AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesInformation ScienceHealth Care
Echocardiography, TransesophagealEchocardiographyEchocardiography, Three-DimensionalEchocardiography, DopplerEchocardiography, Doppler, ColorStrokeHeart Septal Defects, AtrialMitral ValveAtrial AppendageHeart AtriaEchocardiography, StressMitral Valve InsufficiencyHeart DiseasesEmbolismHeart Valve ProsthesisAortic DiseasesHeart Valve DiseasesHeart NeoplasmsIntraoperative CareEsophagusAortic ValveEchocardiography, Doppler, PulsedThrombosisMonitoring, IntraoperativeCardiac CatheterizationDobutamineCardiac Surgical ProceduresMitral Valve ProlapseAtrial Function, LeftForamen Ovale, PatentAortic Valve InsufficiencyVentricular Function, LeftChordae TendineaeObserver VariationPredictive Value of TestsHeart Valve Prosthesis ImplantationProspective StudiesStroke VolumeEndocarditisAorta, ThoracicHeart VentriclesAtrial FibrillationIntraoperative PeriodSensitivity and SpecificityHeart AneurysmSeptal Occluder DeviceVentricular Dysfunction, LeftEmbolism, ParadoxicalMyxomaHeart SeptumFeasibility StudiesIntracranial EmbolismMitral Valve StenosisEndocarditis, BacterialPulmonary VeinsElectric CountershockHeart Defects, CongenitalBlood Flow VelocityHemodynamicsThoraxElectrocardiographyHeart Septal Defects, VentricularAortic AneurysmTricuspid ValveThromboembolismAortic Valve StenosisTreatment OutcomeHeart RuptureReproducibility of ResultsFollow-Up StudiesBenzocaineTricuspid Valve InsufficiencyDiastoleContrast MediaAneurysm, DissectingEmbolism, AirMyocardial ContractionUltrasonography, InterventionalSystoleAtrial SeptumEvaluation Studies as TopicIntracranial Embolism and ThrombosisCerebrovascular DisordersCoronary CirculationTomography, X-Ray ComputedRisk FactorsCoronary AngiographyTime FactorsPulmonary EmbolismThermodilutionCrisscross HeartCor TriatriatumBrain IschemiaHeartCardiac TamponadeIschemic Attack, TransientHeart ValvesHematomaExercise TestWarfarin
Patent ForamTrans-esophageal EchocardiographyAtrialTransientTransthoracic and transesophagealUltrasoundCryptogenicEchocardiographicTransoesophageal echocardiographyUltrasonographyAccounts for approximately 20TranscranialAortic valveCirculationClinicalAbstractCardiac magneticPredictsPrevalenceYoung Patients with Ischemic StrokeUnderwentDiagnosisCardiovascularDiagnosticOutcomesEchocardiogramFindingsRecurrent strokeSedationSymptomaticEndocarditisRecurrence in PatientsIschemic stroke patientsEtiologyEmbolic sourcesThrombusIntracardiacArterialArteriesEmbolismCardioembolicPatients with StrokeModalityRetrospectivelyClosureDetectionHemorrhagicEvaluationSeverityCause of strokeCerebrovascular DiseasesIncidenceAcute Stroke Treatment
Patent Foram9
Trans-esophageal Echocardiography1
  • When used appropriately, Trans-esophageal Echocardiography (TEE) can be an incredibly useful tool to identify potential causes of stroke and guide management. (ochsner.org)
Atrial18
  • Embolic stroke due to atrial fibrillation is a common observation, especially in the elderly. (nih.gov)
  • Most thrombi in atrial fibrillation form in the left atrial appendage (LAA), its occlusion may therefore reduce the incidence of stroke in these patients. (nih.gov)
  • ARCADIA is a multicenter, biomarker-driven, randomized, double-blind, active-control, phase 3 clinical trial of apixaban versus aspirin in patients who have evidence of atrial cardiopathy and a recent stroke of unknown cause. (bmc.org)
  • Although standard-of-card echocardiography will be used to make diagnoses of cryptogenic stroke and for atrial cardiopathy criteria, these echocardiograms will be centrally read as well to confirm local readings and provide feedback to local sites. (bmc.org)
  • The absence of left atrial appendage ligation together with a low-flow velocity and spontaneous echo contrast are variables that, according to the findings of our study, are associated with increased stroke risk. (hcplive.com)
  • Certain changes (e.g. atrial septal aneurysm) might have a potential embolic role in younger stroke patients but in our study no difference was found between older stroke patients and controls. (lu.se)
  • If the patient with new-onset atrial fibrillation is symptomatic, cardioversion may need to be performed imminently (if no thrombus is visualized on transesophageal echocardiography). (jwatch.org)
  • Exclusion criteria were contraindications to transesophageal echocardiography and atrial fibrillation. (thoracickey.com)
  • 1 An increased risk of embolic stroke is a major risk factor associated with the diagnosis of atrial fibrillation. (hcplive.com)
  • 2 Although the risk of ischemic stroke related to atrial fibrillation is significantly reduced with warfarin (Coumadin) treatment, anticoagulation treatment can possibly lead to an increased risk of complications from bleeding. (hcplive.com)
