Aortic sinotubular atherosclerotic debris associated with cerebral embolic events can be identified by transthoracic echocardiography

Eddy Barasch, Vinod Kaushik, Chul Ahn

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: To evaluate the association between the presence of aortic sinotubular debris (STAD) identified by transthoracic echocardiography (TTE) and embolic strokes. Background: The presence of atherosclerotic debris in the ascending aorta or aortic arch detected by transesophageal echocardiography or epiaortic echocardiography has been well established to be correlated with embolic stroke or other thromboembolic events. No data are available on the role of TTE in describing aortic pathology in thromboembolic events. Methods: We identified 60 transthoracic echocardiographic studies from 11,275 studies, in which STAD was diagnosed. The charts of these patients (group 1; mean age 67 ± 10 years) were reviewed and compared with those of 57 patients (group 2) without STAD, matched for age, gender and risk factors for advanced atherosclerosis. The results of brain imaging procedures, carotid duplex and coronary angiography were also reviewed. Results: Ischemic stroke was found in 15 of group 1 (25%) and 4 patients of group 2 (7% odds 0.008). The average thickness of STAD was 0.7 ± 0.2 cm in stroke patients and 0.6 ± 0.2 cm in patients without stroke (p = n.s.). STAD was associated with ≤ 40% carotid artery stenosis. Conclusion: STAD detected by TTE is strongly associated with embolic strokes. Our findings expand the role of TTE in the evaluation of patients with embolic strokes.

Original languageEnglish (US)
Pages (from-to)253-257
Number of pages5
JournalCardiology
Volume90
Issue number4
DOIs
StatePublished - 1998
Externally publishedYes

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Echocardiography
Stroke
Carotid Stenosis
Age Factors
Transesophageal Echocardiography
Coronary Angiography
Thoracic Aorta
Neuroimaging
Aorta
Atherosclerosis
Pathology

Keywords

  • Embolic stroke
  • Sinotubular atherosclerotic debris
  • Transthoracic echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Aortic sinotubular atherosclerotic debris associated with cerebral embolic events can be identified by transthoracic echocardiography. / Barasch, Eddy; Kaushik, Vinod; Ahn, Chul.

In: Cardiology, Vol. 90, No. 4, 1998, p. 253-257.

Research output: Contribution to journalArticle

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N2 - Objective: To evaluate the association between the presence of aortic sinotubular debris (STAD) identified by transthoracic echocardiography (TTE) and embolic strokes. Background: The presence of atherosclerotic debris in the ascending aorta or aortic arch detected by transesophageal echocardiography or epiaortic echocardiography has been well established to be correlated with embolic stroke or other thromboembolic events. No data are available on the role of TTE in describing aortic pathology in thromboembolic events. Methods: We identified 60 transthoracic echocardiographic studies from 11,275 studies, in which STAD was diagnosed. The charts of these patients (group 1; mean age 67 ± 10 years) were reviewed and compared with those of 57 patients (group 2) without STAD, matched for age, gender and risk factors for advanced atherosclerosis. The results of brain imaging procedures, carotid duplex and coronary angiography were also reviewed. Results: Ischemic stroke was found in 15 of group 1 (25%) and 4 patients of group 2 (7% odds 0.008). The average thickness of STAD was 0.7 ± 0.2 cm in stroke patients and 0.6 ± 0.2 cm in patients without stroke (p = n.s.). STAD was associated with ≤ 40% carotid artery stenosis. Conclusion: STAD detected by TTE is strongly associated with embolic strokes. Our findings expand the role of TTE in the evaluation of patients with embolic strokes.

AB - Objective: To evaluate the association between the presence of aortic sinotubular debris (STAD) identified by transthoracic echocardiography (TTE) and embolic strokes. Background: The presence of atherosclerotic debris in the ascending aorta or aortic arch detected by transesophageal echocardiography or epiaortic echocardiography has been well established to be correlated with embolic stroke or other thromboembolic events. No data are available on the role of TTE in describing aortic pathology in thromboembolic events. Methods: We identified 60 transthoracic echocardiographic studies from 11,275 studies, in which STAD was diagnosed. The charts of these patients (group 1; mean age 67 ± 10 years) were reviewed and compared with those of 57 patients (group 2) without STAD, matched for age, gender and risk factors for advanced atherosclerosis. The results of brain imaging procedures, carotid duplex and coronary angiography were also reviewed. Results: Ischemic stroke was found in 15 of group 1 (25%) and 4 patients of group 2 (7% odds 0.008). The average thickness of STAD was 0.7 ± 0.2 cm in stroke patients and 0.6 ± 0.2 cm in patients without stroke (p = n.s.). STAD was associated with ≤ 40% carotid artery stenosis. Conclusion: STAD detected by TTE is strongly associated with embolic strokes. Our findings expand the role of TTE in the evaluation of patients with embolic strokes.

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