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Routine preprocedural transesophageal echocardiography might not be necessary for stroke prevention evaluation in AF patients on anticoagulation therapy

DC FieldValueLanguage
dc.contributor.author장혁재-
dc.contributor.author정보영-
dc.contributor.author한재현-
dc.contributor.author김영진-
dc.contributor.author김종윤-
dc.contributor.author박희남-
dc.contributor.author신동호-
dc.contributor.author심재민-
dc.contributor.author엄재선-
dc.contributor.author이문형-
dc.contributor.author이승현-
dc.contributor.author이혜정-
dc.date.accessioned2014-12-18T09:31:04Z-
dc.date.available2014-12-18T09:31:04Z-
dc.date.issued2013-
dc.identifier.issn0167-5273-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/88316-
dc.description.abstractBACKGROUND: Preprocedural transesophageal echocardiography (TEE) is used to reduce the stroke during atrial fibrillation (AF) ablation. This study evaluated whether routine preprocedural TEE in addition to multidetector computed tomography (MDCT) is necessary to prevent periprocedural stroke in AF ablation. METHODS: Each patient underwent MDCT and TEE (group 1, n=247) or MDCT alone (group 2, n=103) for the initial evaluation before AF ablation. In group 2, TEE was performed only in patients who had left atrial (LA) thrombus or blood stasis in MDCT. RESULTS: There was no difference in sex, CHADS2 score, or LA dimension between the two groups. In group 1, a thrombus was detected in 12 (5%) and 6 (2%) patients by the MDCT and TEE, respectively. All (100%) patients, who were revealed to have thrombus in TEE, also had a thrombus in MDCT. In group 2, 3 (3%) patients exhibited LA thrombus in MDCT, among whom thrombus was observed in only one patient (1%) in TEE. AF ablation was not performed in patients with thrombus. While one patient had a periprocedural stroke in group 1, no patient had in group 2 (P=0.52). CONCLUSION: The overall periprocedural stroke rate was low (0.3%) in AF patients on anticoagulation therapy. The preprocedural MDCT detected all patients with the LA thrombus. In AF patients with low CHADS2 score, optimal anticoagulation and relatively preserved left ventricular ejection fraction, routine preprocedural TEE in addition to the MDCT might not be necessary to decrease the periprocedural stroke rate.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfINTERNATIONAL JOURNAL OF CARDIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAnticoagulants/therapeutic use*-
dc.subject.MESHAtrial Fibrillation/complications-
dc.subject.MESHAtrial Fibrillation/surgery*-
dc.subject.MESHCatheter Ablation*-
dc.subject.MESHEchocardiography, Transesophageal*-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMultidetector Computed Tomography-
dc.subject.MESHPostoperative Complications/epidemiology-
dc.subject.MESHPostoperative Complications/prevention & control-
dc.subject.MESHPreoperative Care/methods*-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStroke/diagnosis-
dc.subject.MESHStroke/etiology-
dc.subject.MESHStroke/prevention & control*-
dc.subject.MESHUnnecessary Procedures*-
dc.titleRoutine preprocedural transesophageal echocardiography might not be necessary for stroke prevention evaluation in AF patients on anticoagulation therapy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorJae-Hyun Han-
dc.contributor.googleauthorDong-Ho Shin-
dc.contributor.googleauthorHye-Jeong Lee-
dc.contributor.googleauthorYoung Jin Kim-
dc.contributor.googleauthorSeung-Hyun Lee-
dc.contributor.googleauthorJaemin Shim-
dc.contributor.googleauthorJae-Sun Uhm-
dc.contributor.googleauthorJong-Youn Kim-
dc.contributor.googleauthorHyuk-Jae Chang-
dc.contributor.googleauthorHui-Nam Pak-
dc.contributor.googleauthorMoon-Hyoung Lee-
dc.contributor.googleauthorBoyoung Joung-
dc.identifier.doi10.1016/j.ijcard.2012.12.096-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03490-
dc.contributor.localIdA03609-
dc.contributor.localIdA04320-
dc.contributor.localIdA00926-
dc.contributor.localIdA01776-
dc.contributor.localIdA02097-
dc.contributor.localIdA02206-
dc.contributor.localIdA02337-
dc.contributor.localIdA02766-
dc.contributor.localIdA03320-
dc.contributor.localIdA00727-
dc.contributor.localIdA02935-
dc.relation.journalcodeJ01093-
dc.identifier.eissn1874-1754-
dc.identifier.pmid23352487-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0167527313000077-
dc.subject.keywordAnticoagulation-
dc.subject.keywordAtrial fibrillation-
dc.subject.keywordStroke-
dc.subject.keywordTransesophageal echocardiography-
dc.contributor.alternativeNameChang, Hyuck Jae-
dc.contributor.alternativeNameJoung, Bo Young-
dc.contributor.alternativeNameHan, Jae Hyun-
dc.contributor.alternativeNameKim, Young Jin-
dc.contributor.alternativeNameKim, Jong Youn-
dc.contributor.alternativeNamePak, Hui Nam-
dc.contributor.alternativeNameShin, Dong Ho-
dc.contributor.alternativeNameShim, Jae Min-
dc.contributor.alternativeNameUhm, Jae Sun-
dc.contributor.alternativeNameLee, Moon Hyoung-
dc.contributor.alternativeNameLee, Seung Hyun-
dc.contributor.alternativeNameLee, Hye Jeong-
dc.contributor.affiliatedAuthorChang, Hyuck Jae-
dc.contributor.affiliatedAuthorJoung, Bo Young-
dc.contributor.affiliatedAuthorHan, Jae Hyun-
dc.contributor.affiliatedAuthorKim, Jong Youn-
dc.contributor.affiliatedAuthorPak, Hui Nam-
dc.contributor.affiliatedAuthorShin, Dong Ho-
dc.contributor.affiliatedAuthorShim, Jae Min-
dc.contributor.affiliatedAuthorUhm, Jae Sun-
dc.contributor.affiliatedAuthorLee, Moon Hyoung-
dc.contributor.affiliatedAuthorLee, Hye Jeong-
dc.contributor.affiliatedAuthorKim, Young Jin-
dc.rights.accessRightsnot free-
dc.citation.volume168-
dc.citation.number3-
dc.citation.startPage1992-
dc.citation.endPage1996-
dc.identifier.bibliographicCitationINTERNATIONAL JOURNAL OF CARDIOLOGY, Vol.168(3) : 1992-1996, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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