  • 4,6,7 The other strategy, which is usually applied more selectively, is the use of transthoracic and transesophageal echocardiography to help assess thromboembolic risk in patients with atrial fibrillation. (hcplive.com)
  • The prevalence of procedural complications, including erosion, device embolization, stroke, and new-onset atrial arrhythmia, and the presence of a residual shunt were evaluated between the two groups during 12-month follow-up. (elsevierpure.com)
  • Atrial thrombi may form, causing a significant risk of embolic stroke. (msdmanuals.com)
  • 12 An atrial septal aneurysm-a bulge in the fossa ovalis-can occur with an interatrial communication and appears to be an additional risk factor for cryptogenic stroke and hypoxemia. (allenpress.com)
  • Atrial fibrillation in patients with cryptogenic stroke. (ijconline.id)
  • Cryptogenic stroke and underlying atrial fibrillation. (ijconline.id)
  • Cryptogenic ischemic stroke and prevalence of asymptomatic atrial fibrillation: a prospective study. (ijconline.id)
  • Diagnosis of atrial fibrillation in young patients with ischemic stroke: A systematic review and meta-analysis. (researcher.life)
Transient7
  • This may lead to a stroke or transient ischemic attack. (wikipedia.org)
  • Study Objectives: About a quarter of strokes and transient ischemic attacks occur in the vertebrobasilar distribution. (scirp.org)
  • 75 years, diabetes, and previous stroke or transient ischemic attack) score, which delineates higher-risk patient populations for whom anticoagulation is recommended and lower risk populations for whom it may not be necessary. (hcplive.com)
  • Transesophageal echocardiography in the management of transient ischemic attack and ischemic stroke. (club1.com.ua)
  • Incidence, outcome, risk factors, and long-term prognosis of cryptogenic transient ischaemic attack and ischaemic stroke: a population-based study. (ijconline.id)
  • Ischemic stroke and transient ischemic attack in young adults: risk factors, diagnostic yield, neuroimaging, and thrombolysis. (ijconline.id)
  • 2 A bubble study is indicated following a stroke or transient ischemic attack (TIA), especially when there is no obvious cause (cryptogenic), with a history of migraines, and a history of deep vein thrombosis (DVT) with anticoagulation. (novasignal.com)
Transthoracic and transesophageal1
  • It also includes the Transthoracic and Transesophageal Echocardiography (TTE/TEE) Appropriateness Criteria Tool with a list of uses of echocardiography and a decision support application to guide physicians in the ordering of SPECT MPI for the detection and risk assessment of coronary artery disease. (feedreader.com)
Ultrasound6
  • In transesophageal echocardiography (TEE), the ultrasound probe is passed down the throat to the food pipe. (epnet.com)
  • Ultrasound energy can enhance the effects of thrombolytic agents, such as urokinase, and clinical trials of therapeutic ultrasound catheters for treatment of strokes are underway. (go.jp)
  • All subjects underwent magnetic resonance imaging of the brain, carotid ultrasound and transthoracic/transoesophageal echocardiography. (lu.se)
  • Intra-arrest transesophageal echocardiography can be used as a point-of-care ultrasound method to diagnose the cause of cardiac arrest, determine the presence of cardiac contractions, evaluate the quality of CPR, assist with catheter insertion, and explore the mechanism of blood flow during CPR. (ceemjournal.org)
  • TEE in the ED has been used in urgent situations such as cardiac arrest (CA). Recent cardiopulmonary resuscitation (CPR) guidelines recommend or suggest the use of point-of-care ultrasound as a method to determine the reversible cause of CA during CPR, thus encouraging the use of echocardiography during the performance of advanced life support [ 1 , 2 ]. (ceemjournal.org)
  • 1 A bubble study can be performed using transcranial Doppler (TCD) ultrasound, as well as using transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE). (novasignal.com)
Cryptogenic6
  • However, the etiology of around a quarter of ischemic stroke are undetermined, this is called cryptogenic stroke. (ijconline.id)
  • Despite many advanced knowledge on stroke generally, cryptogenic stroke is still a challenge in clinical settings. (ijconline.id)
  • To understand more about cryptogenic stroke, a new term of embolic strokes of undetermined source (ESUS) is proposed and may need a specific workup. (ijconline.id)
  • The term of ESUS also leads to the understanding that cryptogenic stroke is highly related to embolic mechanism and anticoagulation administration might benefit the patients. (ijconline.id)
