[Correction added after online publication 17-March-2010: Received date corrected.]
Frequency of Microemboli Signal in Stroke Patients Treated with Low Molecular Weight Heparin or Aspirin
Article first published online: 17 DEC 2008
© 2008 by the American Society of Neuroimaging
Journal of Neuroimaging
Volume 20, Issue 2, pages 118–121, April 2010
How to Cite
Hao, Q., Chang, H. M., Wong, M. C., Wong, K. S. and Chen, C. (2010), Frequency of Microemboli Signal in Stroke Patients Treated with Low Molecular Weight Heparin or Aspirin. Journal of Neuroimaging, 20: 118–121. doi: 10.1111/j.1552-6569.2008.00339.x
J Neuroimaging 2010;20:118-121.
- Issue published online: 30 MAR 2010
- Article first published online: 17 DEC 2008
- Acceptance: Received June 9, 2008, and in revised form October 14, 2008, Accepted for publication November 8, 2008.
BACKGROUND AND PURPOSE
Microemboli signal (MES) detected by transcranial Doppler (TCD) may represent ongoing embolic phenomenon and is a predictor of recurrent stroke or transient ischemic attack. We sought to study the frequency of MES in stroke patients with large artery occlusive diseases treated with low molecular weight heparin (LMWH) or aspirin.
Patients participating in the Fraxiparine in Ischemic Stroke (FISS)-tris study were recruited. MES detection was performed from middle cerebral artery on the 1st, 3rd, and 7th days after randomization. The correlation between the presence of MES and the treatment was determined by the χ2 test.
Among 47 patients, 26 were randomized to LMWH and 21 to aspirin. On day 1, MES were detected in 10 patients (7/26 on LMWH, 3/21 on aspirin; P= .475). On day 3, 12 patients had MES (7/25 on LMWH, 5/20 on aspirin; P= .821). On day 7, 11 patients had MES (6/25 on LMWH, 5/20 on aspirin; P= .938). The median of the number of MES on days 1, 3, and 7 was 4 (range 1-10), 5 (range 1-42), and 3 (range 1-33) for the LMWH group and 1 (range 1-15), 4 (range 1-10), and 2 (range 1-4) for the aspirin group.
There were no significant differences in the frequency of MES between patients with large artery occlusive disease treated with LMWH and aspirin.