TY - JOUR AU - Marton, Annamária AU - Blényesi, Eszter AU - Török, Katalin AU - Balogh, Gábor AU - Gubucz, István AU - Nardai, Sándor AU - Lenzsér, Gábor AU - Nagy, Csaba Balázs AU - Bajzik, Gábor AU - Tollár, József AU - Repa, Imre AU - Nagy, Ferenc AU - Vajda, Zsolt TI - Treatment of In-stent Restenosis of the Internal Carotid Artery Using Drug-eluting Balloons JF - CLINICAL NEURORADIOLOGY J2 - CLIN NEURORADIOL VL - 34 PY - 2024 IS - 1 SP - 147 EP - 154 PG - 8 SN - 1869-1439 DO - 10.1007/s00062-023-01343-6 UR - https://m2.mtmt.hu/api/publication/34133554 ID - 34133554 N1 - Department of Neurology, Somogy County Moritz Kaposi Teaching Hospital, Kaposvár, Hungary Department of Surgery, Somogy County Moritz Kaposi Teaching Hospital, Kaposvár, Hungary Neurovascular and Interventional Unit, Somogy County Moritz Kaposi Teaching Hospital, Kaposvár, Hungary Export Date: 3 April 2024 Correspondence Address: Vajda, Z.; Neurovascular and Interventional Unit, Hungary; email: vajdus@gmail.com Chemicals/CAS: acetylsalicylic acid, 493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1; clopidogrel, 113665-84-2, 120202-66-6, 90055-48-4, 94188-84-8, 120202-65-5, 120202-67-7, 894353-16-3, 744256-69-7; heparin, 37187-54-5, 8057-48-5, 8065-01-8, 9005-48-5, 9041-08-1 Tradenames: Elutax, Aachen Resonance, Germany; Multiplate, roche deutschland holding gmbh, Germany; SOMATOM Definition Flash, Siemens, Germany Manufacturers: Aachen Resonance; Aachen Resonance, Germany; roche deutschland holding gmbh; roche deutschland holding gmbh, Germany; Siemens; Siemens, Germany LA - English DB - MTMT ER - TY - JOUR AU - Szabó, Dorottya AU - Varga, Bence Attila AU - Nagy, Csaba Balázs AU - Jancsó, Gábor AU - Kasza, Gábor Miklós AU - Benkő, László AU - Fazekas, Gábor TI - Egy ritka kórkép, a vena poplitea aneurysma kezelési lehetőségeinek áttekintése egy eset kapcsán JF - ORVOSI HETILAP J2 - ORV HETIL VL - 164 PY - 2023 IS - 39 SP - 1544 EP - 1549 PG - 6 SN - 0030-6002 DO - 10.1556/650.2023.32866 UR - https://m2.mtmt.hu/api/publication/34198144 ID - 34198144 AB - Popliteal vein aneurysm is a rare, but potentially life-threatening condition that can lead to deep vein thrombosis and/or pulmonary embolism. It is often asymptomatic, but symptoms may include pain, post-thrombotic syndrome or chronic venous insufficiency. An experienced physician may be able to detect a palpable mass in the popliteal fossa. Duplex ultrasound is the first line of diagnosis. CT or MR venography play a role in the diagnosis.To review the international literature, explain the possible treatment options, and present our case.A 62-year-old female patient had a recurrent pulmonary embolism while on direct-acting oral anticoagulant therapy. Duplex ultrasound and MR angiography were performed and confirmed a partially thrombosed aneurysm of the right popliteal vein. Aneurysm resection and venorrhaphy were performed as treatment. At follow-up, ultrasound showed adequate flow in the deep venous system. 6 months later, the control MR angiography showed good flow without stenosis. There were no postoperative complications. Discussion and literature review: The pathomechanism of the disease remains unclear. Treatment options are conservative therapy and/or surgical intervention, but there is no consensus regarding the therapy of symptomatic or asymptomatic cases. There is no clear statement regarding the method and duration of postoperative anticoagulant therapy.In the case of recurrent pulmonary embolism, the possibility of a popliteal vein aneurysm should be considered. Ultrasound is a non-invasive, widely available initial diagnostic tool. In addition to conservative treatment, the possibility of surgical intervention can be considered. The surgical procedure described in our case was successful. Orv Hetil. 