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Erschienen in: Emergency Radiology 5/2013

01.10.2013 | Review Article

Role of cardiac and extracranial vascular CT in the evaluation/management of cerebral ischemia and stroke

verfasst von: Shahmir Kamalian, Shervin Kamalian, Stuart R. Pomerantz, Teerath P. Tanpitukpongse, Rajiv Gupta, Javier M. Romero, Douglas S. Katz

Erschienen in: Emergency Radiology | Ausgabe 5/2013

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Abstract

Collectively, cardiac and large artery sources are responsible for the largest proportion of acute ischemic stroke. Technological advancements in computed tomography (CT) continue to improve evaluation of these patients. The literature was reviewed for the potential role and impact of these innovations in evaluation and management of these patients. In conclusion, incorporation of early cardiac and extracranial vascular CT angiography (CTA) in evaluation of patients with acute ischemic stroke may potentially improve patient management and outcome, while decreasing cost.
Literatur
1.
Zurück zum Zitat Lloyd-Jones D, Adams R, Carnethon M et al (2009) Heart disease and stroke statistics—2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 119:e21–181CrossRefPubMed Lloyd-Jones D, Adams R, Carnethon M et al (2009) Heart disease and stroke statistics—2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 119:e21–181CrossRefPubMed
2.
Zurück zum Zitat Lovett JK, Coull AJ, Rothwell PM (2004) Early risk of recurrence by subtype of ischemic stroke in population-based incidence studies. Neurology 62:569–573CrossRefPubMed Lovett JK, Coull AJ, Rothwell PM (2004) Early risk of recurrence by subtype of ischemic stroke in population-based incidence studies. Neurology 62:569–573CrossRefPubMed
3.
Zurück zum Zitat Kolominsky-Rabas PL, Weber M, Gefeller O, Neundoerfer B, Heuschmann PU (2001) Epidemiology of ischemic stroke subtypes according to TOAST criteria: incidence, recurrence, and long-term survival in ischemic stroke subtypes: a population-based study. Stroke 32:2735–2740CrossRefPubMed Kolominsky-Rabas PL, Weber M, Gefeller O, Neundoerfer B, Heuschmann PU (2001) Epidemiology of ischemic stroke subtypes according to TOAST criteria: incidence, recurrence, and long-term survival in ischemic stroke subtypes: a population-based study. Stroke 32:2735–2740CrossRefPubMed
4.
Zurück zum Zitat Petty GW, Brown RD Jr, Whisnant JP, Sicks JD, O’Fallon WM, Wiebers DO (1999) Ischemic stroke subtypes: a population-based study of incidence and risk factors. Stroke 30:2513–2516CrossRefPubMed Petty GW, Brown RD Jr, Whisnant JP, Sicks JD, O’Fallon WM, Wiebers DO (1999) Ischemic stroke subtypes: a population-based study of incidence and risk factors. Stroke 30:2513–2516CrossRefPubMed
5.
Zurück zum Zitat Adams HP Jr, Bendixen BH, Kappelle LJ et al (1993) Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke 24:35–41CrossRefPubMed Adams HP Jr, Bendixen BH, Kappelle LJ et al (1993) Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke 24:35–41CrossRefPubMed
6.
Zurück zum Zitat Nonent M, Serfaty JM, Nighoghossian N et al (2004) Concordance rate differences of 3 noninvasive imaging techniques to measure carotid stenosis in clinical routine practice: results of the CARMEDAS multicenter study. Stroke 35:682–686CrossRefPubMed Nonent M, Serfaty JM, Nighoghossian N et al (2004) Concordance rate differences of 3 noninvasive imaging techniques to measure carotid stenosis in clinical routine practice: results of the CARMEDAS multicenter study. Stroke 35:682–686CrossRefPubMed
7.
Zurück zum Zitat Hur J, Kim YJ, Lee HJ et al (2009) Cardiac computed tomographic angiography for detection of cardiac sources of embolism in stroke patients. Stroke 40:2073–2078CrossRefPubMed Hur J, Kim YJ, Lee HJ et al (2009) Cardiac computed tomographic angiography for detection of cardiac sources of embolism in stroke patients. Stroke 40:2073–2078CrossRefPubMed
8.
Zurück zum Zitat Nguyen-Huynh MN, Wintermark M, English J et al (2008) How accurate is CT angiography in evaluating intracranial atherosclerotic disease? Stroke 39:1184–1188CrossRefPubMed Nguyen-Huynh MN, Wintermark M, English J et al (2008) How accurate is CT angiography in evaluating intracranial atherosclerotic disease? Stroke 39:1184–1188CrossRefPubMed
9.
Zurück zum Zitat van der Vleuten PA, Willems TP, Gotte MJ et al (2006) Quantification of global left ventricular function: comparison of multidetector computed tomography and magnetic resonance imaging. A meta-analysis and review of the current literature. Acta Radiol 47:1049–1057CrossRefPubMed van der Vleuten PA, Willems TP, Gotte MJ et al (2006) Quantification of global left ventricular function: comparison of multidetector computed tomography and magnetic resonance imaging. A meta-analysis and review of the current literature. Acta Radiol 47:1049–1057CrossRefPubMed
10.
Zurück zum Zitat Woodard PK, Bhalla S, Javidan-Nejad C, Gutierrez FR (2006) Non-coronary cardiac CT imaging. Semin Ultrasound CT MR 27:56–75CrossRefPubMed Woodard PK, Bhalla S, Javidan-Nejad C, Gutierrez FR (2006) Non-coronary cardiac CT imaging. Semin Ultrasound CT MR 27:56–75CrossRefPubMed
11.
Zurück zum Zitat Williamson EE, Kirsch J, Araoz PA et al (2008) ECG-gated cardiac CT angiography using 64-MDCT for detection of patent foramen ovale. AJR Am J Roentgenol 190:929–933CrossRefPubMed Williamson EE, Kirsch J, Araoz PA et al (2008) ECG-gated cardiac CT angiography using 64-MDCT for detection of patent foramen ovale. AJR Am J Roentgenol 190:929–933CrossRefPubMed
12.
Zurück zum Zitat Hur J, Kim YJ, Nam JE et al (2008) Thrombus in the left atrial appendage in stroke patients: detection with cardiac CT angiography—a preliminary report. Radiology 249:81–87CrossRefPubMed Hur J, Kim YJ, Nam JE et al (2008) Thrombus in the left atrial appendage in stroke patients: detection with cardiac CT angiography—a preliminary report. Radiology 249:81–87CrossRefPubMed
13.
