{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T07:17:16Z","timestamp":1695885436408},"reference-count":26,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2013,1,9]],"date-time":"2013-01-09T00:00:00Z","timestamp":1357689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:p>Cardioembolic stroke is generally caused by intracranial artery occlusion. Clots may be identified in the intracranial vessels by means of conventional neuroimaging in the acute phase. High\u2010resolution ultrasonography may show some features suggestive of cardiac emboli when occluding extracranial carotid arteries. We describe a patient with cardioembolic ischemic stroke in the right hemisphere in whom a left internal carotid artery stenosis paradoxically protected the ipsilateral hemisphere from distal intracranial embolism. The patient also presented multiple acute ischemic embolic lesions in the right middle cerebral artery territory and in the right occipital lobe, which was fed by the posterior cerebral artery, anomally originating from the right carotid siphon. Interestingly, the left internal carotid artery\u2014which showed a severe preexisting stenosis\u2014was occluded by the cardiac clot, whereas the right internal carotid artery only presented a moderate stenosis that had probably allowed the clots to pass. Therefore, the severe left internal carotid artery stenosis may have blocked the cardiac embolus, preventing it from reaching the ipsilateral hemisphere. \u00a9 2013 Wiley Periodicals, Inc. <jats:italic>J Clin Ultrasound<\/jats:italic> <jats:bold>41<\/jats:bold>:22\u201327, 2013<\/jats:p>","DOI":"10.1002\/jcu.22011","type":"journal-article","created":{"date-parts":[[2013,1,9]],"date-time":"2013-01-09T19:56:32Z","timestamp":1357761392000},"page":"22-27","source":"Crossref","is-referenced-by-count":2,"title":["Cardioembolic stroke: Protective effect of a severe internal carotid artery stenosis in a patient with cardiac embolism"],"prefix":"10.1002","volume":"41","author":[{"given":"Edoardo","family":"Vicenzini","sequence":"first","affiliation":[{"name":"Department of Neurology and Psychiatry Sapienza University of Rome Viale dell'Universit\u00e0 30 00185 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Petolicchio","sequence":"additional","affiliation":[{"name":"Department of Neurology and Psychiatry Sapienza University of Rome Viale dell'Universit\u00e0 30 00185 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Toscano","sequence":"additional","affiliation":[{"name":"Department of Neurology and Psychiatry Sapienza University of Rome Viale dell'Universit\u00e0 30 00185 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"La Cesa","sequence":"additional","affiliation":[{"name":"Department of Neurology and Psychiatry Sapienza University of Rome Viale dell'Universit\u00e0 30 00185 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Puledda","sequence":"additional","affiliation":[{"name":"Department of Neurology and Psychiatry Sapienza University of Rome Viale dell'Universit\u00e0 30 00185 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. L.","family":"Lenzi","sequence":"additional","affiliation":[{"name":"Department of Neurology and Psychiatry Sapienza University of Rome Viale dell'Universit\u00e0 30 00185 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Di Piero","sequence":"additional","affiliation":[{"name":"Department of Neurology and Psychiatry Sapienza University of Rome Viale dell'Universit\u00e0 30 00185 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,9]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16721-4"},{"key":"e_1_2_4_3_1","first-page":"1415","article-title":"The final results of the NASCET trial","volume":"339","author":"North American Symptomatic Carotid Endarterectomy Trialists' Collaborative Group","year":"1998","journal-title":"N Engl J Med"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)09292-1"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)12228-3"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520420037035"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000075300"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.2174\/157340310791658730"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(03)00324-7"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.19.9.1083"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000230307.03438.94"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.111.230631"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000185933.44619.1b"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0018459"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.96.9.3030"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2010.29.11.1635"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.permed.2012.02.001"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.3171\/2009.6.JNS09221"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.544783"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0594.2009.00564.x"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.109.888909"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.11.020"},{"key":"e_1_2_4_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.109.564088"},{"key":"e_1_2_4_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2009.01.034"},{"key":"e_1_2_4_25_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.521393"},{"key":"e_1_2_4_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-007-0082-0"},{"key":"e_1_2_4_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpcardiol.2009.05.001"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjcu.22011","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.22011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T12:39:01Z","timestamp":1695818341000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.22011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,9]]},"references-count":26,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.1002\/jcu.22011"],"URL":"https:\/\/doi.org\/10.1002\/jcu.22011","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,9]]}}}