{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T08:08:34Z","timestamp":1648886914849},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,1,1]]},"abstract":"<jats:p>A pitvarfibrill\u00e1ci\u00f3 transzkat\u00e9teres kezel\u00e9s\u00e9re sz\u00e1mos r\u00e1di\u00f3frekvenci\u00e1s h\u0151ablati\u00f3n alapul\u00f3 technik\u00e1t dolgoztak ki az ut\u00f3bbi 10 \u00e9v sor\u00e1n. \u00dajabban a fagyaszt\u00e1ssal, a pulmonalis v\u00e9n\u00e1k krioballonos izol\u00e1l\u00e1s\u00e1val el\u00e9rt eredm\u00e9nyek a r\u00e1di\u00f3frekvenci\u00e1s technik\u00e1k\u00e9hoz hasonl\u00f3 hat\u00e9konys\u00e1got mutatnak az \u00e9letet legink\u00e1bb vesz\u00e9lyeztet\u0151 sz\u00f6v\u0151dm\u00e9nyek cs\u00f6kken\u00e9se mellett. Dolgozatunkban saj\u00e1t eredm\u00e9nyeinkr\u0151l sz\u00e1molunk be a mintegy egy \u00e9v alatt v\u00e9gzett krioballon-ablatio alapj\u00e1n az els\u0151 55 betegen. \n <jats:italic>M\u00f3dszer:<\/jats:italic>\n a beavatkoz\u00e1st panaszos, gy\u00f3gyszerrefrakter, t\u00f6bbnyire paroxysmalisan pitvarfibrill\u00e1l\u00f3 betegeken v\u00e9gezt\u00fck, akiknek l\u00e9nyeges szervi sz\u00edvbaja nem volt. Minden esetben az \u00f6sszes pulmonalis v\u00e9na felkeres\u00e9s\u00e9re \u00e9s izol\u00e1l\u00e1s\u00e1ra t\u00f6rekedt\u00fcnk 28 mm \u00e1tm\u00e9r\u0151j\u0171, dupla fal\u00fa ballonkat\u00e9ter haszn\u00e1lat\u00e1val, ami a pulmonalis v\u00e9nasz\u00e1jad\u00e9k k\u00f6zel\u00e9ben felf\u00fajva a ker\u00fclete ment\u00e9n a bal pitvari sz\u00f6vetet ak\u00e1r \u201370 Celsius-fokig h\u0171tve megsz\u00fcnteti annak elektromos aktivit\u00e1s\u00e1t. A beavatkoz\u00e1s alatt heparint, ut\u00e1na or\u00e1lis antikoagul\u00e1nst alkalmaztunk. A f\u00e9l \u00e9ves ut\u00e1nk\u00f6vet\u00e9s sor\u00e1n EKG-t, 24 \u00f3r\u00e1s EKG-Holtert \u00e9s transztelefonos EKG-monitort haszn\u00e1ltunk a ritmus monitoroz\u00e1s\u00e1ra. \n <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n 55 betegen (18 n\u0151; \u00e9letkor 56\u00b133,64 \u00e9v) 192 pulmonalis v\u00e9na k\u00f6z\u00fcl 165 (86%) izol\u00e1ci\u00f3j\u00e1t siker\u00fclt el\u00e9rn\u00fcnk a beavatkoz\u00e1s sor\u00e1n. Valamennyi pulmonalis v\u00e9n\u00e1t 37 betegben (67%) siker\u00fclt izol\u00e1lni. A beavatkoz\u00e1si id\u0151 155,67\u00b1100,66 perc (\u00e1tlag\u00b1SD), az \u00e1tvil\u00e1g\u00edt\u00e1si id\u0151 34,04\u00b131,89 perc volt. A 6 h\u00f3napos ut\u00e1nk\u00f6vet\u00e9sn\u00e9l 34 beteg k\u00f6z\u00fcl 24-n\u00e9l (70%) siker\u00fclt teljes aritmiamentess\u00e9get (17 beteg) vagy a ritmuszavar szignifik\u00e1ns cs\u00f6kken\u00e9s\u00e9t (7 beteg) el\u00e9rn\u00fcnk. \n <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>\n kezdeti tapasztalataink alapj\u00e1n a krioballonos pulmonalis v\u00e9naizol\u00e1l\u00e1s a r\u00e1di\u00f3frekvenci\u00e1s ablati\u00f3n\u00e1l egyszer\u0171bb m\u00f3dszer, ahhoz hasonl\u00f3 eredm\u00e9nyess\u00e9ggel a pitvarfibrill\u00e1ci\u00f3 kezel\u00e9s\u00e9re.<\/jats:p>","DOI":"10.1556\/oh.2010.28798","type":"journal-article","created":{"date-parts":[[2010,4,9]],"date-time":"2010-04-09T01:57:23Z","timestamp":1270778243000},"page":"163-171","source":"Crossref","is-referenced-by-count":0,"title":["Cryoballon isolation of the pulmonary veins in atrial fibrillation: Mid-term results after the first 55 patients"],"prefix":"10.1556","volume":"151","author":[{"given":"Zsuzsanna","family":"T\u00f3th","sequence":"first","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9g\u00fcgyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai Int\u00e9zet Debrecen M\u00f3ricz Zs. krt. 22. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edina","family":"Nagy-Bal\u00f3","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9g\u00fcgyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai Int\u00e9zet Debrecen M\u00f3ricz Zs. krt. 22. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Kert\u00e9sz","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9g\u00fcgyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai Int\u00e9zet Debrecen M\u00f3ricz Zs. krt. 22. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcell","family":"Clemens","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9g\u00fcgyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai Int\u00e9zet Debrecen M\u00f3ricz Zs. krt. 22. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Herczku","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9g\u00fcgyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai Int\u00e9zet Debrecen M\u00f3ricz Zs. krt. 22. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Tint","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9g\u00fcgyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai Int\u00e9zet Debrecen M\u00f3ricz Zs. krt. 22. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Kun","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9g\u00fcgyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai Int\u00e9zet Debrecen M\u00f3ricz Zs. krt. 22. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Istv\u00e1n","family":"\u00c9des","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9g\u00fcgyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai Int\u00e9zet Debrecen M\u00f3ricz Zs. krt. 22. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Csan\u00e1di","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9g\u00fcgyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai Int\u00e9zet Debrecen M\u00f3ricz Zs. krt. 22. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","first-page":"659","volume":"39","year":"1998","journal-title":"N. 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