@article{MTMT:34133554, title = {Treatment of In-stent Restenosis of the Internal Carotid Artery Using Drug-eluting Balloons}, url = {https://m2.mtmt.hu/api/publication/34133554}, author = {Marton, Annamária and Blényesi, Eszter and Török, Katalin and Balogh, Gábor and Gubucz, István and Nardai, Sándor and Lenzsér, Gábor and Nagy, Csaba Balázs and Bajzik, Gábor and Tollár, József and Repa, Imre and Nagy, Ferenc and Vajda, Zsolt}, doi = {10.1007/s00062-023-01343-6}, journal-iso = {CLIN NEURORADIOL}, journal = {CLINICAL NEURORADIOLOGY}, volume = {34}, unique-id = {34133554}, issn = {1869-1439}, keywords = {Stent; Restenosis; intervention; Carotid; Drug-eluring balloons}, year = {2024}, eissn = {1869-1447}, pages = {147-154}, orcid-numbers = {Marton, Annamária/0000-0002-6826-6695; Bajzik, Gábor/0000-0002-0996-9294; Tollár, József/0000-0001-7607-6739} } @article{MTMT:34198144, title = {Egy ritka kórkép, a vena poplitea aneurysma kezelési lehetőségeinek áttekintése egy eset kapcsán}, url = {https://m2.mtmt.hu/api/publication/34198144}, author = {Szabó, Dorottya and Varga, Bence Attila and Nagy, Csaba Balázs and Jancsó, Gábor and Kasza, Gábor Miklós and Benkő, László and Fazekas, Gábor}, doi = {10.1556/650.2023.32866}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {164}, unique-id = {34198144}, issn = {0030-6002}, abstract = {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.}, keywords = {Pulmonary Embolism; TÜDŐEMBOLIA; popliteal vein aneurysm; aneurysm resection; aneurysmareszekció; vena poplitea aneurysma}, year = {2023}, eissn = {1788-6120}, pages = {1544-1549} } @mastersthesis{MTMT:33685794, title = {Diagnostic and therapeutic aspects of neuroradiology in acute ischemic stroke affecting the anterior circulation}, url = {https://m2.mtmt.hu/api/publication/33685794}, author = {Nagy, Csaba Balázs}, unique-id = {33685794}, year = {2022} } @article{MTMT:33062483, title = {Akut ischaemiás stroke neurointervenciós kezelése: kaposvári tapasztalatok}, url = {https://m2.mtmt.hu/api/publication/33062483}, author = {Marton, Annamária and Nagy, Csaba Balázs and Lenzsér, Gábor and Nardai, Sándor and Gubucz, István and Bajzik, Gábor and Nagy, Ferenc and Vajda, Zsolt}, journal-iso = {IDEGGYÓGY SZEMLE PROC}, journal = {IDEGGYÓGYÁSZATI SZEMLE PROCEEDINGS / CLINICAL NEUROSCIENCE PROCEEDINGS}, volume = {7}, unique-id = {33062483}, issn = {2498-6240}, year = {2022}, pages = {156-157}, orcid-numbers = {Marton, Annamária/0000-0002-6826-6695; Bajzik, Gábor/0000-0002-0996-9294} } @article{MTMT:32647101, title = {A mechanikus thrombectomiát megelőző intravénás thrombolysis szerepe az akut agyi nagyérelzáródások kezelésében}, url = {https://m2.mtmt.hu/api/publication/32647101}, author = {Kalmár, Péter János and Tárkányi, Gábor and Karádi, Nozomi Zsófia and Bosnyák, Edit and Nagy, Csaba Balázs and Csécsei, Péter and Lenzsér, Gábor and Büki, András and Janszky, József Vladimír and Szapáry, László}, doi = {10.18071/isz.75.0023}, journal-iso = {IDEGGYOGY SZEMLE}, journal = {IDEGGYOGYASZATI SZEMLE / CLINICAL NEUROSCIENCE}, volume = {75}, unique-id = {32647101}, issn = {0019-1442}, abstract = {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.