Should one use echocardiography or contrast transcranial Doppler ultrasound for the detection of a patent foramen ovale after an ischemic cerebrovascular accident?
| Autor: | Jean-Michel Mallion, F. Tremel, Jean-Philippe Baguet, Gérard Besson, Lionel Mangin, Christelle Richardot |
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| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Ultrasonography Doppler Transcranial media_common.quotation_subject digestive system Heart Septal Defects Atrial stomatognathic system Internal medicine medicine Contrast (vision) Humans Ischemic Cerebrovascular Accident Stroke media_common business.industry digestive oral and skin physiology musculoskeletal system medicine.disease Transcranial Doppler body regions Neurology Echocardiography Cardiology Patent foramen ovale Neurology (clinical) Radiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cerebrovascular diseases (Basel, Switzerland). 12(4) |
| ISSN: | 1015-9770 |
| Popis: | Patent foramen ovale is frequently associated with embolic cerebrovascular accidents. The diagnosis of patent foramen ovale is easier since the advent of transesophageal echocardiography. However, this method is semi-invasive and is not readily available in all units. Contrast transcranial Doppler ultrasound enables the detection of the passage of a contrast material injected into a peripheral vein to the cerebral circulation across an orifice which is most often a patent foramen ovale. Contrast transcranial Doppler ultrasound may facilitate, with a high sensitivity and specificity, the diagnosis of a patent foramen ovale when a transesophageal echo is not possible. However, transesophageal echocardiography remains the preferred test especially in the young since other potentially embolic sources, such as a thrombus in the left atrium, may be demonstrable. |
| Databáze: | OpenAIRE |
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