Journal of Stroke & Cerebrovascular Diseases
Volume 17, Issue 3 , Pages 134-140 , May 2008

Comparing Multislice Electrocardiogram-gated Spiral Computerized Tomography and Transesophageal Echocardiography in Evaluating Aortic Atheroma in Patients with Acute Ischemic Stroke

  • Syed I. Hussain, MD

      Affiliations

    • Department of Neurology, Medical College of Wisconsin/Froedtert Hospital, Milwaukee, Wisconsin
    • ,
  • Robert C. Gilkeson, MD

      Affiliations

    • Department of Radiology, Case Medical School, Cleveland, Ohio
    • ,
  • Jose I. Suarez, MD

      Affiliations

    • Department of Neurology, Baylor College of Medicine, Houston, Texas
    • ,
  • Robert Tarr, MD

      Affiliations

    • Department of Radiology, Case Medical School, Cleveland, Ohio
    • ,
  • Mark Schluchter, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, Case Medical School, Cleveland, Ohio
    • ,
  • Dennis M.D. Landis, MD

      Affiliations

    • Department of Neurology, Baylor College of Medicine, Houston, Texas
    • ,
  • Osama O. Zaidat, MD, MS

      Affiliations

    • Department of Neurology, Medical College of Wisconsin/Froedtert Hospital, Milwaukee, Wisconsin
    • Corresponding Author InformationAddress correspondence to Osama O. Zaidat, MD, MS, Neurology and Neurosurgery, Medical College of Wisconsin/Froedtert Hospital, 9200 W Wisconsin Ave, Milwaukee, WI 53226.

Received 13 September 2007 ,Revised 9 December 2007 ,Accepted 19 December 2007.

References 

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  2. Amarenco P, Cohen A, Tzourio C, et al. Atherosclerotic disease of the aortic arch and the risk of ischemic stroke. N Engl J Med. 1994;331:1474–1479
  3. The French Study of Aortic Plaques in Stroke Group. Atherosclerotic disease of the aortic arch as a risk factor for recurrent ischemic stroke. N Engl J Med. 1996;334:1216–1221
  4. Zaidat OO, Suarez JI, Gilkeson RC, et al. Initial ischemic stroke severity and 3 months outcome predicted by aortic atheroma location and morphology as detected by cardiac cycle gated and contrasted chest tomography. Neurology. 2003;60:A109–A110(suppl)
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  11. Zaidat OO, Suarez JI, Gilkeson CR, et al. The utility of ultrafast cardiac cycle gated and contrasted chest tomography in evaluation of patients with acute stroke and comparison with transesophageal echocardiography. Stroke. 2002;33:358–359
  12. Tenenbaum A, Garniek A, Shemesh J, et al. Dual-helical CT for detecting aortic atheromas as a source of stroke: Comparison with transesophageal echocardiography. Radiology. 1998;208:153–158
  13. 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
  14. Ferrari E, Vidal R, Chevallier T, et al. Atherosclerosis of the thoracic aorta debris as a marker of poor prognosis: Benefits of oral anticoagulants. J Am Coll Cardiol. 1999;33:1371–1422
  15. Tunick PA, Kronzon I. The improved yield of transesophageal echocardiography over transthoracic echocardiography in patients with neurological events is largely due to the detection of aortic protruding atheromas. Echocardiography. 1992;9:491–495
  16. Hart RG. Cardiogenic embolism to the brain. Lancet. 1992;339:589–594
  17. Amarenco P, Duyckaerts C, Tzourio C, et al. The prevalence of the ulcerated plaques in the aortic arch in patients with stroke. N Engl J Med. 1992;221:749–751
  18. Geraci A, Weinberger J. Natural history of aortic arch atherosclerotic plaque. Neurology. 2000;54:749–751
  19. Bland JM, Altman DG. Comparing methods of measurement: Why plotting difference against standard method is misleading. Lancet. 1995;346:1085–1087

PII: S1052-3057(08)00006-2

doi: 10.1016/j.jstrokecerebrovasdis.2007.12.008

Journal of Stroke & Cerebrovascular Diseases
Volume 17, Issue 3 , Pages 134-140 , May 2008

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