Zurück zum Zitat Feigin VL, Lawes CM, Bennett DA, Anderson CS (2003) Stroke epidemiology: a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. Lancet Neurol 2:43–53CrossRefPubMed Feigin VL, Lawes CM, Bennett DA, Anderson CS (2003) Stroke epidemiology: a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. Lancet Neurol 2:43–53CrossRefPubMed
14.
Zurück zum Zitat Young KC, Benesch CG, Jahromi BS (2010) Cost-effectiveness of multimodal CT for evaluating acute stroke. Neurology 75:1678–1685CrossRefPubMed Young KC, Benesch CG, Jahromi BS (2010) Cost-effectiveness of multimodal CT for evaluating acute stroke. Neurology 75:1678–1685CrossRefPubMed
15.
Zurück zum Zitat Earnshaw SR, McDade C, Chapman AM, Jackson D, Schwamm L (2012) Economic impact of using additional diagnostic tests to better select patients with stroke for intravenous thrombolysis in the United Kingdom. Clin Ther 34:1544–1558CrossRefPubMed Earnshaw SR, McDade C, Chapman AM, Jackson D, Schwamm L (2012) Economic impact of using additional diagnostic tests to better select patients with stroke for intravenous thrombolysis in the United Kingdom. Clin Ther 34:1544–1558CrossRefPubMed
16.
Zurück zum Zitat Salottolo KM, Fanale CV, Leonard KA, Frei DF, Bar-Or D. Multimodal imaging does not delay intravenous thrombolytic therapy in acute stroke. AJNR Am J Neuroradiol 32:864–868 Salottolo KM, Fanale CV, Leonard KA, Frei DF, Bar-Or D. Multimodal imaging does not delay intravenous thrombolytic therapy in acute stroke. AJNR Am J Neuroradiol 32:864–868
17.
Zurück zum Zitat Shetty SK, Lev MH (2005) CT perfusion in acute stroke. Neuroimaging Clin N Am 15:481–501, ixCrossRefPubMed Shetty SK, Lev MH (2005) CT perfusion in acute stroke. Neuroimaging Clin N Am 15:481–501, ixCrossRefPubMed
18.
Zurück zum Zitat Smith WS, Lev MH, English JD et al (2009) Significance of large vessel intracranial occlusion causing acute ischemic stroke and TIA. Stroke 40:3834–3840CrossRefPubMed Smith WS, Lev MH, English JD et al (2009) Significance of large vessel intracranial occlusion causing acute ischemic stroke and TIA. Stroke 40:3834–3840CrossRefPubMed
19.
Zurück zum Zitat Obach V, Oleaga L, Urra X et al (2011) Multimodal CT-assisted thrombolysis in patients with acute stroke: a cohort study. Stroke 42:1129–1131CrossRefPubMed Obach V, Oleaga L, Urra X et al (2011) Multimodal CT-assisted thrombolysis in patients with acute stroke: a cohort study. Stroke 42:1129–1131CrossRefPubMed
20.
Zurück zum Zitat Farkas J, Xavier A, Prestigiacomo CJ (2004) Advanced imaging application for acute ischemic stroke. Emerg Radiol 11:77–82CrossRefPubMed Farkas J, Xavier A, Prestigiacomo CJ (2004) Advanced imaging application for acute ischemic stroke. Emerg Radiol 11:77–82CrossRefPubMed
21.
Zurück zum Zitat Ho CY, Hussain S, Alam T, Ahmad I, Wu IC, O’Neill DP (2013) Accuracy of CT cerebral perfusion in predicting infarct in the emergency department: lesion characterization on CT perfusion based on commercially available software. Emerg Radiol Ho CY, Hussain S, Alam T, Ahmad I, Wu IC, O’Neill DP (2013) Accuracy of CT cerebral perfusion in predicting infarct in the emergency department: lesion characterization on CT perfusion based on commercially available software. Emerg Radiol
22.
Zurück zum Zitat Kamalian S, Kamalian S, Konstas AA et al (2012) CT perfusion mean transit time maps optimally distinguish benign oligemia from true “at-risk” ischemic penumbra, but thresholds vary by postprocessing technique. AJNR Am J Neuroradiol 33:545–549 Kamalian S, Kamalian S, Konstas AA et al (2012) CT perfusion mean transit time maps optimally distinguish benign oligemia from true “at-risk” ischemic penumbra, but thresholds vary by postprocessing technique. AJNR Am J Neuroradiol 33:545–549
23.
Zurück zum Zitat Kamalian S, Kamalian S, Maas MB et al (2011) CT cerebral blood flow maps optimally correlate with admission diffusion-weighted imaging in acute stroke but thresholds vary by postprocessing platform. Stroke 42:1923–1928 Kamalian S, Kamalian S, Maas MB et al (2011) CT cerebral blood flow maps optimally correlate with admission diffusion-weighted imaging in acute stroke but thresholds vary by postprocessing platform. Stroke 42:1923–1928
24.
Zurück zum Zitat Suzuki K, Morita S, Masukawa A, Machida H, Ueno E (2011) Utility of CT perfusion with 64-row multi-detector CT for acute ischemic brain stroke. Emerg Radiol 18:95–101CrossRefPubMed Suzuki K, Morita S, Masukawa A, Machida H, Ueno E (2011) Utility of CT perfusion with 64-row multi-detector CT for acute ischemic brain stroke. Emerg Radiol 18:95–101CrossRefPubMed
25.
Zurück zum Zitat González RG, Hirsch JA, Lev MH, et al. Imaging of acute ischemic stroke: stroke CT angiography (CTA). In: Acute ischemic stroke. Springer, Berlin, pp 57–82 González RG, Hirsch JA, Lev MH, et al. Imaging of acute ischemic stroke: stroke CT angiography (CTA). In: Acute ischemic stroke. Springer, Berlin, pp 57–82
26.
Zurück zum Zitat Pomerantz SR, Harris GJ, Desai HJ, Lev MH (2006) Computed tomography angiography and computed tomography perfusion in ischemic stroke: a step-by-step approach to image acquisition and three-dimensional postprocessing. Semin Ultrasound CT MR 27:243–270CrossRefPubMed Pomerantz SR, Harris GJ, Desai HJ, Lev MH (2006) Computed tomography angiography and computed tomography perfusion in ischemic stroke: a step-by-step approach to image acquisition and three-dimensional postprocessing. Semin Ultrasound CT MR 27:243–270CrossRefPubMed
27.
