Brain magnetic resonance imaging findings in cryptogenic stroke patients under 60 years with patent foramen ovale

Billen, Claire; Rouffiange-Leclair, Laure; Garnier, P.; Quenet, Sara; Delsart, D; Varvat, Jérôme; Epinat, Magali; Schneider, F.; Antoine, Jean‐Christophe; Mismetti, Patrick; Barral, Fabrice-Guy

doi:10.1016/j.ejrad.2014.01.022

Cited by 17 publications

(21 citation statements)

References 29 publications

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“…The low recurrence of neurological events in our study is most likely explained by patient selection; we excluded patients with PFO and paradoxical embolic neurological events that were not considered to be cryptogenic owing to the presence of ischemic heart disease, atrial fibrillation, arterial plaques, or atypical neurologic symptoms. In our hospital great importance is attached to neuroradiological imaging reports, and only in the presence of precise evidence of typical cerebral embolization, such as multiple subcortical frontal and parietal small ischemic lesions, do we proceed with PFO closure. Some studies have reported the long‐term clinical outcomes of PFO device closure.…”

Section: Discussionmentioning

confidence: 99%

Long‐Term Contrast Echocardiography and Clinical Follow‐Up after Percutaneous Closure of Patent Foramen Ovale Using Two Different Atrial Septal Occluder Devices

Scalise¹,

Auguadro²,

Sorropago³

et al. 2016

J Interven Cardiology

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Percutaneous PFO closure was associated with a remarkably low risk of recurrent embolic neurological events, and no long-term device-related major complications. No statistically significant difference emerged between the 2 different SODs regarding BTTE positivity. Long-term follow-up showed that the recurrence of neurological events has been significantly higher in the group treated in a conservative way.

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Section: Discussionmentioning

confidence: 99%

Long‐Term Contrast Echocardiography and Clinical Follow‐Up after Percutaneous Closure of Patent Foramen Ovale Using Two Different Atrial Septal Occluder Devices

Scalise¹,

Auguadro²,

Sorropago³

et al. 2016

J Interven Cardiology

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“…81 MACI may occur among patients with PFO, but there is no strong evidence that multiple-territory pattern is more frequent in comparison to the non-PFO stroke population. 82 It seems that PFO is associated with MACI in young stroke patients and the location of lesions was predominantly described in the posterior circulation. 83,84 There was not a strong consensus whether the PFO closure is superior to antiplatelet therapy alone in the prevention of recurrent stroke.…”

Section: Patent Foramen Ovalementioning

confidence: 99%

Short-Term Outcome and In-Hospital Complications After Acute Cerebral Infarcts in Multiple Arterial Territories

Novotný

Khanevski

Bjerkreim

et al. 2019

Stroke

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Background and Purpose— Patients with acute cerebral infarcts in multiple arterial territories (MACI) represent a substantial portion of the stroke population. There are no data on short-term outcome and in-hospital complications in patients with MACI. We compared patients with MACI with patients having acute cerebral infarct(s) in a single arterial territory. Methods— We analyzed 3343 patients with diffusion-weighted imaging-confirmed acute cerebral infarcts. MACI was defined as at least 2 acute cerebral ischemic lesions in at least 2 arterial cerebral territories. Patients with MACI were compared with patients with acute cerebral infarct(s) in a single arterial territory for relevant in-hospital complications and short-term outcome, namely National Institutes of Health Stroke Scale and modified Rankin Scale at day 7 after admission or at discharge when earlier. Results— A total of 311 patients (9.3%) met the definition of MACI. Both median National Institutes of Health Stroke Scale (2 [1–7] versus 1 [0–4]) and modified Rankin Scale (3 [1–4] versus 2 [1–3]) were higher in patients with MACI. MACI was independently associated with higher National Institutes of Health Stroke Scale and modified Rankin Scale. Deep venous thrombosis, myocardial infarction, and any complications were more frequent in patients with MACI. Conclusions— In-hospital complications were more frequent in patients with MACI, which may adversely affect short-term clinical and functional outcome. Closer follow-up of patients with MACI during hospitalization may prevent such events and negative progression.

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“…Therefore, several studies have reported that posterior circulation infarction is more dominant in PFO-stroke. 31,32 This is more prominent when the PFO is only opened during the Valsalva maneuver. 33 Not all strokes occurring in those who have PFO, are associated with PFO.…”

Section: Conventional Imagingmentioning

confidence: 99%

Neurosonology and Imaging in Uncommon Causes of Stroke

Kim

Noh

et al. 2019

J Neurosonol Neuroimag

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Brain magnetic resonance imaging findings in cryptogenic stroke patients under 60 years with patent foramen ovale

Cited by 17 publications

References 29 publications

Long‐Term Contrast Echocardiography and Clinical Follow‐Up after Percutaneous Closure of Patent Foramen Ovale Using Two Different Atrial Septal Occluder Devices

Long‐Term Contrast Echocardiography and Clinical Follow‐Up after Percutaneous Closure of Patent Foramen Ovale Using Two Different Atrial Septal Occluder Devices

Short-Term Outcome and In-Hospital Complications After Acute Cerebral Infarcts in Multiple Arterial Territories

Neurosonology and Imaging in Uncommon Causes of Stroke

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