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Updated: Jun 1, 2026

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
Right-left propensity and lesion patterns between cardiogenic and aortogenic cerebral embolisms
Hye-Jin Kim1, Jong-Min Song, Sun U Kwon
1Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, South Korea.
Background And Purpose:
Based on thrombus location and nature and anatomic features of aorta and cerebral arteries, we hypothesized that cardiogenic embolisms (CE) and aortogenic embolisms (AE) might have different right-left propensity and lesion patterns.
Methods:
We retrospectively reviewed patients with acute ischemic stroke with high-risk CE sources or moderate-or-severe aortic atherosclerotic plaques on transesophageal echocardiography. Lesion side and patterns on diffusion-weighted imaging were compared between CE and AE.
Results:
CE was identified in 123 and AE in 63. In multivariate analysis, right-sided lesions and corticosubcortical infarcts were independently associated with CE, and left-sided lesions and pial infarcts were independently associated with AE.
Conclusions:
CE and AE have different radiological characteristics, as shown by the right-left propensity and lesions patterns of cerebral infarcts.
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