Cited 10 times in
Different infarction patterns in patients with aortic atheroma compared to those with cardioembolism or large artery atherosclerosis
DC Field | Value | Language |
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dc.contributor.author | 김승우 | - |
dc.contributor.author | 김영대 | - |
dc.contributor.author | 남효석 | - |
dc.contributor.author | 심지영 | - |
dc.contributor.author | 장혁재 | - |
dc.contributor.author | 정석종 | - |
dc.contributor.author | 허지회 | - |
dc.contributor.author | 홍그루 | - |
dc.date.accessioned | 2018-11-16T16:54:32Z | - |
dc.date.available | 2018-11-16T16:54:32Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 0340-5354 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/165462 | - |
dc.description.abstract | Aortic atheroma is a known cause of ischemic stroke. However, it is unclear whether ischemic stroke is caused by emboli from aortic atheroma or by accompanying atherosclerosis. In this study, we evaluated lesion patterns of patients with complex aortic plaque (CAP) to assume the underlying pathophysiology. Acute ischemic stroke patients who underwent transesophageal echocardiography were included. CAP was defined as a plaque in the proximal aorta ≥ 4 mm thick or with a mobile component. The diffusion-weighted imaging lesion patterns of patients with CAP were compared to those with large arterial atherosclerosis (LAA) or cardioembolism (CE). A total of 64 CAP patients, 127 LAA patients, and 80 CE patients were included. Small cortical pattern was more common in the CAP group (45.3%) than in the LAA (7.9%, p < 0.001) or the CE group (23.8%, p = 0.018). A large cortical pattern was more common in the CE group than in the CAP group (p < 0.001), whereas subcortical only pattern tended to be more common in the CAP group than in the CE group (p = 0.057). In multinominal analysis, the CAP group was more likely to have a small cortical lesion than the LAA group [odds ratio (OR) 14.63; 95% confidence interval (CI) 4.67-45.85] or the CE (OR 3.69, 95% CI 1.19-11.39) group. In conclusion, patients with CAP frequently had small cortical lesions or subcortical single lesion. These findings imply that ischemic stroke in aortic atheroma patients is associated with either small emboli or small artery disease. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer-Verlag | - |
dc.relation.isPartOf | JOURNAL OF NEUROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Arteries/pathology | - |
dc.subject.MESH | Carotid Artery Diseases/diagnostic imaging | - |
dc.subject.MESH | Carotid Artery Diseases/etiology* | - |
dc.subject.MESH | Cerebral Cortex/blood supply | - |
dc.subject.MESH | Cerebral Cortex/pathology | - |
dc.subject.MESH | Diffusion Magnetic Resonance Imaging | - |
dc.subject.MESH | Embolism/diagnostic imaging | - |
dc.subject.MESH | Embolism/pathology* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Infarction/diagnostic imaging | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Plaque, Atherosclerotic/diagnostic imaging | - |
dc.subject.MESH | Plaque, Atherosclerotic/pathology* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Statistics, Nonparametric | - |
dc.subject.MESH | Stroke/complications* | - |
dc.subject.MESH | Stroke/diagnostic imaging | - |
dc.title | Different infarction patterns in patients with aortic atheroma compared to those with cardioembolism or large artery atherosclerosis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurology (신경과학교실) | - |
dc.contributor.googleauthor | Seung Woo Kim | - |
dc.contributor.googleauthor | Young Dae Kim | - |
dc.contributor.googleauthor | Hyuk-Jae Chang | - |
dc.contributor.googleauthor | Geu-Ru Hong | - |
dc.contributor.googleauthor | Chi Young Shim | - |
dc.contributor.googleauthor | Seok Jong Chung | - |
dc.contributor.googleauthor | Jin Yong Hong | - |
dc.contributor.googleauthor | Tae-Jin Song | - |
dc.contributor.googleauthor | Dongbeom Song | - |
dc.contributor.googleauthor | Oh Young Bang | - |
dc.contributor.googleauthor | Ji Hoe Heo | - |
dc.contributor.googleauthor | Hyo Suk Nam | - |
dc.identifier.doi | 10.1007/s00415-017-8685-7 | - |
dc.contributor.localId | A04901 | - |
dc.contributor.localId | A00702 | - |
dc.contributor.localId | A01273 | - |
dc.contributor.localId | A02213 | - |
dc.contributor.localId | A03490 | - |
dc.contributor.localId | A04666 | - |
dc.contributor.localId | A04369 | - |
dc.contributor.localId | A04386 | - |
dc.relation.journalcode | J01627 | - |
dc.identifier.eissn | 1432-1459 | - |
dc.identifier.pmid | 29177549 | - |
dc.identifier.url | https://link.springer.com/article/10.1007%2Fs00415-017-8685-7 | - |
dc.subject.keyword | Aortic arch atheroma | - |
dc.subject.keyword | Diffusion-weighted imaging | - |
dc.subject.keyword | Ischemic stroke | - |
dc.subject.keyword | Transesophageal echocardiography | - |
dc.contributor.alternativeName | Kim, Seung Woo | - |
dc.contributor.alternativeName | Kim, Young Dae | - |
dc.contributor.alternativeName | Nam, Hyo Suk | - |
dc.contributor.alternativeName | Shim, Chi Young | - |
dc.contributor.alternativeName | Chang, Hyuck Jae | - |
dc.contributor.alternativeName | Chung, Seok Jong | - |
dc.contributor.alternativeName | Heo, Ji Hoe | - |
dc.contributor.alternativeName | Hong, Geu Ru | - |
dc.contributor.affiliatedAuthor | 김승우 | - |
dc.contributor.affiliatedAuthor | 김영대 | - |
dc.contributor.affiliatedAuthor | 남효석 | - |
dc.contributor.affiliatedAuthor | 심지영 | - |
dc.contributor.affiliatedAuthor | 장혁재 | - |
dc.contributor.affiliatedAuthor | 정석종 | - |
dc.contributor.affiliatedAuthor | 허지회 | - |
dc.contributor.affiliatedAuthor | 홍그루 | - |
dc.citation.volume | 265 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 151 | - |
dc.citation.endPage | 158 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NEUROLOGY, Vol.265(1) : 151-158, 2018 | - |
dc.identifier.rimsid | 58926 | - |
dc.type.rims | ART | - |
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