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10.1111/jce.15227

http://scihub22266oqcxt.onion/10.1111/jce.15227
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34453377!ä!34453377

suck abstract from ncbi


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pmid34453377      J+Cardiovasc+Electrophysiol 2021 ; 32 (12): 3125-3134
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  • Transition from transesophageal echocardiography to cardiac computed tomography for the evaluation of left atrial appendage thrombus prior to atrial fibrillation ablation and incidence of cerebrovascular events during the COVID-19 pandemic #MMPMID34453377
  • Akhtar T; Wallace R; Daimee UA; Hart E; Arbab-Zadeh A; Marine JE; Berger R; Calkins H; Spragg D
  • J Cardiovasc Electrophysiol 2021[Dec]; 32 (12): 3125-3134 PMID34453377show ga
  • BACKGROUND: Transesophageal echocardiography (TEE) is variably performed before atrial fibrillation (AF) ablation to evaluate left atrial appendage (LAA) thrombus. We describe our experience with transitioning to the pre-ablation cardiac computed tomography (CT) approach for the assessment of LAA thrombus during the COVID-19 pandemic. METHODS: We studied consecutive patients undergoing AF ablation at our center. The study cohort was divided into pre- versus post-COVID groups. The pre-COVID cohort included ablations performed during the 1 year before the COVID-19 pandemic; pre-ablation TEE was used routinely to evaluate LAA thrombus in high-risk patients. Post-COVID cohort included ablations performed during the 1 year after the COVID-19 pandemic; pre-ablation CT was performed in all patients, with TEE performed only in patients with LAA thrombus by CT imaging. The demographics, clinical history, imaging, and ablation characteristics, and peri-procedural cerebrovascular events (CVEs) were recorded. RESULTS: A total of 637 patients (pre-COVID n = 424, post-COVID n = 213) were studied. The mean age was 65.6 +/- 10.1 years in the total cohort, and the majority were men. There was a significant increase in pre-ablation CT imaging from pre- to post-COVID cohort (74.8% vs. 93.9%, p
  • |*Atrial Appendage/diagnostic imaging/surgery[MESH]
  • |*Atrial Fibrillation/diagnostic imaging/epidemiology/surgery[MESH]
  • |*COVID-19[MESH]
  • |*Catheter Ablation/adverse effects[MESH]
  • |*Thrombosis/diagnostic imaging/epidemiology[MESH]
  • |Aged[MESH]
  • |Echocardiography, Transesophageal[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |SARS-CoV-2[MESH]


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