The aim of our study was to investigate the plaque characteristics and the lenticulostriate artery (LSA) status in artery-to-artery (A-to-A) embolism and branch atheromatous disease (BAD) using whole-brain high-resolution MRI. The results showed that patients with A-to-A embolism presented more frequently hyperintense plaques (HIP), plaque surface irregularity, and severe stenosis than patients with BAD. A significant reduction in the number and lengths of LSA branches in patients with BAD compared to A-to-A embolism was also found. Multivariate analysis further demonstrated that HIP was independently associated with A-to-A embolism, whereas the reduction in LSA branches was independently associated with BAD.
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