2023; 164(39): 1544-1549. LA - Hungarian DB - MTMT ER - TY - THES AU - Nagy, Csaba Balázs TI - Diagnostic and therapeutic aspects of neuroradiology in acute ischemic stroke affecting the anterior circulation PY - 2022 SP - 62 UR - https://m2.mtmt.hu/api/publication/33685794 ID - 33685794 LA - English DB - MTMT ER - TY - JOUR AU - Marton, Annamária AU - Nagy, Csaba Balázs AU - Lenzsér, Gábor AU - Nardai, Sándor AU - Gubucz, István AU - Bajzik, Gábor AU - Nagy, Ferenc AU - Vajda, Zsolt TI - Akut ischaemiás stroke neurointervenciós kezelése: kaposvári tapasztalatok JF - IDEGGYÓGYÁSZATI SZEMLE PROCEEDINGS / CLINICAL NEUROSCIENCE PROCEEDINGS J2 - IDEGGYÓGY SZEMLE PROC VL - 7 PY - 2022 IS - 3 SP - 156 EP - 157 PG - 2 SN - 2498-6240 UR - https://m2.mtmt.hu/api/publication/33062483 ID - 33062483 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Kalmár, Péter János AU - Tárkányi, Gábor AU - Karádi, Nozomi Zsófia AU - Bosnyák, Edit AU - Nagy, Csaba Balázs AU - Csécsei, Péter AU - Lenzsér, Gábor AU - Büki, András AU - Janszky, József Vladimír AU - Szapáry, László TI - A mechanikus thrombectomiát megelőző intravénás thrombolysis szerepe az akut agyi nagyérelzáródások kezelésében JF - IDEGGYOGYASZATI SZEMLE / CLINICAL NEUROSCIENCE J2 - IDEGGYOGY SZEMLE VL - 75 PY - 2022 IS - 1-2 SP - 23 EP - 29 PG - 7 SN - 0019-1442 DO - 10.18071/isz.75.0023 UR - https://m2.mtmt.hu/api/publication/32647101 ID - 32647101 AB - The efficacy of intravenous thrombolysis (IVT) is moderate in the proximal vascular segments of intracranial arteries, as opposed to mecha-nical thrombectomy (MT). In the management of acute ischemic stroke (AIS) caused by large vessel occlusions (LVO), IVT prior to MT is highly recommended based on the latest guidelines, but the necessity of IVT has been questioned by the latest studies of the past years. The aim of our study was to investigate and compare the efficacy and safety of direct mechanical thrombectomy (dMT) and combined therapy (CT) for patients who suffered an AIS with LVO and were treated in our department.We investigated patients with AIS caused by LVO who were admitted up to 4.5 hours after symptom onset and underwent MT in our department between November 2017 and August 2019. Patients' data were collected in our stroke register. Patients enrolled in our study were divided into two groups depending on whether dMT or CT was used. Our primary outcome was the 30- and 90- day functional outcome measured by modified Rankin Scale (mRS). Mortality at 30- and 90- day, successful recanalization rates, and symptomatic intracranial hemorrhage were considered as secondary outcomes.A total of 142 patients (age: 68.3 ± 12.6 years, 53.5% female) were enrolled in our study, including 81 (57.0%) dMT cases, and 61 (43.0%) patients who received CT. The vascular risk factors and comorbidities were significantly higher in the dMT-treated group. At day 30, the rate of favorable functional outcomes was 34.7% in dMT vs. 43.6% among those who received CT (p = 0.307), by day 90 this ratio changed to 40.8% vs. 46.3% (p = 0.542). Mortality rates at day 30 were 22.2% and 23.6% (p = 0.851), and at day 90 33.8% and 25.9% (p = 0.343). The rate of effective recanalization was 94.2% for dMT-treated patients and 98.0% for CT-treated patients (p = 0.318). Symptomatic intracranial hemorrhage was detected in 2.5% of dMT-treated patients and 3.4% of CT-treated group (p = 0.757).Our results suggest that CT is associated with a moderately better outcome compared to dMT. IVT prior to MT did not increase the risk of symptomatic intracranial hemorrhages. LA - Hungarian DB - MTMT ER - TY - JOUR AU - Nagy, Csaba Balázs AU - Héger, Júlia AU - Balogh, Gábor AU - Gubucz, István AU - Nardai, Sándor AU - Lenzsér, Gábor AU - Bajzik, Gábor AU - Fehér, Máté AU - Moizs, Mariann AU - Repa, Imre AU - Nagy, Ferenc AU - Vajda, Zsolt TI - Endovascular Recanalization of Tandem Internal Carotid Occlusions Using the Balloon-assisted Tracking Technique JF - CLINICAL NEURORADIOLOGY J2 - CLIN NEURORADIOL VL - 32 PY - 2022 IS - 2 SP - 375 EP - 384 PG - 10 SN - 1869-1439 DO - 10.1007/s00062-021-01078-2 UR - https://m2.mtmt.hu/api/publication/32228684 ID - 32228684 AB - Tandem occlusive lesions are responsible for up to 20% of acute ischemic stroke cases and are associated with poor prognosis if complete recanalization cannot be achieved. Endovascular