Volume 11, Issue 5, Pages (May 2014)

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Volume 11, Issue 5, Pages 791-798 (May 2014) Does periprocedural anticoagulation management of atrial fibrillation affect the prevalence of silent thromboembolic lesion detected by diffusion cerebral magnetic resonance imaging in patients undergoing radiofrequency atrial fibrillation ablation with open irrigated catheters? Results from a prospective multicenter study  Luigi Di Biase, MD, PhD, FHRS, Fiorenzo Gaita, MD, Elisabetta Toso, MD, Pasquale Santangeli, MD, Prasant Mohanty, MBBS, MPH, Neal Rutledge, MD, Xue Yan, Sanghamitra Mohanty, MD, Chintan Trivedi, MD, MPH, Rong Bai, MD, FHRS, Justin Price, BS, Rodney Horton, MD, G. Joseph Gallinghouse, MD, Salwa Beheiry, RN, Jason Zagrodzky, MD, Robert Canby, MD, Jean François Leclercq, MD, Franck Halimi, MD, Marco Scaglione, MD, Federico Cesarani, MD, Riccardo Faletti, MD, Javier Sanchez, MD, J. David Burkhardt, MD, FHRS, Andrea Natale, MD, FHRS  Heart Rhythm  Volume 11, Issue 5, Pages 791-798 (May 2014) DOI: 10.1016/j.hrthm.2014.03.003 Copyright © 2014 Heart Rhythm Society Terms and Conditions

Figure 1 Incidence of silent cerebral ischemia in the 3 groups sorted by rhythm on the day of the procedure. AF = atrial fibrillation; AT = atrial tachycardia; SR = sinus rhythm. Heart Rhythm 2014 11, 791-798DOI: (10.1016/j.hrthm.2014.03.003) Copyright © 2014 Heart Rhythm Society Terms and Conditions

Figure 2 Positive diffusion magnetic resonance imaging (red arrow) showing a single lesion <5 mm in diameter in a group I patient with nonparoxysmal atrial fibrillation. Heart Rhythm 2014 11, 791-798DOI: (10.1016/j.hrthm.2014.03.003) Copyright © 2014 Heart Rhythm Society Terms and Conditions

Figure 3 Positive diffusion magnetic resonance imaging (red arrow) in two group II patients who were noncompliant to protocol. Lesions appear to be single small embolic lacunar infarcts. No bleeds or cortical infarcts are seen. Heart Rhythm 2014 11, 791-798DOI: (10.1016/j.hrthm.2014.03.003) Copyright © 2014 Heart Rhythm Society Terms and Conditions

Figure 4 Bilateral parietal embolic lacunar infarct (red arrows) in a group III patient. Both lesions appear to be >5 mm in diameter. Heart Rhythm 2014 11, 791-798DOI: (10.1016/j.hrthm.2014.03.003) Copyright © 2014 Heart Rhythm Society Terms and Conditions