Journal of Stroke & Cerebrovascular Diseases
Volume 17, Issue 4 , Pages 208-211 , July 2008

Thrombus Detection by Echocardiography in Patients with Acute Ischemic Stroke and Chronic or New-Onset Atrial Fibrillation

  • Andre G. Douen, MD, PhD, FRCPc

      Affiliations

    • Department of Neurology, Trillium Health Centre, Mississauga, Ontario, Canada
    • Division of Neurology, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada
    • Corresponding Author InformationAddress correspondence to Andre G. Douen, MD, PhD, FRCPc, Regional Stroke Prevention Clinic, Department of Neurology, Trillium Health Centre, 100 Queensway West, Mississauga, Ontario, L5B 1B8 Canada.
    • ,
  • Mehreen Sabih, MBBS

      Affiliations

    • Department of Neurology, Trillium Health Centre, Mississauga, Ontario, Canada
    • ,
  • Nicole Pageau, RN, BSc

      Affiliations

    • Department of Neurology, Trillium Health Centre, Mississauga, Ontario, Canada

Received 9 January 2008 ,Revised 15 February 2008 ,Accepted 25 February 2008.

References 

  1. de Abreu TT, Mateus S, Correia J. Therapy implications of transthoracic echocardiography in acute ischemic stroke patients. Stroke. 2005;36:1565–1566
  2. Harloff A, Handke M, Reinhard M, et al. Therapeutic strategies after examination by transesophageal echocardiography in 503 patients with ischemic stroke. Stroke. 2006;37:859–864
  3. de Bruijn SF, Agema WR, Lammers GJ, et al. Transesophageal echocardiography is superior to transthoracic echocardiography in management of patients of any age with transient ischemic attack or stroke. Stroke. 2006;37:2531–2534
  4. Dawn B, Hasnie AM, Calzada N, et al. Transesophageal echocardiography impacts management and evaluation of patients with stroke, transient ischemic attack, or peripheral embolism. Echocardiography. 2006;23:202–207
  5. Walpot J, Pasteuning WH, Hoevenaar M, et al. Transesophageal echocardiography in patients with cryptogenic stroke: Does it alter their management? A 3-year retrospective study in a single non-referral center. Acta Clin Belg. 2006;61:243–248
  6. De Tommaso I, Vairo U, Mecca D. Transesophageal echocardiography for the study of potential sources of cardiovascular emboli–utility in patients with idiopathic stroke. Recenti Prog Med. 2007;98:387–388
  7. Nalluri C, Jain N, Dalton ND, et al. The role of transesophageal echocardiography in the evaluation of embolic stroke: Is management altered?. Cardiac Ultrasound Today. 2002;8:97–117
  8. Beattie JR, Cohen DJ, Manning WJ, et al. Role of routine transthoracic echocardiography in evaluation and management of stroke. J Intern Med. 1998;243:281–291
  9. Douen A, Pageau N, Medic S. Usefulness of cardiovascular investigations in stroke management clinical relevance and economic implications. Stroke. 2007;38:1956–1958
  10. Albers GW, Amarenco P, Easton JD, et al. Antithrombotic and thrombolytic therapy for ischemic stroke: The seventh ACCP conference on antithrombotic and thrombolytic therapy. Chest. 2004;126:483S–512S
  11. Kapral MK, Silver FL. Preventive health care, 1999 update, 2: Echocardiography for the detection of a cardiac source of embolus in patients with stroke. CMAJ. 1999;161:989–996
  12. Leung DY, Black IW, Cranney GB, et al. Selection of patients for transesophageal echocardiography after stroke and systemic embolic events: Role of transthoracic echocardiography. Stroke. 1995;26:1820–1824
  13. Archer SL, James KE, Kyernen LR, et al. Role of transesophageal echocardiography in the detection of left atrial thrombus in patients with chronic non-rheumatic atrial fibrillation. Am Heart J. 1995;130:287–295
  14. Lancaster T, Mant J, Singer DE. Stroke prevention in atrial fibrillation. BMJ. 1997;31:1563–1564

 Supported through an unrestricted educational grant from Boehringer Ingelheim (M. Sabih, N. Pageau).

PII: S1052-3057(08)00065-7

doi: 10.1016/j.jstrokecerebrovasdis.2008.02.006

Journal of Stroke & Cerebrovascular Diseases
Volume 17, Issue 4 , Pages 208-211 , July 2008

Article Tools