Zurück zum Zitat Sanelli PC, Mifsud MJ, Zelenko N, Heier LA (2005) CT angiography in the evaluation of cerebrovascular diseases. AJR Am J Roentgenol 184:305–312CrossRefPubMed Sanelli PC, Mifsud MJ, Zelenko N, Heier LA (2005) CT angiography in the evaluation of cerebrovascular diseases. AJR Am J Roentgenol 184:305–312CrossRefPubMed
28.
Zurück zum Zitat Boussel L, Cakmak S, Wintermark M, et al. Ischemic stroke: etiologic work-up with multidetector CT of heart and extra- and intracranial arteries. Radiology 258:206–212 Boussel L, Cakmak S, Wintermark M, et al. Ischemic stroke: etiologic work-up with multidetector CT of heart and extra- and intracranial arteries. Radiology 258:206–212
29.
Zurück zum Zitat Zacharia TT, Kanekar SG, Nguyen DT, Moser K (2011) Optimization of patient dose and image quality with z-axis dose modulation for computed tomography (CT) head in acute head trauma and stroke. Emerg Radiol 18:103–107CrossRefPubMed Zacharia TT, Kanekar SG, Nguyen DT, Moser K (2011) Optimization of patient dose and image quality with z-axis dose modulation for computed tomography (CT) head in acute head trauma and stroke. Emerg Radiol 18:103–107CrossRefPubMed
30.
Zurück zum Zitat Rapalino O, Kamalian S, Kamalian S et al (2012) Cranial CT with adaptive statistical iterative reconstruction: improved image quality with concomitant radiation dose reduction. AJNR Am J Neuroradiol 33:609–615 Rapalino O, Kamalian S, Kamalian S et al (2012) Cranial CT with adaptive statistical iterative reconstruction: improved image quality with concomitant radiation dose reduction. AJNR Am J Neuroradiol 33:609–615
31.
Zurück zum Zitat Mattle HP, Kappeler L, Arnold M et al (2005) Blood pressure and vessel recanalization in the first hours after ischemic stroke. Stroke 36:264–268CrossRefPubMed Mattle HP, Kappeler L, Arnold M et al (2005) Blood pressure and vessel recanalization in the first hours after ischemic stroke. Stroke 36:264–268CrossRefPubMed
32.
Zurück zum Zitat Bash S, Villablanca JP, Jahan R et al (2005) Intracranial vascular stenosis and occlusive disease: evaluation with CT angiography, MR angiography, and digital subtraction angiography. AJNR Am J Neuroradiol 26:1012–1021PubMed Bash S, Villablanca JP, Jahan R et al (2005) Intracranial vascular stenosis and occlusive disease: evaluation with CT angiography, MR angiography, and digital subtraction angiography. AJNR Am J Neuroradiol 26:1012–1021PubMed
33.
Zurück zum Zitat Eesa M, Hill MD, Al-Khathaami A et al (2010) Role of CT angiographic plaque morphologic characteristics in addition to stenosis in predicting the symptomatic side in carotid artery disease. AJNR Am J Neuroradiol 31:1254–1260CrossRefPubMed Eesa M, Hill MD, Al-Khathaami A et al (2010) Role of CT angiographic plaque morphologic characteristics in addition to stenosis in predicting the symptomatic side in carotid artery disease. AJNR Am J Neuroradiol 31:1254–1260CrossRefPubMed
34.
Zurück zum Zitat Romero JM, Babiarz LS, Forero NP et al (2009) Arterial wall enhancement overlying carotid plaque on CT angiography correlates with symptoms in patients with high grade stenosis. Stroke 40:1894–1896CrossRefPubMed Romero JM, Babiarz LS, Forero NP et al (2009) Arterial wall enhancement overlying carotid plaque on CT angiography correlates with symptoms in patients with high grade stenosis. Stroke 40:1894–1896CrossRefPubMed
35.
Zurück zum Zitat Horie N, Morikawa M, Ishizaka S et al (2012) Assessment of carotid plaque stability based on the dynamic enhancement pattern in plaque components with multidetector CT angiography. Stroke 43:393–398CrossRefPubMed Horie N, Morikawa M, Ishizaka S et al (2012) Assessment of carotid plaque stability based on the dynamic enhancement pattern in plaque components with multidetector CT angiography. Stroke 43:393–398CrossRefPubMed
36.
Zurück zum Zitat Serfaty JM, Nonent M, Nighoghossian N et al (2006) Plaque density on CT, a potential marker of ischemic stroke. Neurology 66:118–120CrossRefPubMed Serfaty JM, Nonent M, Nighoghossian N et al (2006) Plaque density on CT, a potential marker of ischemic stroke. Neurology 66:118–120CrossRefPubMed
37.
Zurück zum Zitat Wintermark M, Jawadi SS, Rapp JH et al (2008) High-resolution CT imaging of carotid artery atherosclerotic plaques. AJNR Am J Neuroradiol 29:875–882CrossRefPubMed Wintermark M, Jawadi SS, Rapp JH et al (2008) High-resolution CT imaging of carotid artery atherosclerotic plaques. AJNR Am J Neuroradiol 29:875–882CrossRefPubMed
38.
Zurück zum Zitat Camargo EC, Furie KL, Singhal AB et al (2007) Acute brain infarct: detection and delineation with CT angiographic source images versus nonenhanced CT scans. Radiology 244:541–548CrossRefPubMed Camargo EC, Furie KL, Singhal AB et al (2007) Acute brain infarct: detection and delineation with CT angiographic source images versus nonenhanced CT scans. Radiology 244:541–548CrossRefPubMed
39.
Zurück zum Zitat Daniel WG, Erbel R, Kasper W et al (1991) Safety of transesophageal echocardiography. A multicenter survey of 10,419 examinations. Circulation 83:817–821CrossRefPubMed Daniel WG, Erbel R, Kasper W et al (1991) Safety of transesophageal echocardiography. A multicenter survey of 10,419 examinations. Circulation 83:817–821CrossRefPubMed
40.
Zurück zum Zitat Khandheria BK, Seward JB, Tajik AJ (1994) Transesophageal echocardiography. Mayo Clin Proc 69:856–863CrossRefPubMed Khandheria BK, Seward JB, Tajik AJ (1994) Transesophageal echocardiography. Mayo Clin Proc 69:856–863CrossRefPubMed
41.
Zurück zum Zitat Lima FO, Lev MH, Levy RA et al (2010) Functional contrast-enhanced CT for evaluation of acute ischemic stroke does not increase the risk of contrast-induced nephropathy. AJNR Am J Neuroradiol 31:817–821CrossRefPubMed Lima FO, Lev MH, Levy RA et al (2010) Functional contrast-enhanced CT for evaluation of acute ischemic stroke does not increase the risk of contrast-induced nephropathy. AJNR Am J Neuroradiol 31:817–821CrossRefPubMed
42.