  • This occurs in approximately 25% of the population, and in up to 40% of those with cryptogenic stroke. (novasignal.com)
  • Therefore, when a PFO is identified as the source of a cryptogenic stroke, it can be surgically closed to prevent further adverse events. (novasignal.com)
Echocardiographic4
  • The aim of this study was to test the feasibility of the assessment of right ventricular (RV) volumes and function using real-time three-dimensional (3D) transesophageal echocardiographic (TEE) imaging in patients undergoing cardiac surgery. (thoracickey.com)
  • Moreover, a new generation of transesophageal echocardiographic (TEE) probes with a novel matrix-array technique has been introduced, allowing 3D TEE representation of the cardiac structures in real time. (thoracickey.com)
  • It provides numerous types of echocardiographic information, including two-dimensional or three-dimensional images, M-mode, color flow imaging, Doppler studies, and related calculations, such as transthoracic echocardiography (TTE). (ceemjournal.org)
  • 1993. Transesophageal echocardiographic localization of an aortic valve papillary fibroelastoma during routine coronary artery bypass surgery. . (cornell.edu)
Transoesophageal echocardiography1
Ultrasonography1
Accounts for approximately 201
Transcranial1
  • Methods: Thirty-eight consecutive patients who were undergoing PFO closure had simultaneous transcranial Doppler and intracardiac echocardiography performed. (elsevierpure.com)
Aortic valve2
Circulation6
  • the daggers [ † ] indicate emboli originating in the venous circulation or right heart that cause ischemic stroke via abnormal cardiac or pulmonary shunting around the pulmonary capillary bed. (medscape.com)
  • Study Design: This was across sectional observational prospective hospital-based study conducted on 60 patients with first-ever acute posterior circulation ischemic stroke. (scirp.org)
  • It was found that largeartery atherosclerosis (LAA) was the most common stroke etiology in posterior circulation being present in (53.3%) of the patient group and was common in group II and III in contrast to group I patients. (scirp.org)
  • Conclusions: Different vascular risk factors such as hypertension, diabetes, dyslipidemia, and smoking are present in all infarction patterns of posterior circulation ischemic stroke either single or multiple infarctions. (scirp.org)
  • Small vessel disease was the most common stroke etiology for single small lacunar lesion while large artery atherosclerosis was associated with single large lesion and multiple lesions in the posterior circulation. (scirp.org)
  • Posterior circulation ischemic stroke is a clinical syndrome that is classically defined by infarction occurring within the vascular territory supplied by the vertebrobasilar arterial system. (scirp.org)
Clinical8
  • This review seeks to discuss the role of TEE in identifying common etiologies of cardioembolic stroke, review the clinical entities, and the highlight the most recent management recommendations. (ochsner.org)
  • Patients with a clinical lacunar stroke syndrome and no infarct on imaging are excluded. (bmc.org)
  • Diagnosis of ischemic stroke and stroke subtypes were defined using the Trial of ORG 10,172 in Acute Stroke Treatment (TOAST) criteria as well as clinical and brain imaging features. (scirp.org)
  • However, clinical characteristics and outcomes in stroke patients with cancer-associated NBTE are not well known. (j-stroke.org)
  • Embolic strokes of undetermined source: the case for a new clinical construct. (ijconline.id)
  • Despite its rarity, the occurrence of stroke in children has age-related differences in risk factors, etiopathogenesis, and clinical presentations. (springeropen.com)
  • The goal of the current study was to compare the characteristics, clinical features, etiology, subtypes, and workup of pediatric and adult strokes. (springeropen.com)
  • The clinical presentation of pediatric stroke is extremely various, depending on age, cause, affected vascular territory, and stroke subtype. (springeropen.com)
Abstract1
Cardiac magnetic1
Predicts1
  • 1996. Severity of aortic atheromatous disease diagnosed by transesophageal echocardiography predicts stroke and other outcomes associated with coronary artery surgery: a prospective study. . (cornell.edu)
Prevalence1
  • The diagnosis of stroke is particularly perplexing in children because of the high prevalence of stroke mimics (migraine, Todd's paralysis, and psychogenic causes) as history and physical examination alone cannot reliably distinguish stroke and mimics [ 6 ]. (springeropen.com)
Young Patients with Ischemic Stroke1