}, keywords = {thrombolysis; stroke; Thrombectomy; Ischaemia}, year = {2022}, eissn = {2498-6208}, pages = {23-29}, orcid-numbers = {Janszky, József Vladimír/0000-0001-6100-832X} } @article{MTMT:32228684, title = {Endovascular Recanalization of Tandem Internal Carotid Occlusions Using the Balloon-assisted Tracking Technique}, url = {https://m2.mtmt.hu/api/publication/32228684}, author = {Nagy, Csaba Balázs and Héger, Júlia and Balogh, Gábor and Gubucz, István and Nardai, Sándor and Lenzsér, Gábor and Bajzik, Gábor and Fehér, Máté and Moizs, Mariann and Repa, Imre and Nagy, Ferenc and Vajda, Zsolt}, doi = {10.1007/s00062-021-01078-2}, journal-iso = {CLIN NEURORADIOL}, journal = {CLINICAL NEURORADIOLOGY}, volume = {32}, unique-id = {32228684}, issn = {1869-1439}, abstract = {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.}, keywords = {technique; stroke; Stent; Thrombectomy; intervention}, year = {2022}, eissn = {1869-1447}, pages = {375-384}, orcid-numbers = {Bajzik, Gábor/0000-0002-0996-9294; Moizs, Mariann/0000-0003-1055-5918} } @article{MTMT:32285831, title = {Az a. vertebralis intrakraniális szakasza tünetképző szűkületeinek}, url = {https://m2.mtmt.hu/api/publication/32285831}, author = {Blényesi, Eszter and Tollár, József and Nagy, Csaba Balázs and Marton, Annamária and Héger, Júlia and Nagy, Ferenc and Vajda, Zsolt}, journal-iso = {IDEGGYÓGY SZEMLE PROC}, journal = {IDEGGYÓGYÁSZATI SZEMLE PROCEEDINGS / CLINICAL NEUROSCIENCE PROCEEDINGS}, volume = {6}, unique-id = {32285831}, issn = {2498-6240}, year = {2021}, pages = {29-30}, orcid-numbers = {Tollár, József/0000-0001-7607-6739; Marton, Annamária/0000-0002-6826-6695} } @article{MTMT:32285810, title = {Az a. carotis interna in-stent restenosisának kezelésével szerzett tapasztalataink}, url = {https://m2.mtmt.hu/api/publication/32285810}, author = {Marton, Annamária and Blényesi, Eszter and Tollár, József and Héger, Júlia and Nagy, Csaba Balázs and Szász, Krisztina and Horváth, Gyula and Nagy, Ferenc and Vajda, Zsolt}, journal-iso = {IDEGGYÓGY SZEMLE PROC}, journal = {IDEGGYÓGYÁSZATI SZEMLE PROCEEDINGS / CLINICAL NEUROSCIENCE PROCEEDINGS}, volume = {6}, unique-id = {32285810}, issn = {2498-6240}, year = {2021}, pages = {29-29}, orcid-numbers = {Marton, Annamária/0000-0002-6826-6695; Tollár, József/0000-0001-7607-6739} } @{MTMT:32130143, title = {General anesthesia related drop of diastolic blood pressure may impact the long-term outcome in stroke patients undergoing thrombectomy - a retrospective single-center analysis}, url = {https://m2.mtmt.hu/api/publication/32130143}, author = {Alan, Abada and Csécsei, Péter and Ezer, Erzsébet and Alex, Szolics and Lenzsér, Gábor and Nagy, Csaba Balázs and Hegyi, Péter and Tárkányi, Gábor and Mérei, Ákos and Szentesi, Andrea Ildikó and Molnár, Tihamér}, booktitle = {Medical Conference for PhD Students and Experts of Clinical Sciences 2021}, unique-id = {32130143}, year = {2021}, pages = {42-42}, orcid-numbers = {Hegyi, Péter/0000-0003-0399-7259; Szentesi, Andrea Ildikó/0000-0003-2097-6927} } @article{MTMT:32029068, title = {Comparing Endovascular Treatment Methods in Acute Ischemic Stroke Due to Tandem Occlusion Focusing on Clinical Aspects}, url = {https://m2.mtmt.hu/api/publication/32029068}, author = {Kalmár, Péter János and Tárkányi, Gábor and Nagy, Csaba Balázs and Csécsei, Péter and Lenzsér, Gábor and Bosnyák, Edit and Karadi, Zsofia Nozomi and Annus, Ádám and Szegedi, István and Büki, András and Szapáry, László}, doi = {10.3390/life11050458}, journal-iso = {LIFE-BASEL}, journal = {LIFE-BASEL}, volume = {11}, unique-id = {32029068}, year = {2021}, eissn = {2075-1729}, orcid-numbers = {Annus, Ádám/0000-0003-0498-6578; Szegedi, István/0000-0003-4181-4361} }