@mastersthesis{MTMT:34645264, title = {Changes in intracardiac haemostasis parameters during catheter ablation of atrial fibrillation in relation to the ablation technology and the periprocedural anticoagulation}, url = {https://m2.mtmt.hu/api/publication/34645264}, author = {Hajas, Orsolya}, unique-id = {34645264}, year = {2021} } @article{MTMT:31728594, title = {Cerebral microembolism during atrial fibrillation ablation can result from the technical aspects and mostly does not cause permanent neurological deficit}, url = {https://m2.mtmt.hu/api/publication/31728594}, author = {Lasek-Bal, Anetta and Puz, Przemyslaw and Wieczorek, Joanna and Nowak, Seweryn and Wnuk-Wojnar, Anna Maria and Warsz-Wianecka, Aldona and Mizia-Stec, Katarzyna}, doi = {10.5114/aoms.2020.94747}, journal-iso = {ARCH MED SCI}, journal = {ARCHIVES OF MEDICAL SCIENCE}, volume = {16}, unique-id = {31728594}, issn = {1734-1922}, abstract = {Introduction: Atrial fibrillation ablation can be associated with microembolism detected in the intracranial arteries and risk of neurological incidents. The aims of this study were to evaluate microembolic signals (MES) during pulmonary vein isolation (PVI) and establish the potential significance of MES for damage of the brain in radiological investigation and neurological state.Material and methods: In the prospective study we included patients with atrial fibrillation undergoing percutaneous pulmonary vein isolation (radiofrequency ablation/balloon cryoablation) with ultrasound monitoring of microembolisms in the middle cerebral artery. Neurological examination and MRI of the head were performed in all participants.Results: The study enrolled 80 patients at a mean age of 58 years. Microembolisms during the monitoring of the flow in the right middle cerebral artery were recorded in 61 (76.3%) patients in the amount of 51-489 (mean: 239). Most often the microembolic signals were registered during the trans-septal puncture and the stage of ablation. In 89%, microembolisms were gaseous. Mean score on the Fazekas scale for the whole group before ablation: 0.87 0.7 (0-3, med. 1); after: 0.93 0.71. In 3 (4.3%) patients the lesions worsened during the follow-up period. None of the patients revealed a cardiovascular event during the follow-up period and no changes were observed in the neurological status.Conclusions: The majority of cerebral microembolisms generated during PVI are gaseous in nature. The cerebral microembolisms associated with PVI probably result from the technical aspects of the procedure and do not cause either permanent brain damage in the radiological investigation or neurological deficit.}, keywords = {ABLATION; microembolism; Atrial Fibrillation; Pulmonary vein isolation; microembolic signals}, year = {2020}, eissn = {1896-9151}, pages = {1288-1294}, orcid-numbers = {Puz, Przemyslaw/0000-0002-7787-5660} } @article{MTMT:30644605, title = {Incidence and Clinical Significance of Cerebral Embolism During Atrial Fibrillation Ablation With Duty-Cycled Phased-Radiofrequency Versus Cooled-Radiofrequency}, url = {https://m2.mtmt.hu/api/publication/30644605}, author = {Keçe, Fehmi and Bruggemans, Eline F. and de Riva, Marta and Alizadeh Dehnavi, Reza and Wijnmaalen, Adrianus P. and Meulman, Tamara J. and Brugman, Julia A. and Rooijmans, Anouk M. and van Buchem, Mark A. and Middelkoop, Huub A. and Eikenboom, Jeroen and Schalij, Martin J. and Zeppenfeld, Katja and Trines, Serge A.}, doi = {10.1016/j.jacep.2018.11.008}, journal-iso = {JACC CLIN ELECTROPHYSIOL}, journal = {JACC: CLINICAL ELECTROPHYSIOLOGY}, volume = {5}, unique-id = {30644605}, issn = {2405-500X}, year = {2019}, eissn = {2405-5018}, pages = {318-326} } @article{MTMT:30563659, title = {Roles of Microembolus and Plasma D-dimer in the Evaluation of Warfarin Anticoagulant Therapy Efficacies for Patients with Atrial Fibrillation}, url = {https://m2.mtmt.hu/api/publication/30563659}, author = {Xu, Yun and Wang, Bing and Jiang, Li-Jiao and Lu, Xiao-Ping and Zhao, Xiao-Ying and Wang, Fang}, doi = {10.1532/hsf.2197}, journal-iso = {HEART SURG FORUM}, journal = {HEART SURGERY FORUM}, volume = {22}, unique-id = {30563659}, issn = {1098-3511}, abstract = {Background: To investigate the roles of microemboli and plasma D-dimer in the evaluation of warfarin anticoagulant therapy efficacies for patients with atrial fibrillation (AF).}, year = {2019}, eissn = {1522-6662}, pages = {E15-E18} } @article{MTMT:27562297, title = {Clinical Impact of the Microembolic Signal Burden During Catheter Ablation for Atrial Fibrillation Just a Lot of Noise?}, url = {https://m2.mtmt.hu/api/publication/27562297}, author = {von Bary, Christian and Deneke, Thomas and Arentz, Thomas and Schade, Anja and Lehrmann, Heiko and Schwab-Malek, Susanne and Fredersdorf, Sabine and Baldaranov, Dobri and Maier, Lars and Schlachetzki, Felix}, doi = {10.1002/jum.14447}, journal-iso = {J ULTRAS MED}, journal = {JOURNAL OF ULTRASOUND IN MEDICINE}, volume = {37}, unique-id = {27562297}, issn = {0278-4297}, year = {2018}, eissn = {1550-9613}, pages = {1091-1101} } @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:26562233, title = {Online Measurement of Microembolic Signal Burden by Transcranial Doppler during Catheter Ablation for Atrial Fibrillation - Results of a Multicenter Trial}, url = {https://m2.mtmt.hu/api/publication/26562233}, author = {von Bary, Christian and Deneke, Thomas and Arentz, Thomas and Schade, Anja and Lehrmann, Heiko and Fredersdorf, Sabine and Baldaranov, Dobri and Maier, Lars and Schlachetzki, Felix}, doi = {10.3389/fneur.2017.00131}, journal-iso = {FRONT NEUR}, journal = {FRONTIERS IN NEUROLOGY}, volume = {8}, unique-id = {26562233}, issn = {1664-2295}, year = {2017}, eissn = {1664-2295} } @mastersthesis{MTMT:3255804, title = {Szívelektrofiziológiai intervenciók magas prevalenciájú kardiális kórképekben}, url = {https://m2.mtmt.hu/api/publication/3255804}, author = {Csanádi, Zoltán}, publisher = {University of Debrecen}, unique-id = {3255804}, year = {2016} }