Publications by authors named "L Urbanek"
Safety and efficacy of a light antithrombotic regimen after left atrial appendage occlusion: Insights from the LOGIC (left atrial appendage occlusion in patients with gastrointestinal or IntraCranial bleeding) international multicenter registry.
Cardiovasc Revasc Med
January 2025
Background: Antithrombotic therapy (AT) after left atrial appendage occlusion (LAAO) in patients with non-valvular atrial fibrillation (NVAF) has the purpose of preventing device related thrombosis (DRT), avoiding embolic events; nevertheless, the correct antithrombotic regimen after LAAO is still under debate.
Aims: Aim of this substudy of the observational LOGIC registry was to describe the efficacy and safety of a light antithrombotic regimen, comprising single antiplatelet therapy or none, compared to a standard antithrombotic regimen, after a successful LAAO.
Methods: Patients with NVAF that underwent LAAO were previously included in the LOGIC registry.
Article Synopsis
- A new three-dimensional mapping platform combined with a lattice-tip catheter allows for both monopolar pulsed field ablation and radiofrequency energy delivery, and has been tested in deep sedation for the first time, alongside general anesthesia (GA).* -
- The study involved 63 patients with atrial fibrillation, showing a 100% pulmonary vein isolation (PVI) rate in both groups, with comparable procedure times and clinical outcomes despite one patient requiring a shift from deep sedation to GA.* -
- The results suggest that using this novel ablation technique in deep sedation is effective and leads to a significantly shorter lab occupancy time compared to general anesthesia.*
Article Synopsis
- - The study explores a new lattice tip ablation catheter capable of using both radiofrequency and pulsed-field energy for performing pulmonary vein isolation and linear lesions, focusing on safety and effectiveness without general anesthesia (GA).
- - Researchers collected data from 55 patients who had atrial fibrillation ablation, comparing those under GA to those under deep sedation; results showed high success rates for creating linear lesions, with minimal complications (1.8%).
- - Findings suggest that linear ablation using the lattice tip catheter is feasible and safe under deep sedation, indicating a low need for switching energy sources during the procedure.
Introduction: Postoperative ileus is a severe condition occurring especially in high-risk patients following acute and prolonged surgical procedures. Multiple factors are described as important in etiology, such as inflammation as well as neurological, hormonal and pharmacological influences. In prevention and treatment, we try to apply non-pharmaceutical procedures, to influence reversible etiological factors and, in post-operative period, to implement and use ERAS procedures.
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