Absence of complicated aortic arch atheromas in stroke patients without carotid stenosis

M. Grasso, P. Cerrato, A. M. Marson, E. Gentile, C. Baima, M. Giraudo, F. Carrà, G. Barberis, B. Bergamasco

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Transesophageal echocardiography (TEE) allows an optimal evaluation of aortic arch morphology and atheromatous plaques. We studied the records of consecutive patients referred to our neurologic ward between January 1995 and February 2000 with a diagnosis of ischemic cerebrovascular disease (ICVD), stroke, or TIA who underwent TEE. We excluded patients with: (1) high-risk embolie cardiopathies; (2) ≥50% stenosis of the internal carotid artery; and (3) other definite stroke etiology. We included 175 patients (88 males and 87 females; mean [±SD] age, 49.7 [±12] years); only 8% of the patients were aged 65 or older. Patients were divided into two groups: the lacunar (LAC) and the nonlacunar group (N-LAC). The LAC group [66/175 (39.4%); mean age, 48.1±10 years] included patients with deep infarct due to perforting artery occlusion while the N-LAC group [106/175 (60.6%); mean age, 50.2±13 years)] included patients with cerebral or cerebellar cortical "territorial" infarcts or subcortical ischemic areas ≥22. cm in diameter (presumably embolie). The control group consisted of 78 consecutive patients [40 males and 38 females; mean (±SD) age, 53 (±12) years] referred to the echocardiography laboratory for TEE without history of ICVD and known heart disease. Aortic arch atheromatosis (AAA) was detected in 12% of patients and in 10.2% of controls. The frequency was 9.4% (10/106) in the N-LAC group and 15.9% (11/69) in the LAC group. No complicated aortic plaques (plaque thickness

Original languageEnglish
JournalNeurological Sciences
Issue number4 SUPPL.
Publication statusPublished - 2000

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology


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