Periprocedural Use of Oral Anticoagulation Therapy in Patients Undergoing Atrial Fibrillation Ablation.

J Innov Card Rhythm Manag

Cardiology Division/EP Section, Department of Medicine, Heart and Vascular Institute, Penn State Health Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA.

Published: August 2018

AI Article Synopsis

  • * Oral anticoagulants are the primary treatment for reducing stroke risk in AF patients, but alternatives like left atrial appendage occlusion devices may be used for those at higher bleeding risk.
  • * Catheter ablation is a key treatment for managing AF and the article discusses various anticoagulant options and their administration around the procedure.

Article Abstract

Atrial fibrillation (AF) is the most common sustained arrhythmia encountered in clinical practice today. For those who present with it, one of the most major risks associated with the condition is stroke. AF is associated with a fivefold increased risk of stroke and thromboembolism. Oral anticoagulation has been the cornerstone of stroke prevention in patients with AF. In some individuals who exhibit a higher risk of bleeding, other alternatives for stroke prevention have been sought, including the use of left atrial appendage occlusion devices and surgical exclusion of the left atrial appendage. Catheter ablation is an important treatment strategy in those patients for whom a rhythm control strategy has been selected. This article reviews some of the available anticoagulant drug options and their use prior to, during, and after catheter ablation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252752PMC
http://dx.doi.org/10.19102/icrm.2018.090801DOI Listing

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