  • 11. Wolf ME, Grittner U, Böttcher T, Norrving B, Rolfs A, Hennerici MG. Phenotypic ASCO Characterisation of Young Patients with Ischemic Stroke in the Prospective Multicentre Observational sifap1 Study. (ijconline.id)
Underwent3
  • METHOD: Transversal study: 523 patients (267 men and 256 women) with ischemic stroke, without any evidence of cardiac abnormality, underwent to TEE. (ox.ac.uk)
  • Forty consecutive patients ≥50 years of age who sustained a recent ischemic stroke and/or systemic emboli (within 15 days after the onset of the event) were enrolled in the study and underwent TEE and DHCT without contrast injection using thin slice acquisition (3.2 mm thickness and 1.5 mm reconstruction increment). (ima.org.il)
  • We included consecutive patients with stroke and active cancer over a 9-year period who underwent echocardiography. (j-stroke.org)
Diagnosis1
  • However, the high rate of morbidity and mortality in pediatric stroke is ascribed to significant delays in diagnosis, and this is because of a lack of awareness as well as its rarity. (springeropen.com)
Cardiovascular2
Diagnostic3
  • When undertaking diagnostic and treatment procedures for stroke patients, it is essential to evaluate vascular lesions at the extracranial and intracranial cerebral arteries and aortic arch and to look for underlying heart diseases. (go.jp)
  • This study aimed to investigate the diagnostic value of spectral cardiac CT compared to conventional CT for the detection of cardiac thrombi in acute stroke patients. (bvsalud.org)
  • Transesophageal echocardiography (TEE) is a diagnostic tool that can obtain images of the heart from its nearest location. (ceemjournal.org)
Outcomes3
  • Subjects will be followed for a minimum of 1.5 years and a maximum of 4 years for the primary efficacy outcome of recurrent stroke and the primary safety outcomes of symptomatic intracranial hemorrhage and major hemorrhage other than intracranial hemorrhage. (bmc.org)
  • Although patients with acute stroke and active cancer are known to have a substantial short-term risk of recurrent stroke [ 9 ], the outcomes of stroke patients with cancer-associated NBTE are not well known. (j-stroke.org)
  • These outcomes indicated that apixaban may be alternative to warfarin for the secondary prevention of ischemic stroke in a patient with a protein S deficiency. (elsevierpure.com)
Echocardiogram2
  • Transesophageal echocardiogram. (epnet.com)
  • Available at: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/transesophageal-echocardiogram. (epnet.com)
Findings2
Recurrent stroke4
  • Major-risk sources carry a relatively high risk of initial and recurrent stroke convincingly linked to a cardioembolic mechanism. (medscape.com)
  • Minor-risk sources are frequent in the general population, and the associated risk of initial and recurrent stroke with any of these conditions is either low or uncertain. (medscape.com)
  • Recurrent stroke predictors differ in medically treated patients with pathogenic vs other PFOs. (cam.ac.uk)
  • Patients with NBTE have a high risk of recurrent stroke and mortality. (j-stroke.org)
Sedation4
  • Effective dose of sedation in transesophageal echocardiography: relation to age, body surface area and left ventricle function. (ox.ac.uk)
  • BACKGROUND: Sedation with midazolam and meperidine is widely used in transesophageal echocardiography. (ox.ac.uk)
  • OBJECTIVE: To correlate the mean midazolam and meperidine doses for proper sedation for transesophageal echocardiography with age range, body surface area, and left ventricular ejection fraction. (ox.ac.uk)
  • A Valsalva maneuver cannot be performed during a TEE because of the transesophageal transducer and the need for patient sedation. (novasignal.com)
Symptomatic1
  • Coronary heart disease and ischemic stroke are among the leading causes of morbidity and mortality in adults, and cerebrovascular disease is associated with the presence of symptomatic and asymptomatic CHD [1] . (ima.org.il)
Endocarditis1
Recurrence in Patients2
  • Types of Stroke Recurrence in Patients with Ischemic Stroke: A Substudy from the PRoFESS Trial. (cam.ac.uk)
  • Future studies are necessary to determine strategies to reduce stroke recurrence in patients with NBTE. (j-stroke.org)
Ischemic stroke patients1
  • Cardiac CT obtained in acute ischemic stroke patients can facilitate timely detection of cardiac sources of embolism and guide secondary prevention strategies. (bvsalud.org)
Etiology2
  • There was significant difference between the three groups as regard stroke etiology. (scirp.org)
  • Ischemic stroke (IS) etiology was classified according to the Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria, the "proposed classification for subtypes of arterial ischemic stroke in children," and the Oxfordshire Community Stroke Project (OCSP). (springeropen.com)
Embolic sources3
