Microembolism and Catheter Ablation II

Autor: Nicki M. Reinking, Jon F. Urban, Linnea Lentz, Nicole Kirchhof, Thomas Deneke, Noah Barka, David E. Haines, Mark G. Stewart, Emanuel Kanal, Franck Halimi
Rok vydání: 2013
Předmět:
Zdroj: Circulation: Arrhythmia and Electrophysiology. 6:23-30
ISSN: 1941-3084
1941-3149
DOI: 10.1161/circep.112.973461
Popis: Background— Asymptomatic cerebral lesions have been observed on diffusion weighted MRI (DWI) scans shortly after catheter ablation of atrial fibrillation, but the pathogenesis of these lesions is incompletely understood. Methods and Results— Twelve dogs underwent selective catheterization of the internal carotid or vertebral arteries. Either a microbubbled mixture of air (1.0–4.0 mL), blood, contrast, and saline (n=5), or heat-dried pulverized blood (particle size Conclusions— Cerebral embolization of air microbubbles or microparticulate debris that approximate the embolic sources from catheter ablation can create hyperintense DWI punctate lesions in a canine model. The location and size of the DWI/fluid attenuating inversion recovery lesions correlate with pathological findings.
Databáze: OpenAIRE