Pulmonary Embolism in Ischemic Stroke

Prasanna Venkatesan Eswaradass; Sadanand Dey; Dilip Singh; Michael D. Hill

doi:10.1017/cjn.2017.288

Pulmonary Embolism in Ischemic Stroke

Prasanna Venkatesan Eswaradass, Sadanand Dey, Dilip Singh, Michael D. Hill

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Silent pulmonary embolism (PE) may be associated with acute ischemic stroke (AIS). We identified 10 patients from 3,132 unique patients (3,431 CT scans). We retrospectively examined CT angiogram of patients with AIS to determine the frequency of concurrent PE in AIS. The period prevalence of PE was 0.32. Seven patients had concurrent PE, whereas three had PE diagnosed 2 days after their AIS presentation. We suspected paradoxical embolism via patent foramen ovale as the cause of stroke in three patients and thrombophilia in four patients. Seven patients had poor outcome including four deaths. CT angiogram stroke protocol images from aortic arch to vertex allows visualization of upper pulmonary arteries and PE detection in AIS.

Original language	English (US)
Pages (from-to)	343-345
Number of pages	3
Journal	Canadian Journal of Neurological Sciences
Volume	45
Issue number	3
DOIs	https://doi.org/10.1017/cjn.2017.288
State	Published - May 1 2018
Externally published	Yes

Keywords

Acute ischemic stroke
CT angiogram
Pulmonary embolism

ASJC Scopus subject areas

Neurology
Clinical Neurology

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10.1017/cjn.2017.288

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title = "Pulmonary Embolism in Ischemic Stroke",

abstract = "Silent pulmonary embolism (PE) may be associated with acute ischemic stroke (AIS). We identified 10 patients from 3,132 unique patients (3,431 CT scans). We retrospectively examined CT angiogram of patients with AIS to determine the frequency of concurrent PE in AIS. The period prevalence of PE was 0.32. Seven patients had concurrent PE, whereas three had PE diagnosed 2 days after their AIS presentation. We suspected paradoxical embolism via patent foramen ovale as the cause of stroke in three patients and thrombophilia in four patients. Seven patients had poor outcome including four deaths. CT angiogram stroke protocol images from aortic arch to vertex allows visualization of upper pulmonary arteries and PE detection in AIS.",

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AU - Dey, Sadanand

AU - Singh, Dilip

AU - Hill, Michael D.

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AB - Silent pulmonary embolism (PE) may be associated with acute ischemic stroke (AIS). We identified 10 patients from 3,132 unique patients (3,431 CT scans). We retrospectively examined CT angiogram of patients with AIS to determine the frequency of concurrent PE in AIS. The period prevalence of PE was 0.32. Seven patients had concurrent PE, whereas three had PE diagnosed 2 days after their AIS presentation. We suspected paradoxical embolism via patent foramen ovale as the cause of stroke in three patients and thrombophilia in four patients. Seven patients had poor outcome including four deaths. CT angiogram stroke protocol images from aortic arch to vertex allows visualization of upper pulmonary arteries and PE detection in AIS.

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Pulmonary Embolism in Ischemic Stroke

Abstract

Keywords

ASJC Scopus subject areas

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