{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T03:45:00Z","timestamp":1760240700135,"version":"build-2065373602"},"reference-count":38,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T00:00:00Z","timestamp":1566259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Stroke is a rare but possible complication after atrial fibrillation (AF) ablation. However, its etiopathogenesis is far from being completely characterized. Here we report a case of stroke, with recurrent peripheral embolism after AF ablation procedure. In our patient, an in situ femoral vein thrombosis and iatrogenic atrial septal defect were simultaneously detected. A comprehensive review of multiple pathophysiological mechanisms of stroke in this context is provided. The case underlines the importance of a global evaluation of patients undergoing AF ablation.<\/jats:p>","DOI":"10.3390\/medicina55080505","type":"journal-article","created":{"date-parts":[[2019,8,21]],"date-time":"2019-08-21T11:19:06Z","timestamp":1566386346000},"page":"505","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Thromboembolic Events Following Atrial Fibrillation Cardioversion and Ablation: What\u2019s the Culprit?"],"prefix":"10.3390","volume":"55","author":[{"given":"Francesco","family":"De Sensi","sequence":"first","affiliation":[{"name":"Cardiology Department, Misericordia Hospital, 58100 Grosseto, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gennaro","family":"Miracapillo","sequence":"additional","affiliation":[{"name":"Cardiology Department, Misericordia Hospital, 58100 Grosseto, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Addonisio","sequence":"additional","affiliation":[{"name":"Cardiology Department, Misericordia Hospital, 58100 Grosseto, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Breschi","sequence":"additional","affiliation":[{"name":"Cardiology Department, Misericordia Hospital, 58100 Grosseto, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2328-8943","authenticated-orcid":false,"given":"Alberto","family":"Cresti","sequence":"additional","affiliation":[{"name":"Cardiology Department, Misericordia Hospital, 58100 Grosseto, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pasquale","family":"Baratta","sequence":"additional","affiliation":[{"name":"Cardiology Department, Misericordia Hospital, 58100 Grosseto, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Paneni","sequence":"additional","affiliation":[{"name":"Center for Molecular Cardiology, University Hospital, 8057 Z\u00fcrich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ugo","family":"Limbruno","sequence":"additional","affiliation":[{"name":"Cardiology Department, Misericordia Hospital, 58100 Grosseto, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,8,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2478","DOI":"10.1093\/eurheartj\/ehw087","article-title":"Catheter ablation for atrial fibrillation is associated with lower incidence of stroke and death: Data from Swedish health registries","volume":"37","author":"Friberg","year":"2016","journal-title":"Eur. 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