{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T08:27:11Z","timestamp":1723192031453},"reference-count":31,"publisher":"Akademiai Kiado Zrt.","issue":"19","license":[{"start":{"date-parts":[[2022,5,8]],"date-time":"2022-05-08T00:00:00Z","timestamp":1651968000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2022,5,8]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold> Egy 58 \u00e9ves hypertoni\u00e1s n\u0151beteg\u00fcnk eset\u00e9t ismertetj\u00fck,\n                    aki er\u0151s szubjekt\u00edv panaszokat okoz\u00f3, gyakori, dokument\u00e1lt pitvarfibrill\u00e1ci\u00f3s\n                    paroxizmusok miatt kor\u00e1bban k\u00e9t alkalommal pulmonalis v\u00e9na izol\u00e1ci\u00f3n esett \u00e1t,\n                    de palpit\u00e1ci\u00f3\u00e9rz\u00e9sei tov\u00e1bbra sem sz\u0171ntek. Felt\u00e9telezve a pulmonalis v\u00e9na\n                    rekonnekci\u00f3t, a tart\u00f3s ritmuszavar-mentess\u00e9g el\u00e9r\u00e9s\u00e9t c\u00e9lozva a tervezett\n                    harmadik pulmonalis v\u00e9na izol\u00e1ci\u00f3 el\u0151tt 3D MRI bal pitvari k\u00e9s\u0151i\n                    kontraszthalmoz\u00e1sos k\u00e9palkot\u00e1st v\u00e9gezt\u00fcnk. A felv\u00e9teleken el\u0151sz\u00f6r a v\u00e9kony bal\n                    pitvarfal pontos endocardialis \u00e9s epicardialis fesz\u00edn\u00e9t hat\u00e1roztuk meg\n                    manu\u00e1lisan, majd a fali kontraszthalmoz\u00e1s transmuralitas\u00e1nak megfelel\u0151\n                    sz\u00ednk\u00f3dol\u00e1st v\u00e9gezt\u00fcnk. Az \u00edgy nyert bal pitvari sz\u00ednk\u00f3dolt felsz\u00edni\n                    rekonstrukci\u00f3 h\u00e1rom dimenzi\u00f3ban jelen\u00edtette meg a bal pitvarfalban l\u00e9v\u0151 heges\n                    ter\u00fcletek elhelyezked\u00e9s\u00e9t. A felv\u00e9teleket a tervezett harmadik beavatkoz\u00e1s sor\u00e1n\n                    beolvasva az elektroanat\u00f3miai rendszerbe, a megjelen\u00edtett antralis\n                    hegfolytonoss\u00e1gi hi\u00e1nyok ter\u00fclet\u00e9ben v\u00e9gezt\u00fcnk szelekt\u00edven ablati\u00f3kat, \u00e9s teljes\n                    izol\u00e1ci\u00f3t \u00e9rt\u00fcnk el mind a n\u00e9gy v\u00e9n\u00e1ban. A sz\u00f6v\u0151dm\u00e9nymentes beavatkoz\u00e1s ut\u00e1n a\n                    beteg tart\u00f3san panaszmentess\u00e9 v\u00e1lt. Eset\u00fcnk az els\u0151 olyan hazai ism\u00e9telt\n                    pulmonalis v\u00e9na izol\u00e1ci\u00f3, amelynek sor\u00e1n a kor\u00e1bbi ablati\u00f3s hegek folytonoss\u00e1gi\n                    hi\u00e1nyait 3D MRI-hegt\u00e9rk\u00e9p alkalmaz\u00e1s\u00e1val l\u00e1that\u00f3v\u00e1 tett\u00fck, \u00e9s az innovat\u00edv\n                    m\u00f3dszerrel feldolgozott k\u00e9pek ir\u00e1ny\u00edtott\u00e1k az ablati\u00f3t, ily m\u00f3don sz\u00fcntetve meg\n                    a hegfolytonoss\u00e1gi hi\u00e1nyokat. Orv Hetil. 2022; 163(19): 767\u2013772.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold> We present the case of a 58-year-old woman, suffering from\n                    high blood pressure, who presented with documented frequently occurring\n                    paroxysmal atrial fibrillation attacks. She underwent two prior pulmonary vein\n                    isolations, but her palpitations did not cease. We aimed to achieve a long\n                    period free of symptoms, and a 3D MRI late enhancement scar map of the left\n                    atrium was obtained before the planned third pulmonary vein isolation procedure\n                    to visualize the assumed pulmonary vein reconnection sites. First, the\n                    endocardial and epicardial contours of the thin left atrial wall were manually\n                    determined on the images, then color-coding was added based on the trasmurality\n                    of contrast enhancement in the wall. The reconstructed 3D color-coded left\n                    atrial surface revealed the localization of left atrial antral wall scars. These\n                    images were integrated into the electroanatomical mapping system and ablation\n                    was carried out selectively on the spots showing gaps in the antral scar.\n                    Isolation was achieved in all four veins without any complications. The patient\n                    has become symptom-free for years now. The reconstructed left atrial 3D MRI\n                    images gained in an innovative process visualized the gaps in the previous\n                    ablation lines and these images were integrated to guide the first gap-closure\n                    redo pulmonary vein isolation procedure in Hungary. Orv Hetil. 2022; 163(19):\n                    767\u2013772.<\/jats:p>","DOI":"10.1556\/650.2022.32456","type":"journal-article","created":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T16:20:12Z","timestamp":1668788412000},"page":"767-772","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":2,"title":["3D MRI bal pitvari hegt\u00e9rk\u00e9p \u00e1ltal vez\u00e9relt anat\u00f3miai pulmonalis v\u00e9na reizol\u00e1ci\u00f3"],"prefix":"10.1556","volume":"163","author":[{"given":"Eszter","family":"F\u0151di","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Sz\u00edvgy\u00f3gy\u00e1szati Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fat 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob J.","family":"van der Geest","sequence":"additional","affiliation":[{"name":"Leiden University Medical Center Leiden Hollandia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Simor","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Sz\u00edvgy\u00f3gy\u00e1szati Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fat 13., 7624 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Tomcs\u00e1nyi J, B\u00f3zsik B, Rokszin G, et al. 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