PMID: 11923035Mar 30, 2002Paper

Transcutaneous detection of aortic arch atheromas by suprasternal harmonic imaging

Journal of the American College of Cardiology
Ehud SchwammenthalMicha S Feinberg

Abstract

The goal of the present study was to examine whether suprasternal harmonic imaging (SHI) (i.e., harmonic imaging from the suprasternal windows) can visualize protruding arch atheromas (PAAs) and reliably predict the presence or absence of significant lesions. Protruding arch atheromas are a major source of cerebral and peripheral embolism and probably the most frequent cause of stroke during cardiac catheterization and open-heart surgery. Preprocedural screening by transesophageal echocardiography (TEE) would be desirable but is limited by the nature of the examination. Of 354 patients who underwent a TEE study in our laboratory during the study period, 106 were referred for detection of a source of embolism. Findings were classified based on the French Aortic Plaque study criteria as: 1) no or minimal atherosclerotic changes; 2) PAAs < 4 mm; 3) PAAs > or =4 mm or presence of a mobile component. Adequate transcutaneous image quality could be achieved in 89 patients (84%). Protruding arch atheromas were present in 42 patients (47%) and absent in 47 (53%). Positive and negative predictive values for large PAAs on TEE were 91% and 98%, respectively. In one case, SHI detected a complex PAA inaccessible for TEE due to interposition ...Continue Reading

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Citations

Dec 19, 2008·Current Cardiology Reports·Souvik Sen
Dec 22, 2011·Future Cardiology·Roberta EspositoMaurizio Galderisi
Feb 28, 2009·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Ayman HusseinElie Chammas
Sep 9, 2010·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Arturo EvangelistaEdyta Plonska-Gosciniak
Aug 13, 2010·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Mauro PepiUNKNOWN European Association of Echocardiography
Jul 5, 2006·Circulation·Itzhak Kronzon, Paul A Tunick
Apr 20, 2007·Arteriosclerosis, Thrombosis, and Vascular Biology·Khurram NasirRoger S Blumenthal
Oct 26, 2016·Stroke; a Journal of Cerebral Circulation·Aylin TugcuMarco R Di Tullio
Feb 20, 2009·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Bettina von SarnowskiUlf Schminke
May 19, 2010·Seminars in Cardiothoracic and Vascular Anesthesia·Hilary P Grocott, Tony Tran
Jul 7, 2020·Journal of Cardiovascular Medicine·Alessandra DaneseClaudio Bilato
Feb 2, 2021·Frontiers in Neurology·Elena Viedma-GuiardElena Meseguer
Mar 13, 2021·European Heart Journal Cardiovascular Imaging·Ariel CohenUNKNOWN chair of the 2018–2020 EACVI Scientific Documents Committee
Feb 3, 2012·Atherosclerosis·Shinichi IwataMarco R Di Tullio
Oct 9, 2021·European Heart Journal·Thomas F LüscherStavros V Konstantinides

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