIN REGION; DEMOGRAPHY; DIAGNOSTIC IMAGING; EARLY DIAGNOSIS; EMBOLISM; FEMALE; HEART DISEASE; HEART FORAMEN OVALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PROSPECTIVE STUDY; RECURRENT DISEASE; STATISTICAL ANALYSIS; STROKE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; TRANSIENT ISCHEMIC ATTACK;

ADULT; AGED; AGED, 80 AND OVER; CEREBROVASCULAR ACCIDENT; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; HUMANS; ISCHEMIC ATTACK, TRANSIENT; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; REGISTRIES; THROMBOEMBOLISM;

EID: 8744294884     PISSN: 00384348     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.SMJ.0000144612.87267.36     Document Type: Article

References (33)

1. Broderick J, Brott T, Kothari R, et al. The Greater Cincinnati/Northern Kentucky Stroke Study: preliminary first-ever and total incidence rates of stroke among blacks. Stroke 1998;29:415-421.
2. Kissela B, Broderick J, Woo D, et al. Greater Cincinnati/Northern Kentucky Stroke Study: volume of first-ever ischemic stroke among blacks in a population-based study. Stroke 2001;32:1285-1290.
3. Albers GW, Comess KA, DeRook FA, et al. Transesophageal echocardiographic findings in stroke subtypes. Stroke 1994;25:23-28.
4. Archer SL, James KE, Kvernen LR, et al. Role of transesophageal echocardiography in the detection of left atrial thrombus in patients with chronic nonrheumatic atrial fibrillation. Am Heart J 1995;130:287-295.
5. Asinger RW, Herzog CA, Dick CD. Echocardiography in the evaluation of cardiac sources of emboli: the role of transthoracic echocardiography. Echocardiography 1993;10:373-396.
6. Bussiere JP, Bonnet D, Renard JL, et al. Contribution of transesophageal echocardiography in the investigation of the atrium in systemic embolism. Ann Med Interne 1992;143:5-10.
7. Pearson AC. Transthoracic echocardiography versus transesophageal echocardiography in detecting cardiac sources of embolism. Echocardiography 1993;10:397-403.
8. Pollick C, Taylor D. Assessment of left atrial appendage function by transesophageal echocardiography: implications for the development of thrombus. Circulation 1991;84:223-231.
9. Vigna C, Russo A, De Rito V, et al. Frequency of left atrial thrombi by transesophageal echocardiography in idiopathic and in ischemic dilated cardiomyopathy. Am J Cardiol 1992;70:1500-1501.
10. Ozeren A, Acarturk E, Sarica Y, et al. Transesophageal echocardiography in various ischemic stroke subtypes. Jpn Heart J 1997;38:199-206.
11. Di Tullio MR, Sacco RL, Savoia MT, et al. Aortic atheroma morphology and the risk of ischemic stroke in a multiethnic population. Am Heart J 2000;139:329-336.
12. Mahagney A, Sharif D, Weller B, et al. Diagnosis of cerebral embolism by transesophageal echocardiography. Harefuah 1998;134:256-259.
13. Rundek T, Di Tullio MR, Sciacca RR, et al. Association between large aortic arch atheromas and high-intensity transient signals in elderly stroke patients. Stroke 1999;30:2683-2686.
14. Sen S, Wu K, McNamara R, et al. Distribution, severity and risk factors for aortic atherosclerosis in cerebral ischemia. Cerebrovasc Dis 2000;10:102-109.
15. Stern A, Tunick PA, Culliford AT, et al. Protruding aortic arch atheromas: risk of stroke during heart surgery with and without aortic arch endarterectomy. Am Heart J 1999;138:746-752.
16. Ferrari E, Vidal R, Chevallier T, et al. Atherosclerosis of the thoracic aorta and aortic debris as a marker of poor prognosis: benefit of oral anticoagulants. J Am Coll Cardiol 1999;33:1317-1322.
17. Special report from the National Institute of Neurological Disorders and Stroke: classification of cerebrovascular diseases III. Stroke 1990;21:637-676.
18. Hanley PC, Tajik AJ, Hynes JK, et al. Diagnosis and classification of atrial septal aneurysm by two-dimensional echocardiography: report of 80 consecutive cases. J Am Coll Cardiol 1985;6:1370-1382.
19. Marshall AC, Lock JE. Structural and compliant anatomy of the patent foramen ovale in patients undergoing transcatheter closure. Am Heart J 2000;140:303-307.
20. Tunick PA, Kronzon I. Embolism from the aorta: atheroemboli and thromboemboli. Curr Treat Options Cardiovasc Med 2001;3:181-186.
21. Dressler FA, Craig WR, Castello R, et al. Mobile aortic atheroma and systemic emboli: efficacy of anticoagulation and influence of plaque morphology on recurrent stroke. J Am Coll Cardiol 1998;31:134-138.
22. Paemelaere JM, Sirinelli A, Dreyfus X, et al. Transesophageal echography and systemic ischemic incidences: 235 cases. Rev Neurol 1996;152:27-31.
23. Chant H, McCollum C. Stroke in young adults: the role of paradoxical embolism. Thromb Haemost 2001;85:22-29.
24. Overell JR, Bone I, Lees KR. Interatrial septal abnormalities and stroke: a meta-analysis of case-control studies. Neurology 2000;55:1172-1179.
25. Autore C, Cartoni D, Piccininno M: Multiplane transesophageal echocardiography and stroke. Am J Cardiol 1998;81:79G-81G
26. Jaber WA, Prior DL, Thamilarasan M, et al. Efficacy of anticoagulation in resolving left atrial and atrial appendage thrombi: a transesophageal echocardiographic study. Am Heart J 2000;140:150-156.
27. Sun SS, Hsieh JF, Tsai SC, et al. Monitoring the effect of anticoagulations on left atrial thrombi in patients with rheumatic heart disease: assessment with 111 In-oxide-labelled platelet heart scintigraphy and transesophageal echocardiography. Nucl Med Commun 2000;21:627-30.
28. Labeque JN, Laffort P, Lafiitte S, et al. Treatment of left atrial thrombosis by low-molecular-weight heparin: a preliminary study of 6 cases. Arch Mal Coeur Vaiss 2000;93:1528-1533.
29. Koenig P, Cao QL, Heitschmidt M, et al. Role of intracardiac echocardiographic guidance in transcatheter closure of atrial septal defects and patient foramen ovale using the Amplatzer device. J Interv Cardiol 2003;16:51-62.
30. Onorato E, Melzi G, Casilli R, et al. Patent foramen ovale with paradoxical embolism: mid-term results of transcatheter closure in 256 patients. J Interv Cardiol 2003;16:43-50.
31. Bialkowski J, Kusa J, Szkttnik M, et al. Percutaneous catheter closure of atrial septal defect: short-term and mid-term results. Rev Esp Cardiol 2003;56:383-388.
32. Herrara CJ, Frazin LJ, Dau PC, et al. Atherosclerotic plaque evolution in the descending thoracic aorta in familial hypercholesterolemic patients: a transesophageal echo study. Arterioscler Thromb 1994;14:1723-1729.
33. Corti R, Fuster V, Fayad ZA, et al. Lipid lowering by simvastatin induces regression of human atherosclerotic lesions: two years' follow-up by high-resolution noninvasive magnetic resonance imaging. Circulation 2002;106:2884-2887.