recanalization might be challenging due to difficulties in the safe passage of the occluded plaque at the origin of the internal carotid artery (ICA). The balloon-assisted tracking technique (BAT), where a partially deflated balloon is exposed out of the catheter tip to facilitate its passage through stenosed or spastic arterial segments was introduced by interventional cardiologists and the applicability of the technique has been recently proposed in the field of neurointervention as well. Here we describe our experience using the BAT technique in the endovascular recanalization of tandem occlusive lesions.Procedures were performed from June 2013 to December 2020 in a single center. Baseline clinical and imaging data, procedural and follow-up details and clinical outcomes were retrospectively collected.In this study 107 patients, median age 66 years, median admission NIHSS 14 and median ASPECTS 8 were included. Successful recanalization of the ICA using the BAT technique was achieved in 100 (93%) and successful intracranial revascularization in 88 (82%) patients. There were no complications attributable to the BAT technique. Intraprocedural complications occurred in 9 (8%) patients. Emergent stenting was performed in 40 (37%) at the end of the procedure. Postprocedural adverse events (intracerebral hemorrhage [ICH], malignant infarction) occurred in 6 (5%) patients. Good clinical outcome at 3 months (modified Rankin scale [mRS] 0-2) was 54 (50%) and mortality 26 (24%). Delayed stent placement during follow-up occurred in 21 cases.Application of BAT technique in tandem occlusions appears feasible, safe, and efficient. Further evaluation of this technique is awaited. LA - English DB - MTMT ER - TY - JOUR AU - Blényesi, Eszter AU - Tollár, József AU - Nagy, Csaba Balázs AU - Marton, Annamária AU - Héger, Júlia AU - Nagy, Ferenc AU - Vajda, Zsolt TI - Az a. vertebralis intrakraniális szakasza tünetképző szűkületeinek JF - IDEGGYÓGYÁSZATI SZEMLE PROCEEDINGS / CLINICAL NEUROSCIENCE PROCEEDINGS J2 - IDEGGYÓGY SZEMLE PROC VL - 6 PY - 2021 IS - 1 SP - 29 EP - 30 PG - 2 SN - 2498-6240 UR - https://m2.mtmt.hu/api/publication/32285831 ID - 32285831 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Marton, Annamária AU - Blényesi, Eszter AU - Tollár, József AU - Héger, Júlia AU - Nagy, Csaba Balázs AU - Szász, Krisztina AU - Horváth, Gyula AU - Nagy, Ferenc AU - Vajda, Zsolt TI - Az a. carotis interna in-stent restenosisának kezelésével szerzett tapasztalataink JF - IDEGGYÓGYÁSZATI SZEMLE PROCEEDINGS / CLINICAL NEUROSCIENCE PROCEEDINGS J2 - IDEGGYÓGY SZEMLE PROC VL - 6 PY - 2021 IS - 1 SP - 29 EP - 29 PG - 1 SN - 2498-6240 UR - https://m2.mtmt.hu/api/publication/32285810 ID - 32285810 LA - Hungarian DB - MTMT ER - TY - CHAP AU - Alan, Abada AU - Csécsei, Péter AU - Ezer, Erzsébet AU - Alex, Szolics AU - Lenzsér, Gábor AU - Nagy, Csaba Balázs AU - Hegyi, Péter AU - Tárkányi, Gábor AU - Mérei, Ákos AU - Szentesi, Andrea Ildikó AU - Molnár, Tihamér ED - Csiszár, Beáta ED - Hankó, Csilla ED - Kajos, Luca Fanni ED - Mező, Emerencia TI - General anesthesia related drop of diastolic blood pressure may impact the long-term outcome in stroke patients undergoing thrombectomy - a retrospective single-center analysis T2 - Medical Conference for PhD Students and Experts of Clinical Sciences 2021 PB - University of Pécs, Doctoral Student Association CY - Pécs SN - 9789634296539 PY - 2021 SP - 42 EP - 42 PG - 1 UR - https://m2.mtmt.hu/api/publication/32130143 ID - 32130143 LA - English DB - MTMT ER - TY - JOUR AU - Kalmár, Péter János AU - Tárkányi, Gábor AU - Nagy, Csaba Balázs AU - Csécsei, Péter AU - Lenzsér, Gábor AU - Bosnyák, Edit AU - Karadi, Zsofia Nozomi AU - Annus, Ádám AU - Szegedi, István AU - Büki, András AU - Szapáry, László TI - Comparing Endovascular Treatment Methods in Acute Ischemic Stroke Due to Tandem Occlusion Focusing on Clinical Aspects JF - LIFE-BASEL J2 - LIFE-BASEL VL - 11 PY - 2021 IS - 5 PG - 10 SN - 2075-1729 DO - 10.3390/life11050458 UR - https://m2.mtmt.hu/api/publication/32029068 ID - 32029068 LA - English DB - MTMT ER -