Zurück zum Zitat Hankey GJ, Warlow CP, Sellar RJ (1990) Cerebral angiographic risk in mild cerebrovascular disease. Stroke 21:209–222CrossRefPubMed Hankey GJ, Warlow CP, Sellar RJ (1990) Cerebral angiographic risk in mild cerebrovascular disease. Stroke 21:209–222CrossRefPubMed
43.
Zurück zum Zitat Barrett JF, Keat N (2004) Artifacts in CT: recognition and avoidance. Radiographics 24:1679–1691CrossRefPubMed Barrett JF, Keat N (2004) Artifacts in CT: recognition and avoidance. Radiographics 24:1679–1691CrossRefPubMed
44.
Zurück zum Zitat Thompson BH, Stanford W (2004) Imaging of coronary calcification by computed tomography. J Magn Reson Imaging 19:720–733CrossRefPubMed Thompson BH, Stanford W (2004) Imaging of coronary calcification by computed tomography. J Magn Reson Imaging 19:720–733CrossRefPubMed
45.
Zurück zum Zitat Korn A, Bender B, Thomas C, et al (2011) Dual energy CTA of the carotid bifurcation: advantage of plaque subtraction for assessment of grade of the stenosis and morphology. Eur J Radiol 80(2):e120-5 Korn A, Bender B, Thomas C, et al (2011) Dual energy CTA of the carotid bifurcation: advantage of plaque subtraction for assessment of grade of the stenosis and morphology. Eur J Radiol 80(2):e120-5
46.
Zurück zum Zitat Delgado Almandoz JE, Romero JM, Pomerantz SR, Lev MH (2010) Computed tomography angiography of the carotid and cerebral circulation. Radiol Clin North Am 48:265–281, vii–viiiCrossRefPubMed Delgado Almandoz JE, Romero JM, Pomerantz SR, Lev MH (2010) Computed tomography angiography of the carotid and cerebral circulation. Radiol Clin North Am 48:265–281, vii–viiiCrossRefPubMed
47.
Zurück zum Zitat Lell MM, Hinkmann F, Nkenke E et al (2009) Dual energy CTA of the supraaortic arteries: technical improvements with a novel dual source CT system. Eur J Radiol 76:e6–12CrossRefPubMed Lell MM, Hinkmann F, Nkenke E et al (2009) Dual energy CTA of the supraaortic arteries: technical improvements with a novel dual source CT system. Eur J Radiol 76:e6–12CrossRefPubMed
48.
Zurück zum Zitat Ay H, Benner T, Arsava EM et al (2007) A computerized algorithm for etiologic classification of ischemic stroke: the Causative Classification of Stroke System. Stroke 38:2979–2984CrossRefPubMed Ay H, Benner T, Arsava EM et al (2007) A computerized algorithm for etiologic classification of ischemic stroke: the Causative Classification of Stroke System. Stroke 38:2979–2984CrossRefPubMed
49.
Zurück zum Zitat Mackey AE, Abrahamowicz M, Langlois Y et al (1997) Outcome of asymptomatic patients with carotid disease. Asymptomatic Cervical Bruit Study Group. Neurology 48:896–903CrossRefPubMed Mackey AE, Abrahamowicz M, Langlois Y et al (1997) Outcome of asymptomatic patients with carotid disease. Asymptomatic Cervical Bruit Study Group. Neurology 48:896–903CrossRefPubMed
50.
Zurück zum Zitat Rothwell PM, Eliasziw M, Gutnikov SA et al (2003) Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis. Lancet 361:107–116CrossRefPubMed Rothwell PM, Eliasziw M, Gutnikov SA et al (2003) Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis. Lancet 361:107–116CrossRefPubMed
51.
Zurück zum Zitat Lovett JK, Gallagher PJ, Hands LJ, Walton J, Rothwell PM (2004) Histological correlates of carotid plaque surface morphology on lumen contrast imaging. Circulation 110:2190–2197CrossRefPubMed Lovett JK, Gallagher PJ, Hands LJ, Walton J, Rothwell PM (2004) Histological correlates of carotid plaque surface morphology on lumen contrast imaging. Circulation 110:2190–2197CrossRefPubMed
52.
Zurück zum Zitat Ballotta E, Da Giau G, Renon L (2000) Carotid plaque gross morphology and clinical presentation: a prospective study of 457 carotid artery specimens. J Surg Res 89:78–84CrossRefPubMed Ballotta E, Da Giau G, Renon L (2000) Carotid plaque gross morphology and clinical presentation: a prospective study of 457 carotid artery specimens. J Surg Res 89:78–84CrossRefPubMed
53.
Zurück zum Zitat McCarthy MJ, Loftus IM, Thompson MM et al (1999) Angiogenesis and the atherosclerotic carotid plaque: an association between symptomatology and plaque morphology. J Vasc Surg 30:261–268CrossRefPubMed McCarthy MJ, Loftus IM, Thompson MM et al (1999) Angiogenesis and the atherosclerotic carotid plaque: an association between symptomatology and plaque morphology. J Vasc Surg 30:261–268CrossRefPubMed
54.
Zurück zum Zitat Naghavi M, Libby P, Falk E et al (2003) From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: Part I. Circulation 108:1664–1672CrossRefPubMed Naghavi M, Libby P, Falk E et al (2003) From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: Part I. Circulation 108:1664–1672CrossRefPubMed
55.
Zurück zum Zitat Rothwell PM, Gibson R, Warlow CP (2000) Interrelation between plaque surface morphology and degree of stenosis on carotid angiograms and the risk of ischemic stroke in patients with symptomatic carotid stenosis. On behalf of the European Carotid Surgery Trialists’ Collaborative Group. Stroke 31:615–621CrossRefPubMed Rothwell PM, Gibson R, Warlow CP (2000) Interrelation between plaque surface morphology and degree of stenosis on carotid angiograms and the risk of ischemic stroke in patients with symptomatic carotid stenosis. On behalf of the European Carotid Surgery Trialists’ Collaborative Group. Stroke 31:615–621CrossRefPubMed
56.
Zurück zum Zitat Mohr JP, Albers GW, Amarenco P et al (1997) American Heart Association Prevention Conference: IV. Prevention and Rehabilitation of Stroke. Etiology of stroke. Stroke 28:1501–1506CrossRefPubMed Mohr JP, Albers GW, Amarenco P et al (1997) American Heart Association Prevention Conference: IV. Prevention and Rehabilitation of Stroke. Etiology of stroke. Stroke 28:1501–1506CrossRefPubMed
57.
