Should One Use Echocardiography or Contrast Transcranial Doppler Ultrasound for the Detection of a Patent Foramen Ovale after an Ischemic Cerebrovascular Accident?

Jean-Philippe Baguet; Gérard Besson; Frédéric Tremel; Lionel Mangin; Christelle Richardot; Jean-Michel Mallion

doi:10.1159/000047728

journal article Jan 01, 2001

Should One Use Echocardiography or Contrast Transcranial Doppler Ultrasound for the Detection of a Patent Foramen Ovale after an Ischemic Cerebrovascular Accident?

Jean-Philippe Baguet Gérard Besson

Frédéric Tremel Lionel Mangin Christelle Richardot Jean-Michel Mallion

Cerebrovascular Diseases Vol. 12 No. 4 pp. 318-324 · S. Karger AG

View at Publisher Save 10.1159/000047728

Abstract

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.

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References

2

[1]

10.1016/0002-9149(92)90210-p

[2]

10.1159/000016119

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7

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Details

Published: Jan 01, 2001
Vol/Issue: 12(4)
Pages: 318-324
License: View

Authors

Institut Fourier, Université Grenoble Alpes, 100 rue des maths, 38610 Gières, France

Cite This Article

Jean-Philippe Baguet, Gérard Besson, Frédéric Tremel, et al. (2001). Should One Use Echocardiography or Contrast Transcranial Doppler Ultrasound for the Detection of a Patent Foramen Ovale after an Ischemic Cerebrovascular Accident?. Cerebrovascular Diseases, 12(4), 318-324. https://doi.org/10.1159/000047728

Should One Use Echocardiography or Contrast Transcranial Doppler Ultrasound for the Detection of a Patent Foramen Ovale after an Ischemic Cerebrovascular Accident?

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