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허혈성 뇌졸중 환자에서 난원공개증의 빈도: 경두개초음파 연구

Incidence of Patent Foramen Ovale in Ischemic Stroke Patients: A Transcranial Doppler Study

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참고문헌

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초록

Abstract

Background: Patent foramen ovale (PFO) is increasingly being recognized in stroke patients. The capability of transcranial Doppler (TCD) to detect a PFO has been established. We studied the frequency of PFO in patients with ischemic stroke. Methods: Eighty-nine patients with ischemic stroke (62 men, mean age: 56.5) consecutively underwent a contrast-enhanced TCD with monitoring of the bilateral middle cerebral arteries (MCA). The contrast solution, which consisted of 8 ml of normal saline, 1 ml of air, and 0.2 ml of patient’s blood, was injected twice during normal breathing and the Valsalva maneuver. High intensity transient signals (HITS) were counted for 30 seconds after the injection. Results: Patent foramen ovale was detected in 19 patients (21%). The mean age was similar in those with (55 years) and those without (57 years) PFO. Patent foramen ovale was more frequent among men (26%) than women (11%). There were no differences in the frequency of PFO among stroke subtypes (large artery atherosclerosis, 18%; small artery occlusion, 27%; cardioembolic, 27%; undetermined cause, 11%). Conclusions: Patent foramen ovale is common in patients with ischemic stroke of all subtypes.

참고문헌 (22)

  1. "Incidence and size of patent foramen ovale during the first 10 decades of life:an autopsy study of 965 normal hearts", 59, pp.17~20 (1984)
  2. "Prevalence of right-to-left atrial shunting in a healthy population:detection by Valsalva maneuver contrast echocardiography", 53, pp.1478~1480 (1984)
  3. "The incidence of patent foramen ovale in 1000 consecutive patients:A contrast transesophageal echocardiography study", 107, pp.1504~1509 (1995)
  4. "Prevalence of patent foramen ovale in patients with stroke", 318, pp.1148~1152 (1988)
  5. "Comparison of transesophageal and transthoracic contrast echocardiography for detection of a patent foramen ovale", 68, pp.1247~1249 (1991)
  6. "Comparison of diagnostic techniques for the detection of a patent foramen ovale in stroke patients", 24, pp.1020~1024 (1993)
  7. "Detection of paradoxical cerebral echo contrast embolization by transcranial Doppler ultrasound", 22, pp.740~745 (1991)
  8. "A comparison of transesophageal echocardiography and transcranial Doppler sonography with contrast medium for detection of patent foramen ovale", 25, pp.1265~1267 (1994)
  9. "Detection of right-to-left shunt with ultrasound contrast agent and transcranial Doppler sonography", 10, pp.490~496 (2000)
  10. "Stroke in Young Adults", 11, pp.43~53 (1993)
  11. "Classification of subtype of acute ischemic stroke.Definitions for use in a multicenter clinical trial", 24, pp.35~41 (1993)
  12. "Detection of patent foramen ovale by transcranial contrast Doppler ultrasound", 69, pp.560~562 (1992)
  13. "Comparison of transcranial contrast Doppler sonography and transesophageal contrast echocardiography for the detection of patent foramen ovale in young stroke patients", 74, pp.381~384 (1994)
  14. "Transesophageal echocardiography and contrast-TCD in the detection of a patent foramen ovale:experiences with 111 patients", 44, pp.1603~1606 (1994)
  15. "Patent foramen ovale and transcranial Doppler.Comparison of different procedures", 27, pp.2251~2255 (1996)
  16. "Interatrial septal abnormalities and stroke:a meta-analysis of case-control studies", 55, pp.1172~1179 (2000)
  17. "Prevalence of patent foramen ovale in young patients with cerebral ischemic accident of unknown origin", 56, pp.662~668 (2003)
  18. "Age is not a predictor of patent foramen ovale with right-to-left shunt in patients with cerebral ischemic events", 21, pp.517~522 (2004)
  19. "Patent foramen ovale in patients with cerebral infarction.A transesophageal echocardiographic study", 54, pp.819~822 (1997)
  20. "Patent foramen ovale with paradoxical embolism:mid-term results of transcatheter closure in 256 patients", 16, pp.43~50 (2003)
  21. "Transcatheter closure of patent foramen ovale in patients with paradoxical embolism.Periprocedural safety and mid-term follow-up results of three different device occluder systems", 25, pp.424~430 (2004)
  22. "Does transcatheter closure of patent foramen ovale really A prospective study with transcranial Doppler", pp.2140~2144 (2004)

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