Zurück zum Zitat Flis CM, Jager HR, Sidhu PS (2007) Carotid and vertebral artery dissections: clinical aspects, imaging features and endovascular treatment. Eur Radiol 17:820–834CrossRefPubMed Flis CM, Jager HR, Sidhu PS (2007) Carotid and vertebral artery dissections: clinical aspects, imaging features and endovascular treatment. Eur Radiol 17:820–834CrossRefPubMed
58.
Zurück zum Zitat Scheffel H, Baumueller S, Stolzmann P et al (2009) Atrial myxomas and thrombi: comparison of imaging features on CT. AJR Am J Roentgenol 192:639–645CrossRefPubMed Scheffel H, Baumueller S, Stolzmann P et al (2009) Atrial myxomas and thrombi: comparison of imaging features on CT. AJR Am J Roentgenol 192:639–645CrossRefPubMed
59.
Zurück zum Zitat Kim YJ, Hur J, Choe KO et al (2008) Interatrial shunt detected in coronary computed tomography angiography: differential features of a patent foramen ovale and an atrial septal defect. J Comput Assist Tomogr 32:663–667CrossRefPubMed Kim YJ, Hur J, Choe KO et al (2008) Interatrial shunt detected in coronary computed tomography angiography: differential features of a patent foramen ovale and an atrial septal defect. J Comput Assist Tomogr 32:663–667CrossRefPubMed
60.
Zurück zum Zitat Kim YJ, Hur J, Shim CY et al (2009) Patent foramen ovale: diagnosis with multidetector CT—comparison with transesophageal echocardiography. Radiology 250:61–67CrossRefPubMed Kim YJ, Hur J, Shim CY et al (2009) Patent foramen ovale: diagnosis with multidetector CT—comparison with transesophageal echocardiography. Radiology 250:61–67CrossRefPubMed
61.
Zurück zum Zitat Kim YY, Klein AL, Halliburton SS et al (2007) Left atrial appendage filling defects identified by multidetector computed tomography in patients undergoing radiofrequency pulmonary vein antral isolation: a comparison with transesophageal echocardiography. Am Heart J 154:1199–1205CrossRefPubMed Kim YY, Klein AL, Halliburton SS et al (2007) Left atrial appendage filling defects identified by multidetector computed tomography in patients undergoing radiofrequency pulmonary vein antral isolation: a comparison with transesophageal echocardiography. Am Heart J 154:1199–1205CrossRefPubMed
62.
Zurück zum Zitat Choi SI, George RT, Schuleri KH, Chun EJ, Lima JA, Lardo AC (2009) Recent developments in wide-detector cardiac computed tomography. Int J Cardiovasc Imaging 25(Suppl 1):23–29CrossRefPubMed Choi SI, George RT, Schuleri KH, Chun EJ, Lima JA, Lardo AC (2009) Recent developments in wide-detector cardiac computed tomography. Int J Cardiovasc Imaging 25(Suppl 1):23–29CrossRefPubMed
63.
Zurück zum Zitat Boussel L, Cakmak S, Wintermark M et al (2011) Ischemic stroke: etiologic work-up with multidetector CT of heart and extra- and intracranial arteries. Radiology 258:206–212CrossRefPubMed Boussel L, Cakmak S, Wintermark M et al (2011) Ischemic stroke: etiologic work-up with multidetector CT of heart and extra- and intracranial arteries. Radiology 258:206–212CrossRefPubMed
65.
Zurück zum Zitat Wolf PA, Abbott RD, Kannel WB (1991) Atrial fibrillation as an independent risk factor for stroke: the Framingham Study. Stroke 22:983–988CrossRefPubMed Wolf PA, Abbott RD, Kannel WB (1991) Atrial fibrillation as an independent risk factor for stroke: the Framingham Study. Stroke 22:983–988CrossRefPubMed
66.
Zurück zum Zitat Lin HJ, Wolf PA, Kelly-Hayes M et al (1996) Stroke severity in atrial fibrillation. The Framingham Study. Stroke 27:1760–1764CrossRefPubMed Lin HJ, Wolf PA, Kelly-Hayes M et al (1996) Stroke severity in atrial fibrillation. The Framingham Study. Stroke 27:1760–1764CrossRefPubMed
67.
68.
Zurück zum Zitat Martinez MW, Kirsch J, Williamson EE et al (2009) Utility of nongated multidetector computed tomography for detection of left atrial thrombus in patients undergoing catheter ablation of atrial fibrillation. JACC Cardiovasc Imaging 2:69–76CrossRefPubMed Martinez MW, Kirsch J, Williamson EE et al (2009) Utility of nongated multidetector computed tomography for detection of left atrial thrombus in patients undergoing catheter ablation of atrial fibrillation. JACC Cardiovasc Imaging 2:69–76CrossRefPubMed
69.
Zurück zum Zitat Hur J, Kim YJ, Lee HJ et al (2009) Left atrial appendage thrombi in stroke patients: detection with two-phase cardiac CT angiography versus transesophageal echocardiography. Radiology 251:683–690CrossRefPubMed Hur J, Kim YJ, Lee HJ et al (2009) Left atrial appendage thrombi in stroke patients: detection with two-phase cardiac CT angiography versus transesophageal echocardiography. Radiology 251:683–690CrossRefPubMed
70.
Zurück zum Zitat Witt BJ, Brown RD Jr, Jacobsen SJ, Weston SA, Yawn BP, Roger VL (2005) A community-based study of stroke incidence after myocardial infarction. Ann Intern Med 143:785–792CrossRefPubMed Witt BJ, Brown RD Jr, Jacobsen SJ, Weston SA, Yawn BP, Roger VL (2005) A community-based study of stroke incidence after myocardial infarction. Ann Intern Med 143:785–792CrossRefPubMed
71.
Zurück zum Zitat Loh E, Sutton MS, Wun CC et al (1997) Ventricular dysfunction and the risk of stroke after myocardial infarction. N Engl J Med 336:251–257CrossRefPubMed Loh E, Sutton MS, Wun CC et al (1997) Ventricular dysfunction and the risk of stroke after myocardial infarction. N Engl J Med 336:251–257CrossRefPubMed
72.
Zurück zum Zitat Cardiogenic brain embolism. The second report of the Cerebral Embolism Task Force. Arch Neurol (1989) 46 727–743 Cardiogenic brain embolism. The second report of the Cerebral Embolism Task Force. Arch Neurol (1989) 46 727–743
73.
