Fehmi Keçe

Cerebral Embolism during Atrial Fibrillation Ablation 89 3 3.5 Conclusions PVI with the new PVAC-Gold is associated with a higher incidence of ACE/cerebral infarctions and a higher number of MES on transcranial Doppler compared to ablation with an irrigated-tip catheter. Both ablation technologies induced a similar increase in pro- coagulant state. We could not detect a cognitive decline in patients using available tests. Since the purpose of the redesign of the PVAC-catheter was to reduce the high incidence of ACE, it can be stated that the improvement of this device was unsuccessful. Therefore, the manufacturer of the PVAC-Gold should continue to improve the device.