@mastersthesis{MTMT:3293973, title = {Evaluation of learning curve and safety aspects of phased radiofrequency ablation procedures for pulmonary vein isolation in atrial fibrillation}, url = {https://m2.mtmt.hu/api/publication/3293973}, author = {Martirosyan, Mihran}, unique-id = {3293973}, year = {2017} } @article{MTMT:3227096, title = {Cerebral micro-embolization during pulmonary vein isolation: relation to post-ablation silent cerebral ischemia}, url = {https://m2.mtmt.hu/api/publication/3227096}, author = {Nagy-Baló, Edina and Martirosyan, Mihran and Sándorfi, Gábor and Hajas, Orsolya and Levente, Lánczi and Berényi, Ervin László and Lilla, Ladányi and Kiss, Alexandra and Édes, István and Csanádi, Zoltán}, doi = {10.5603/CJ.a2017.0030}, journal-iso = {CARDIOL J}, journal = {CARDIOLOGY JOURNAL}, volume = {24}, unique-id = {3227096}, issn = {1897-5593}, abstract = {Background: High incidences of silent cerebral ischemia (SCI) have been revealed by diffusion-weighted magnetic resonance imaging (DW MRI) after pulmonary vein isolation (PVI) for atrial fibrillation. A high number of mostly gaseous micro-embolic signals (MESs) was detected by transcranial Doppler (TCD) during PVI. In this investigation the possible relationship between MESs detected intraoperatively by TCD and new SCI on DW MRI post-ablation is reported. Methods: 27 consecutive atrial fibrillation patients (6 female, age median: 64 interquartile range: 13.23) undergoing PVI with the pulmonary vein ablation catheter, pre- and post-ablation DW MRI and intraoperative MES detection by TCD were included in the study. Procedures were performed on a therapeutic international normalized ratio (2–3) and with a target activated clotting time ≥ 350 s in all patients. DW MRI scans performed pre- and post-ablation revealed new SCI in 6 out of 27 (22%) patients. Results: The median (interquartile range) MES count recorded during the whole procedure was 1642 (912) in patients with and 1019 (529) in those without SCI (p = 0.129). The number of MESs recorded during pulmonary vein angiography was significantly higher in patients as compared to those without a new lesion on the post-ablation DW MRI: 257 (249) vs. 110 (71), respectively (p = 0.0009). On multivariate logistic regression, the total MES count was predictive of SCI in patients older than 68 years. Conclusions: Micro-embolus generation detected by TCD during pulmonary vein angiography significantly correlates with new SCI on DW MRI post-ablation.}, year = {2017}, eissn = {1898-018X}, pages = {234-241} } @article{MTMT:2972852, title = {Phased RF Ablation: Results and Concerns}, url = {https://m2.mtmt.hu/api/publication/2972852}, author = {Kiss, Alexandra and Gábor, Sándorfi and Nagy-Baló, Edina and Martirosyan, Mihran and Csanádi, Zoltán}, doi = {10.4022/jafib.1240}, journal-iso = {JOURNAL OF ATRIAL FIBRILLATION}, journal = {JOURNAL OF ATRIAL FIBRILLATION}, volume = {8}, unique-id = {2972852}, issn = {1941-6911}, year = {2015}, pages = {45-53} } @article{MTMT:2759407, title = {Learning curve in circular multipolar radiofrequency ablation of atrial fibrillation}, url = {https://m2.mtmt.hu/api/publication/2759407}, author = {Martirosyan, Mihran and Kiss, Alexandra and Nagy-Baló, Edina and Sándorfi, Gábor and Hajas, Orsolya and Tint, D and Édes, István and Csanádi, Zoltán}, doi = {10.5603/CJ.a2014.0085}, journal-iso = {CARDIOL J}, journal = {CARDIOLOGY JOURNAL}, volume = {22}, unique-id = {2759407}, issn = {1897-5593}, year = {2015}, eissn = {1898-018X}, pages = {260-265} }