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Titolo:
ASYMPTOMATIC CEREBRAL EMBOLIC SIGNALS IN PATIENTS WITH CAROTID STENOSIS - CORRELATION WITH APPEARANCE OF PLAQUE ULCERATION ON ANGIOGRAPHY
Autore:
VALTON L; LARRUE V; ARRUE P; GERAUD G; BES A;
Indirizzi:
HOP RANGUEIL,SERV NEUROL F-31054 TOULOUSE FRANCE RANGUEIL UNIV HOSP,DEPT NEUROL TOULOUSE FRANCE RANGUEIL UNIV HOSP,DEPT NEURORADIOL TOULOUSE FRANCE
Titolo Testata:
Stroke
fascicolo: 5, volume: 26, anno: 1995,
pagine: 813 - 815
SICI:
0039-2499(1995)26:5<813:ACESIP>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSCRANIAL DOPPLER; ARTERY; ENDARTERECTOMY; ULTRASOUND; DISEASE;
Keywords:
CAROTID ARTERY DISEASES; CEREBRAL EMBOLISM AND THROMBOSIS; ULTRASONICS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
L. Valton et al., "ASYMPTOMATIC CEREBRAL EMBOLIC SIGNALS IN PATIENTS WITH CAROTID STENOSIS - CORRELATION WITH APPEARANCE OF PLAQUE ULCERATION ON ANGIOGRAPHY", Stroke, 26(5), 1995, pp. 813-815

Abstract

Background and Purpose Asymptomatic cerebral emboli may be detected in patients with carotid stenosis by transcranial Doppler ultrasonography of the middle cerebral artery (MCA). The aim of this study was to determine the angiographic correlates of such embolic signals. Methods Doppler signals from 48 MCAs in 26 patients with carotid stenosis thatwas either symptomatic (n=20) or asymptomatic (n=6) were recorded for40 minutes. The grade of carotid stenosis and the ulcerated or nonulcerated appearance of the plaque were assessed using the criteria of the North American Symptomatic Carotid Endarterectomy Trial. Results Embolic signals were detected in 8 MCAs from 7 patients; 4 (50%) of theseMCAs were clinically symptomatic compared with 16 (40%) without embolic signal. Although there was a trend toward more severe stenosis in the cases with embolic signals, this was not significant (mean+/-SD, 67/-29% versus 55+/-36%). In contrast, an image of ulceration was foundon ipsilateral carotid angiography in 5 cases (63%) with embolic signals and in only 9 cases (23%) without embolic signals (odds ratio, 5.74; 95% confidence interval, 1.15 to 28.79, by multivariate regression analysis). Conclusions This study demonstrates that the occurrence of embolic signals in patients with carotid stenosis is associated with the appearance of plaque ulceration on angiography.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 05:16:48