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Pulsed Doppler Ultrasound of the Internal Carotid Artery for the Diagnosis of Patent Foramen Ovale in Patients with Ischemic Stroke
https://dmu.repo.nii.ac.jp/records/1501
https://dmu.repo.nii.ac.jp/records/1501bc607c6c-9ff0-4fe4-ac54-9dace61013ff
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
DJMS-45-1-Suzuki-本文 (112.4 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| タイトル | ||||||||||||||
| タイトル | Pulsed Doppler Ultrasound of the Internal Carotid Artery for the Diagnosis of Patent Foramen Ovale in Patients with Ischemic Stroke | |||||||||||||
| 言語 | ||||||||||||||
| 言語 | eng | |||||||||||||
| キーワード | ||||||||||||||
| 主題Scheme | Other | |||||||||||||
| 主題 | ischemic stroke | |||||||||||||
| キーワード | ||||||||||||||
| 主題Scheme | Other | |||||||||||||
| 主題 | patent foramen ovale | |||||||||||||
| キーワード | ||||||||||||||
| 主題Scheme | Other | |||||||||||||
| 主題 | right-to-left shunts | |||||||||||||
| キーワード | ||||||||||||||
| 主題Scheme | Other | |||||||||||||
| 主題 | carotid artery ultrasonography | |||||||||||||
| キーワード | ||||||||||||||
| 主題Scheme | Other | |||||||||||||
| 主題 | transesophageal echocardiography | |||||||||||||
| 資源タイプ | ||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||
| 資源タイプ | journal article | |||||||||||||
| 著者 |
Suzuki, Ayano
× Suzuki, Ayano
× Takekawa, Hidehiro
× Suzuki, Keisuke
× Hirata, Koichi
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| 著者所属 | ||||||||||||||
| Department of Neurology, Dokkyo Medical University | ||||||||||||||
| 著者所属 | ||||||||||||||
| Department of Neurology, Dokkyo Medical University | ||||||||||||||
| 著者所属 | ||||||||||||||
| Department of Neurology, Dokkyo Medical University | ||||||||||||||
| 著者所属 | ||||||||||||||
| Department of Neurology, Dokkyo Medical University | ||||||||||||||
| 書誌情報 |
Dokkyo Journal of Medical Sciences 巻 45, 号 1, p. 9-16, 発行日 2018-03-25 |
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| 要旨 | ||||||||||||||
| 内容記述タイプ | Other | |||||||||||||
| 内容記述 | Purpose：The aim of this study was to assess the right-to-left shunts （RLs） associated with patent foramen ovale（PFO）, which is essential for diagnosing paradoxical cerebral embolisms. Transesophageal echocardiography （TEE） and transcranial Doppler （TCD） are used for the detection of RLs. However, in some patients with comorbid diseases, such as cervical spondylosis and esophageal varices, and in elderly women, TCD and TEE assessment are difficult. We compared the efficacy of carotid artery ultrasonography（C-US） and TEE in terms of the detection rate of PFO. Methods：Fifty-eight successive patients with ischemic stroke （age：57.0±19.0 years, 38 men and 20women） were evaluated for PFO through TEE and C-US. In a TEE assessment, the diagnosis of PFO was made using the Valsalva maneuver with contrast agent injection. The internal carotid artery was evaluated with C-US. PFO was defined as the appearance of microembolic signals （MES） after release of Valsalva load with contrast agent injection. Results：A PFO was detected in 30 patients. MES were observed in 25 patients using C-US. For the diagnosis of PFO, C-US had 83.3％ sensitivity, 100％ specificity, 100％ positive predictive value, and 93.8％ negative predictive value. In contrast, TEE had 53.3％ sensitivity, 100％ specificity, 100％ positive predictive value, and 66.7％ negative predictive value. Conclusion：Our study suggests that C-US with Valsalva load release and contrast agent injection is beneficial for the diagnosis of PFO." |
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| 記事種別 | ||||||||||||||
| Original | ||||||||||||||
| 出版者 | ||||||||||||||
| 出版者 | 獨協医学会 | |||||||||||||
| ISSN | ||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||
| 収録物識別子 | 03855023 | |||||||||||||
| 書誌レコードID | ||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||
| 収録物識別子 | AA00629581 | |||||||||||||
| 表示順 | ||||||||||||||
| 3 | ||||||||||||||
