The value of transesophageal echocardiography in the investigation and management of cryptogenic cerebral ischemia: a single-center experience

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F16%3A00065551" target="_blank" >RIV/00159816:_____/16:00065551 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1007/s10072-015-2448-y" target="_blank" >http://dx.doi.org/10.1007/s10072-015-2448-y</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s10072-015-2448-y" target="_blank" >10.1007/s10072-015-2448-y</a>

Result language

angličtina

Original language name

The value of transesophageal echocardiography in the investigation and management of cryptogenic cerebral ischemia: a single-center experience

Original language description

The diagnostic utility of transesophageal echocardiography (TEE) has often been challenged in patients with cryptogenic stroke (CS). We estimated the prevalence of different findings on TEE examination of CS patients, their impact on secondary stroke prevention and the presence of potential age or gender disparities. We reviewed all TEE examinations that were performed in a single echocardiography laboratory during a 7-year-old period to identify CS patients that underwent investigation with TEE. Of the 518 total TEE examinations, we identified 88 CS patients. TEE revealed abnormal findings in 69.3 % of them. Patent foramen ovale (PFO) and atrial septal aneurysm (ASA) were identified in 30.6 and 22.7 % of the patients. Ascending aorta and aortic arch atheromatosis was present in 26.1 % of the patients, with complex atheromatosis diagnosed in 14.7 % of them. Cardiac myxomas were uncovered in 2.3 %. Thrombi in the left atrium and in cardiac valves were reported in 3.4 and 2.3 % of the patients, respectively. Based on TEE findings, the therapeutic management would be very likely modified in 9.1 % of the patients. Subgroup analysis revealed no gender disparities on the prevalence of TEE findings and in secondary stroke prevention, while linear regression analyses revealed significant associations of age with the prevalence of PFO, ASA, aorta atheromatosis and complex aorta atheromatosis. TEE examination should be included in the diagnostic work-up of all CS patients, irrespective of age and gender status, since it can reveal potential sources of embolism and has a significant impact for secondary stroke prevention.

Czech name

—

Czech description

—

Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FH - Neurology, neuro-surgery, nuero-sciences

OECD FORD branch

—

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Neurological Sciences

ISSN

1590-1874

e-ISSN

—

Volume of the periodical

37

Issue of the periodical within the volume

4

Country of publishing house

IT - ITALY

Number of pages

4

Pages from-to

629-632

UT code for WoS article

000373805300019

EID of the result in the Scopus database

—