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Asymptomatic cerebral lesions during pulmonary vein isolation under uninterrupted oral anticoagulation
Author(s) -
Martin Martinek,
Elisabeth Sigmund,
Christine Lemeš,
Michael Derndorfer,
Josef Aichinger,
Siegmund Winter,
W. Jauker,
Manfred Gschwendtner,
HansJoachim Nesser,
Helmut Pürerfellner
Publication year - 2012
Publication title -
ep europace
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/eus329
Subject(s) - medicine , atrial fibrillation , asymptomatic , pulmonary vein , ablation , cardiology , catheter ablation , magnetic resonance imaging , splenium , radiology , white matter
Left atrial radiofrequency ablation has been shown to carry a risk of asymptomatic cerebral lesions. No data exist in patients under continued oral anticoagulation during the ablation procedure. The aim of this study was to quantify the amount of silent cerebral lesions assessed by pre-procedural and post-procedural magnetic resonance imaging (MRI) in patients under therapeutic international normalized ratio (INR) and to identify clinical or procedural parameters that correlate with cerebral embolism.

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