{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T20:57:42Z","timestamp":1773089862092,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,12,10]],"date-time":"2022-12-10T00:00:00Z","timestamp":1670630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Comparative data regarding the effect of percutaneous and thoracoscopic ablation of atrial fibrillation (AF) on cognitive function are very limited. The aim of the study was to determine and compare the effect of both types of ablations on patient cognitive functions in the mid\u2010term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with AF indicated for ablation procedure were included. Forty\u2010six patients underwent thoracoscopic, off\u2010pump ablation using the COBRA Fusion radiofrequency system, followed by a catheter ablation three months afterward (Hybrid group). A comparative cohort of 53 AF patients underwent pulmonary vein isolation only (PVI group). Neuropsychological examinations were done before and nine months after the surgical or catheter ablation procedure. Neuropsychological testing comprised 13 subtests of seven domains, and the results were expressed as post\u2010operative cognitive dysfunction (POCD) nine months after the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients in both groups were similar with respect to the baseline clinical characteristics; only non\u2010paroxysmal AF was more common in the hybrid group (98%\u00a0vs. 34%). Major POCD was present in eight (17.4%) of hybrid patients versus three (5.7%) of PVI patients (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.11), combined (major\/minor) worsened cognitive decline was present in 10 (21.7%) hybrid patients versus three (5.6%) PVI patients (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.034). On the other hand, combined (major\/minor) improvement was present in 15 (32.6%) hybrid patients versus nine (16.9%) patients in the PVI group (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.099).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Hybrid ablation, a combination of thoracoscopic and percutaneous ablation, is associated with a higher risk of cognitive decline compared to sole percutaneous ablation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14634","type":"journal-article","created":{"date-parts":[[2022,11,26]],"date-time":"2022-11-26T05:42:46Z","timestamp":1669441366000},"page":"84-90","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Changes in cognitive function after thoracoscopic and catheter ablation for atrial fibrillation"],"prefix":"10.1111","volume":"46","author":[{"given":"Dalibor","family":"Herman","sequence":"first","affiliation":[{"name":"Department of Cardiology Third Faculty of Medicine University Hospital Kralovske Vinohrady Charles University  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alena","family":"Jav\u016frkov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology Third Faculty of Medicine University Hospital Kralovske Vinohrady Charles University  Prague Czech Republic"},{"name":"Department of Nursing Second Faculty of Medicine Charles University  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaroslava","family":"Raudensk\u00e1","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology Third Faculty of Medicine University Hospital Kralovske Vinohrady Charles University  Prague Czech Republic"},{"name":"Department of Nursing Second Faculty of Medicine Charles University  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr","family":"Budera","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Third Faculty of Medicine University Hospital Kralovske Vinohrady Charles University  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vitalii","family":"Rizov","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Third Faculty of Medicine University Hospital Kralovske Vinohrady Charles University  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr","family":"Ka\u010der","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Third Faculty of Medicine University Hospital Kralovske Vinohrady Charles University  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom\u00e1\u0161","family":"Peisker","sequence":"additional","affiliation":[{"name":"Department of Neurology Third Faculty of Medicine University Hospital Kralovske Vinohrady Charles University  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marek","family":"Mal\u00fd","sequence":"additional","affiliation":[{"name":"National Institute of Public Health  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavel","family":"Osman\u010d\u00edk","sequence":"additional","affiliation":[{"name":"Department of Cardiology Third Faculty of Medicine University Hospital Kralovske Vinohrady Charles University  Prague Czech 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