Zurück zum Zitat Foster CJ, Sekiya T, Love HG, Brownlee WC, Griffin JF, Isherwood I (1987) Identification of intracardiac thrombus: comparison of computed tomography and cross-sectional echocardiography. Br J Radiol 60:327–331CrossRefPubMed Foster CJ, Sekiya T, Love HG, Brownlee WC, Griffin JF, Isherwood I (1987) Identification of intracardiac thrombus: comparison of computed tomography and cross-sectional echocardiography. Br J Radiol 60:327–331CrossRefPubMed
74.
Zurück zum Zitat Brodoefel H, Reimann A, Klumpp B et al (2007) Sixty-four-slice CT in the assessment of global and regional left ventricular function: comparison with MRI in a porcine model of acute and subacute myocardial infarction. Eur Radiol 17:2948–2956CrossRefPubMed Brodoefel H, Reimann A, Klumpp B et al (2007) Sixty-four-slice CT in the assessment of global and regional left ventricular function: comparison with MRI in a porcine model of acute and subacute myocardial infarction. Eur Radiol 17:2948–2956CrossRefPubMed
75.
Zurück zum Zitat Cury RC, Nieman K, Shapiro MD et al (2008) Comprehensive assessment of myocardial perfusion defects, regional wall motion, and left ventricular function by using 64-section multidetector CT. Radiology 248:466–475CrossRefPubMed Cury RC, Nieman K, Shapiro MD et al (2008) Comprehensive assessment of myocardial perfusion defects, regional wall motion, and left ventricular function by using 64-section multidetector CT. Radiology 248:466–475CrossRefPubMed
76.
Zurück zum Zitat Mochizuki T, Koyama Y, Tanaka H, Ikezoe J, Shen Y, Azemoto S (1998) Images in cardiovascular medicine. Left ventricular thrombus detected by two- and three-dimensional computed tomographic ventriculography: a new application of helical CT. Circulation 98:933–934CrossRefPubMed Mochizuki T, Koyama Y, Tanaka H, Ikezoe J, Shen Y, Azemoto S (1998) Images in cardiovascular medicine. Left ventricular thrombus detected by two- and three-dimensional computed tomographic ventriculography: a new application of helical CT. Circulation 98:933–934CrossRefPubMed
77.
Zurück zum Zitat Adams RJ, Chimowitz MI, Alpert JS et al (2003) Coronary risk evaluation in patients with transient ischemic attack and ischemic stroke: a scientific statement for healthcare professionals from the Stroke Council and the Council on Clinical Cardiology of the American Heart Association/American Stroke Association. Stroke 34:2310–2322CrossRefPubMed Adams RJ, Chimowitz MI, Alpert JS et al (2003) Coronary risk evaluation in patients with transient ischemic attack and ischemic stroke: a scientific statement for healthcare professionals from the Stroke Council and the Council on Clinical Cardiology of the American Heart Association/American Stroke Association. Stroke 34:2310–2322CrossRefPubMed
78.
Zurück zum Zitat Dhamoon MS, Sciacca RR, Rundek T, Sacco RL, Elkind MS (2006) Recurrent stroke and cardiac risks after first ischemic stroke: the Northern Manhattan Study. Neurology 66:641–646CrossRefPubMed Dhamoon MS, Sciacca RR, Rundek T, Sacco RL, Elkind MS (2006) Recurrent stroke and cardiac risks after first ischemic stroke: the Northern Manhattan Study. Neurology 66:641–646CrossRefPubMed
79.
Zurück zum Zitat Touze E, Varenne O, Chatellier G, Peyrard S, Rothwell PM, Mas JL (2005) Risk of myocardial infarction and vascular death after transient ischemic attack and ischemic stroke: a systematic review and meta-analysis. Stroke 36:2748–2755CrossRefPubMed Touze E, Varenne O, Chatellier G, Peyrard S, Rothwell PM, Mas JL (2005) Risk of myocardial infarction and vascular death after transient ischemic attack and ischemic stroke: a systematic review and meta-analysis. Stroke 36:2748–2755CrossRefPubMed
80.
Zurück zum Zitat Hamon M, Morello R, Riddell JW (2007) Coronary arteries: diagnostic performance of 16- versus 64-section spiral CT compared with invasive coronary angiography—meta-analysis. Radiology 245:720–731CrossRefPubMed Hamon M, Morello R, Riddell JW (2007) Coronary arteries: diagnostic performance of 16- versus 64-section spiral CT compared with invasive coronary angiography—meta-analysis. Radiology 245:720–731CrossRefPubMed
81.
Zurück zum Zitat Falk RH, Foster E, Coats MH (1992) Ventricular thrombi and thromboembolism in dilated cardiomyopathy: a prospective follow-up study. Am Heart J 123:136–142CrossRefPubMed Falk RH, Foster E, Coats MH (1992) Ventricular thrombi and thromboembolism in dilated cardiomyopathy: a prospective follow-up study. Am Heart J 123:136–142CrossRefPubMed
82.
Zurück zum Zitat Crawford TC, Smith WT, Velazquez EJ, Taylor SM, Jollis JG, Kisslo J (2004) Prognostic usefulness of left ventricular thrombus by echocardiography in dilated cardiomyopathy in predicting stroke, transient ischemic attack, and death. Am J Cardiol 93:500–503CrossRefPubMed Crawford TC, Smith WT, Velazquez EJ, Taylor SM, Jollis JG, Kisslo J (2004) Prognostic usefulness of left ventricular thrombus by echocardiography in dilated cardiomyopathy in predicting stroke, transient ischemic attack, and death. Am J Cardiol 93:500–503CrossRefPubMed
83.
Zurück zum Zitat Kalaria VG, Passannante MR, Shah T, Modi K, Weisse AB (1998) Effect of mitral regurgitation on left ventricular thrombus formation in dilated cardiomyopathy. Am Heart J 135:215–220CrossRefPubMed Kalaria VG, Passannante MR, Shah T, Modi K, Weisse AB (1998) Effect of mitral regurgitation on left ventricular thrombus formation in dilated cardiomyopathy. Am Heart J 135:215–220CrossRefPubMed
84.
Zurück zum Zitat Wein TH, Bornstein NM (2000) Stroke prevention: cardiac and carotid-related stroke. Neurol Clin 18:321–341CrossRefPubMed Wein TH, Bornstein NM (2000) Stroke prevention: cardiac and carotid-related stroke. Neurol Clin 18:321–341CrossRefPubMed
85.