  • Transesophageal echocardiography has been widely used for exploring embolic sources in the heart and aortic arch in young and cryptic stroke patients. (go.jp)
  • We compared the prevalences of major and minor potential cardiac embolic sources in a stroke population with that in controls. (lu.se)
  • To conclude, major potential cardiac embolic sources are more common in an older population with first-ever stroke than in a comparable control group. (lu.se)
Thrombus1
  • So early detection of low emptying velocity without SEC or LA thrombus can reduce mortality & morbidity related to cardio embolic stroke and also helps in further management procedure like cardio version etc. (banglajol.info)
Intracardiac2
Arterial3
  • Arterial Pulse Pressure Variation (PPV): Dynamic measurement that assess the effect of intrathoracic pressure changes on stroke volume changes during mechanical ventilation. (openanesthesia.org)
  • Arterial pulse pressure serves to represent stroke volume and studies have shown it to be a highly predictable measure of fluid status. (openanesthesia.org)
  • SummaryFactors predicting family history (FH) of premature arterial thrombosis in young patients with ischaemic stroke (IS) have not been extensively investigated, and whether they might influence the risk of post-stroke recurrence is still unknown. (researcher.life)
Arteries2
  • In conclusion, we recommend all stroke neurologists (strokologists) to become familiar with neurosonology for exploring the heart, aortic arch, extracranial and intracranial arteries and peripheral leg veins. (go.jp)
  • These blood clots that would have been filtered out by the lungs, can lodge in downstream arteries and possibly lead to strokes. (novasignal.com)
Embolism2
  • UNLABELLED: Cerebral embolism from cardiac source is an important cause of stroke, specially in patients younger than 45 years old. (ox.ac.uk)
  • A 76-year-old man was admitted to the hospital and diagnosed with stroke caused by peripheral embolism. (hcplive.com)
Cardioembolic3
  • Sources of cardioembolic stroke. (medscape.com)
  • Cardioembolic stroke is largely preventable, warranting efforts at primary prevention for major-risk cardioembolic sources. (medscape.com)
  • stroke in patients with any of these causes is most often cardioembolic. (medscape.com)
Patients with Stroke1
Modality1
Retrospectively1
  • Patients with acute ischemic stroke undergoing spectral cardiac CT were retrospectively included. (bvsalud.org)
Closure2
  • The primary endpoint was LAA closure as determined by transesophageal echocardiography (TEE) two months after the procedure and stroke rate at 150 patient years. (nih.gov)
  • Studies on PFO closure also shows different result, but the majority of the trials showed benefit of PFO closure in reducing the risk of stroke recurrence. (ijconline.id)
Detection2
  • To investigate whether double helical computerized tomography- both with and without contrast injection - may represent a useful technique for noninvasive detection of PAA in stroke patients. (ima.org.il)
  • 1996. Detection of aortic emboli by transesophageal echocardiography during coronary artery bypass surgery. . (cornell.edu)
Hemorrhagic2
  • Go to Medscape Reference articles Acute Management of Stroke , Ischemic Stroke in Emergency Medicine , Hemorrhagic Stroke in Emergency Medicine , and Stroke Anticoagulation and Prophylaxis [ Ischemic Stroke ] for more information on these topics. (medscape.com)
  • The majority of the adult patients had ischemic strokes (84.1%), while hemorrhagic strokes were noted in 15.8% of the patients. (springeropen.com)
Evaluation2
  • Available at: https://www.dynamed.com/evaluation/transesophageal-echocardiography-tee. (epnet.com)
  • Thrombophilia evaluation is helpful in every case of childhood stroke. (springeropen.com)
Severity2
  • Stroke severity using National Institutes of Health Stroke Scale (NIHSS) score was done on admission, after 24 hours from admission, and at 7 days from onset of symptoms. (scirp.org)
  • Stroke severity was determined by the National Institutes of Health Stroke Scale (NIHSS) and PedNIHSS on admission. (springeropen.com)
Cause of stroke2
  • NBTE should be suspected as a potential cause of stroke in patients with metastatic cancer. (j-stroke.org)
  • NBTE is a cause of stroke and most frequently develops in patients with systemic cancer [ 3 , 4 ]. (j-stroke.org)
Cerebrovascular Diseases1
Incidence2
  • The expected incidence of stroke according to the CHADS2-Score was 6.6% per year. (nih.gov)
  • In a large cohort study, the 6-month cumulative incidence of ischemic stroke was significantly higher in patients with cancer than in matched controls (3.0% vs. 1.62%) [ 1 ]. (j-stroke.org)
Acute Stroke Treatment1