Arrhythmia/Electrophysiology Periprocedural Stroke and Management of Major Bleeding Complications in Patients Undergoing Catheter Ablation of Atrial Fibrillation The Impact of Periprocedural Therapeutic International Normalized Ratio
نویسندگان
چکیده
Luigi Di Biase, MD; J. David Burkhardt, MD; Prasant Mohanty, MBBS, MPH; Javier Sanchez, MD; Rodney Horton, MD; G. Joseph Gallinghouse, MD; Dhanunjay Lakkireddy, MD; Atul Verma, MD; Yaariv Khaykin, MD; Richard Hongo, MD; Steven Hao, MD; Salwa Beheiry, RN; Gemma Pelargonio, MD; Antonio Dello Russo, MD; Michela Casella, MD; Pietro Santarelli, MD; Pasquale Santangeli, MD; Paul Wang, MD; Amin Al-Ahmad, MD; Dimpi Patel, DO; Sakis Themistoclakis, MD; Aldo Bonso, MD; Antonio Rossillo, MD; Andrea Corrado, MD; Antonio Raviele, MD; Jennifer E. Cummings, MD; Robert A. Schweikert, MD; William R. Lewis, MD; Andrea Natale, MD, FHRS, FACC
منابع مشابه
Periprocedural stroke and management of major bleeding complications in patients undergoing catheter ablation of atrial fibrillation: the impact of periprocedural therapeutic international normalized ratio.
BACKGROUND Catheter ablation of atrial fibrillation is associated with the potential risk of periprocedural stroke, which can range between 1% and 5%. We developed a prospective database to evaluate the prevalence of stroke over time and to assess whether the periprocedural anticoagulation strategy and use of open irrigation ablation catheter have resulted in a reduction of this complication. ...
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BACKGROUND Observational data suggest that performing radiofrequency catheter ablation of atrial fibrillation (AF) under therapeutic warfarin (continuous warfarin [CW]) may reduce the periprocedural risk of complications, such as thromboembolic events, compared to warfarin discontinuation (DW) with periprocedural bridging with heparin. We systematically reviewed the available evidence on the im...
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BACKGROUND This study aimed to evaluate the safety of continuous periprocedural rivaroxaban administration during left atrial radiofrequency ablation (RFA) in comparison with uninterrupted oral vitamin K antagonist administration. Data about the use of rivaroxaban in the setting of left atrial RFA procedures are lacking. METHODS AND RESULTS The study cohort included 544 patients (mean age, 63...
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BACKGROUND To obtain a perspective of the current status of catheter ablation for the cure of atrial fibrillation, the Japanese Heart Rhythm Society conducted a nationwide survey: the Japanese Catheter Ablation Registry of Atrial Fibrillation. In this report, we aimed to evaluate the periprocedural use of direct oral anticoagulants with respect to thromboembolic or bleeding complications. MET...
متن کاملUse of dabigatran for periprocedural anticoagulation in patients undergoing catheter ablation for atrial fibrillation.
BACKGROUND Pulmonary vein isolation (PVI) for atrial fibrillation is associated with a transient increased risk of thromboembolic and hemorrhagic events. We hypothesized that dabigatran can be safely used as an alternative to continuous warfarin for the periprocedural anticoagulation in PVI. METHODS AND RESULTS A total of 999 consecutive patients undergoing PVI were included; 376 patients wer...
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