Zurück zum Zitat Estep JD, Stainback RF, Little SH, Torre G, Zoghbi WA (2010) The role of echocardiography and other imaging modalities in patients with left ventricular assist devices. JACC Cardiovasc Imaging 3:1049–1064CrossRefPubMed Estep JD, Stainback RF, Little SH, Torre G, Zoghbi WA (2010) The role of echocardiography and other imaging modalities in patients with left ventricular assist devices. JACC Cardiovasc Imaging 3:1049–1064CrossRefPubMed
86.
Zurück zum Zitat Grebenc ML, Rosado-de-Christenson ML, Green CE, Burke AP, Galvin JR (2002) Cardiac myxoma: imaging features in 83 patients. Radiographics 22:673–689PubMed Grebenc ML, Rosado-de-Christenson ML, Green CE, Burke AP, Galvin JR (2002) Cardiac myxoma: imaging features in 83 patients. Radiographics 22:673–689PubMed
87.
Zurück zum Zitat Burke A, Jeudy J Jr, Virmani R (2008) Cardiac tumours: an update: Cardiac tumours. Heart 94:117–123CrossRefPubMed Burke A, Jeudy J Jr, Virmani R (2008) Cardiac tumours: an update: Cardiac tumours. Heart 94:117–123CrossRefPubMed
88.
Zurück zum Zitat Araoz PA, Eklund HE, Welch TJ, Breen JF (1999) CT and MR imaging of primary cardiac malignancies. Radiographics 19:1421–1434PubMed Araoz PA, Eklund HE, Welch TJ, Breen JF (1999) CT and MR imaging of primary cardiac malignancies. Radiographics 19:1421–1434PubMed
89.
Zurück zum Zitat Jang KH, Shin DH, Lee C, Jang JK, Cheong S, Yoo SY (2010) Left atrial mass with stalk: thrombus or myxoma? J Cardiovasc Ultrasound 18:154–156CrossRefPubMed Jang KH, Shin DH, Lee C, Jang JK, Cheong S, Yoo SY (2010) Left atrial mass with stalk: thrombus or myxoma? J Cardiovasc Ultrasound 18:154–156CrossRefPubMed
90.
Zurück zum Zitat Hesse B, Murphy RT, Myles J, Huang J, Sabik EM (2006) Images in cardiovascular medicine. A left atrial appendage thrombus mimicking atrial myxoma. Circulation 113:e456–457CrossRefPubMed Hesse B, Murphy RT, Myles J, Huang J, Sabik EM (2006) Images in cardiovascular medicine. A left atrial appendage thrombus mimicking atrial myxoma. Circulation 113:e456–457CrossRefPubMed
91.
Zurück zum Zitat Chiang CW, Lo SK, Ko YS, Cheng NJ, Lin PJ, Chang CH (1998) Predictors of systemic embolism in patients with mitral stenosis. A prospective study. Ann Intern Med 128:885–889CrossRefPubMed Chiang CW, Lo SK, Ko YS, Cheng NJ, Lin PJ, Chang CH (1998) Predictors of systemic embolism in patients with mitral stenosis. A prospective study. Ann Intern Med 128:885–889CrossRefPubMed
92.
Zurück zum Zitat Benjamin EJ, Plehn JF, D’Agostino RB et al (1992) Mitral annular calcification and the risk of stroke in an elderly cohort. N Engl J Med 327:374–379CrossRefPubMed Benjamin EJ, Plehn JF, D’Agostino RB et al (1992) Mitral annular calcification and the risk of stroke in an elderly cohort. N Engl J Med 327:374–379CrossRefPubMed
93.
Zurück zum Zitat Fox CS, Parise H, Vasan RS et al (2004) Mitral annular calcification is a predictor for incident atrial fibrillation. Atherosclerosis 173:291–294CrossRefPubMed Fox CS, Parise H, Vasan RS et al (2004) Mitral annular calcification is a predictor for incident atrial fibrillation. Atherosclerosis 173:291–294CrossRefPubMed
94.
Zurück zum Zitat Otto CM, Lind BK, Kitzman DW, Gersh BJ, Siscovick DS (1999) Association of aortic-valve sclerosis with cardiovascular mortality and morbidity in the elderly. N Engl J Med 341:142–147CrossRefPubMed Otto CM, Lind BK, Kitzman DW, Gersh BJ, Siscovick DS (1999) Association of aortic-valve sclerosis with cardiovascular mortality and morbidity in the elderly. N Engl J Med 341:142–147CrossRefPubMed
95.
Zurück zum Zitat Pannu HK, Jacobs JE, Lai S, Fishman EK (2006) Gated cardiac imaging of the aortic valve on 64-slice multidetector row computed tomography: preliminary observations. J Comput Assist Tomogr 30:443–446CrossRefPubMed Pannu HK, Jacobs JE, Lai S, Fishman EK (2006) Gated cardiac imaging of the aortic valve on 64-slice multidetector row computed tomography: preliminary observations. J Comput Assist Tomogr 30:443–446CrossRefPubMed
96.
Zurück zum Zitat Hart RG, Foster JW, Luther MF, Kanter MC (1990) Stroke in infective endocarditis. Stroke 21:695–700CrossRefPubMed Hart RG, Foster JW, Luther MF, Kanter MC (1990) Stroke in infective endocarditis. Stroke 21:695–700CrossRefPubMed
97.
Zurück zum Zitat Feuchtner GM, Stolzmann P, Dichtl W et al (2009) Multislice computed tomography in infective endocarditis: comparison with transesophageal echocardiography and intraoperative findings. J Am Coll Cardiol 53:436–444CrossRefPubMed Feuchtner GM, Stolzmann P, Dichtl W et al (2009) Multislice computed tomography in infective endocarditis: comparison with transesophageal echocardiography and intraoperative findings. J Am Coll Cardiol 53:436–444CrossRefPubMed
98.
Zurück zum Zitat Kim RJ, Weinsaft JW, Callister TQ, Min JK (2007) Evaluation of prosthetic valve endocarditis by 64-row multidetector computed tomography. Int J Cardiol 120:e27–29CrossRefPubMed Kim RJ, Weinsaft JW, Callister TQ, Min JK (2007) Evaluation of prosthetic valve endocarditis by 64-row multidetector computed tomography. Int J Cardiol 120:e27–29CrossRefPubMed
99.
Zurück zum Zitat Panwar SR, Singh S, Nanda NC, Singh A, Yelamanchili P, Pothineni KR (2007) Identification of tricuspid valve vegetation by computed tomography scan. Echocardiography 24:272–273CrossRefPubMed Panwar SR, Singh S, Nanda NC, Singh A, Yelamanchili P, Pothineni KR (2007) Identification of tricuspid valve vegetation by computed tomography scan. Echocardiography 24:272–273CrossRefPubMed
100.
