{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:27:34Z","timestamp":1782451654783,"version":"3.54.5"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T00:00:00Z","timestamp":1516838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Left\u2010hemispheric ischemic strokes are more frequent overall and often have a worse outcome than their right\u2010hemispheric counterparts. We hypothesized that the right\u2010left propensity of CE cerebral infarcts differs between patients with standard and bovine arch variants. We retrospectively identified all patients with acute stroke of the anterior circulation admitted to our primary stroke center between January 2011 and June 2017 who had moderate\u2010 to high\u2010risk cardio\u2010embolic sources according to the SSS\u2010TOAST classification. From amongst these patients, only those with available cross\u2010sectional imaging of the aortic arch were included. Lesion side and patterns on diffusion\u2010weighted magnetic resonance imaging were determined blinded to the aortic arch imaging. One hundred and nineteen patients met the TOAST criteria for moderate\u2010 or high\u2010risk cardio\u2010embolic source. Of these, 58 (49%) were men and the median age was 71.9 years; 33% of the patients had a bovine arch. The most common etiologies of CE were atrial fibrillation (<jats:italic>n<\/jats:italic>\u2009=\u200980 [67%]) and congestive heart failure with ejection fraction &lt;30% (<jats:italic>n<\/jats:italic>\u2009=\u200918 [15%]). In patients with bovine arch there was an approximately 50% chance of having a right\u2010 or left\u2010sided infarct. Although there was a trend towards right\u2010sided lesions in patients with standard arches, this did not reach statistical significance. No statistically significant difference in embolic stroke laterality was demonstrated in our relatively small sample. Bovine arch could be an independent risk factor for cardio\u2010embolic embolism. Clin. Anat. 31:310\u2013313, 2018. \u00a9 2018 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ca.23045","type":"journal-article","created":{"date-parts":[[2018,1,12]],"date-time":"2018-01-12T08:23:02Z","timestamp":1515745382000},"page":"310-313","source":"Crossref","is-referenced-by-count":16,"title":["Right\u2013left propensity of cardiogenic cerebral embolism in standard versus bovine aortic arch variant"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4256-1098","authenticated-orcid":false,"given":"Menachem","family":"Gold","sequence":"first","affiliation":[{"name":"Department of Radiology Lincoln Medical Center Bronx New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mojdeh","family":"Khamesi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Lincoln Medical Center Bronx New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mangaiyarkkarasi","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Lincoln Medical Center Bronx New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijaya","family":"Natarajan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Lincoln Medical Center Bronx New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hooman","family":"Motahari","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Lincoln Medical Center Bronx New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Caputo","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Lincoln Medical Center Bronx New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)00928-5"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.20617"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/RCT.0b013e3181888343"},{"key":"e_1_2_6_5_1","first-page":"599","article-title":"Patterns of the aortic arch in American white and Negro stocks, with comparative notes on certain other mammals","volume":"67","author":"Garis CF","year":"1933","journal-title":"J Anat"},{"key":"e_1_2_6_6_1","first-page":"436","article-title":"Aortic arch anomalies are associated with increased risk of neurological events in carotid stent procedures","volume":"33","author":"Faggioli GL","year":"2007","journal-title":"Eur J VascEndovascSurg"},{"key":"e_1_2_6_7_1","first-page":"97","article-title":"Hemispheric differences in ischemic stroke: is left\u2010hemisphere stroke more common?","volume":"9","author":"Hedna VS","year":"2013","journal-title":"J ClinNeurol"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.616573"},{"key":"e_1_2_6_9_1","first-page":"1541","article-title":"Bovine aortic arch variant in humans: clarification of a common misnomer","volume":"27","author":"Layton KF","year":"2006","journal-title":"Am J Neuroradiol"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000189999.19948.14"},{"key":"e_1_2_6_11_1","unstructured":"LippertH PabstR.1985. Aortic arch. In: Arterial Variations in Man: Classification and Frequency. Munich Germany: JF Bergmann\u2010Verlag. p 3\u201310."},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000077983.66161.6F"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)03487-3"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.50.6.1699"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ar.1090540211"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fca.23045","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.23045","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ca.23045","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.23045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T22:49:10Z","timestamp":1694386150000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.23045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,25]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1002\/ca.23045"],"URL":"https:\/\/doi.org\/10.1002\/ca.23045","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,25]]}}}