Zurück zum Zitat Christiaens L, Ardilouze P, Sorbets E (2006) Aortic valvular endocarditis visualised by 16-row detector multislice computed tomography. Heart 92:1466CrossRefPubMed Christiaens L, Ardilouze P, Sorbets E (2006) Aortic valvular endocarditis visualised by 16-row detector multislice computed tomography. Heart 92:1466CrossRefPubMed
101.
Zurück zum Zitat Gahide G, Bommart S, Demaria R et al (2010) Preoperative evaluation in aortic endocarditis: findings on cardiac CT. AJR Am J Roentgenol 194:574–578CrossRefPubMed Gahide G, Bommart S, Demaria R et al (2010) Preoperative evaluation in aortic endocarditis: findings on cardiac CT. AJR Am J Roentgenol 194:574–578CrossRefPubMed
102.
Zurück zum Zitat Jacob S, Tong AT (2002) Role of echocardiography in the diagnosis and management of infective endocarditis. Curr Opin Cardiol 17:478–485CrossRefPubMed Jacob S, Tong AT (2002) Role of echocardiography in the diagnosis and management of infective endocarditis. Curr Opin Cardiol 17:478–485CrossRefPubMed
103.
Zurück zum Zitat Serena J, Marti-Fabregas J, Santamarina E et al (2008) Recurrent stroke and massive right-to-left shunt: results from the prospective Spanish multicenter (CODICIA) study. Stroke 39:3131–3136CrossRefPubMed Serena J, Marti-Fabregas J, Santamarina E et al (2008) Recurrent stroke and massive right-to-left shunt: results from the prospective Spanish multicenter (CODICIA) study. Stroke 39:3131–3136CrossRefPubMed
104.
Zurück zum Zitat Mas JL, Arquizan C, Lamy C et al (2001) Recurrent cerebrovascular events associated with patent foramen ovale, atrial septal aneurysm, or both. N Engl J Med 345:1740–1746CrossRefPubMed Mas JL, Arquizan C, Lamy C et al (2001) Recurrent cerebrovascular events associated with patent foramen ovale, atrial septal aneurysm, or both. N Engl J Med 345:1740–1746CrossRefPubMed
105.
Zurück zum Zitat Homma S, Sacco RL, Di Tullio MR, Sciacca RR, Mohr JP (2002) Effect of medical treatment in stroke patients with patent foramen ovale: patent foramen ovale in Cryptogenic Stroke Study. Circulation 105:2625–2631CrossRefPubMed Homma S, Sacco RL, Di Tullio MR, Sciacca RR, Mohr JP (2002) Effect of medical treatment in stroke patients with patent foramen ovale: patent foramen ovale in Cryptogenic Stroke Study. Circulation 105:2625–2631CrossRefPubMed
106.
Zurück zum Zitat Florez JC, Ay H, Van Cott EM, Buonanno FS (2003) Patent foramen ovale and hypercoagulability as combined risk factors for stroke. J Stroke Cerebrovasc Dis 12:114–118CrossRefPubMed Florez JC, Ay H, Van Cott EM, Buonanno FS (2003) Patent foramen ovale and hypercoagulability as combined risk factors for stroke. J Stroke Cerebrovasc Dis 12:114–118CrossRefPubMed
107.
Zurück zum Zitat Silver MD, Dorsey JS (1978) Aneurysms of the septum primum in adults. Arch Pathol Lab Med 102:62–65PubMed Silver MD, Dorsey JS (1978) Aneurysms of the septum primum in adults. Arch Pathol Lab Med 102:62–65PubMed
108.
Zurück zum Zitat Mattioli AV, Aquilina M, Oldani A, Longhini C, Mattioli G (2001) Atrial septal aneurysm as a cardioembolic source in adult patients with stroke and normal carotid arteries. A multicentre study. Eur Heart J 22:261–268CrossRefPubMed Mattioli AV, Aquilina M, Oldani A, Longhini C, Mattioli G (2001) Atrial septal aneurysm as a cardioembolic source in adult patients with stroke and normal carotid arteries. A multicentre study. Eur Heart J 22:261–268CrossRefPubMed
109.
Zurück zum Zitat Agmon Y, Khandheria BK, Meissner I et al (1999) Frequency of atrial septal aneurysms in patients with cerebral ischemic events. Circulation 99:1942–1944CrossRefPubMed Agmon Y, Khandheria BK, Meissner I et al (1999) Frequency of atrial septal aneurysms in patients with cerebral ischemic events. Circulation 99:1942–1944CrossRefPubMed
110.
Zurück zum Zitat Fleiner M, Kummer M, Mirlacher M et al (2004) Arterial neovascularization and inflammation in vulnerable patients: early and late signs of symptomatic atherosclerosis. Circulation 110:2843–2850CrossRefPubMed Fleiner M, Kummer M, Mirlacher M et al (2004) Arterial neovascularization and inflammation in vulnerable patients: early and late signs of symptomatic atherosclerosis. Circulation 110:2843–2850CrossRefPubMed
111.
Zurück zum Zitat Miralles M, Merino J, Busto M, Perich X, Barranco C, Vidal-Barraquer F (2006) Quantification and characterization of carotid calcium with multi-detector CT-angiography. Eur J Vasc Endovasc Surg 32:561–567CrossRefPubMed Miralles M, Merino J, Busto M, Perich X, Barranco C, Vidal-Barraquer F (2006) Quantification and characterization of carotid calcium with multi-detector CT-angiography. Eur J Vasc Endovasc Surg 32:561–567CrossRefPubMed
112.
Zurück zum Zitat Nandalur KR, Hardie AD, Raghavan P, Schipper MJ, Baskurt E, Kramer CM (2007) Composition of the stable carotid plaque: insights from a multidetector computed tomography study of plaque volume. Stroke 38:935–940CrossRefPubMed Nandalur KR, Hardie AD, Raghavan P, Schipper MJ, Baskurt E, Kramer CM (2007) Composition of the stable carotid plaque: insights from a multidetector computed tomography study of plaque volume. Stroke 38:935–940CrossRefPubMed
Metadaten
Titel
Role of cardiac and extracranial vascular CT in the evaluation/management of cerebral ischemia and stroke
verfasst von
Shahmir Kamalian
Shervin Kamalian
Stuart R. Pomerantz
Teerath P. Tanpitukpongse
Rajiv Gupta
Javier M. Romero
Douglas S. Katz
Publikationsdatum
01.10.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Emergency Radiology / Ausgabe 5/2013
Print ISSN: 1070-3004
Elektronische ISSN: 1438-1435
DOI
https://doi.org/10.1007/s10140-013-1116-x

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