Atrial Fibrillation Ablation and Stroke

Philip Aagaard, David Briceno, Zoltan Csanadi, Sanghamitra Mohanty, Carola Gianni, Chintan Trivedi, Edina Nagy-Baló, Stephan Danik, Conor Barrett, Francesco Santoro, J. David Burkhardt, Javier Sanchez, Andrea Natale, Luigi Di Biase

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Catheter ablation has become a widely available and accepted treatment to restore sinus rhythm in atrial fibrillation patients who fail antiarrhythmic drug therapy. Although generally safe, the procedure carries a non-negligible risk of complications, including periprocedural cerebral insults. Uninterrupted anticoagulation, maintenance of an adequate ACT during the procedure, and measures to avoid and detect thrombus build-up on sheaths and atheters during the procedure, appears useful to reduce the risk of embolic events. This is a review of the incidence, mechanisms, impact, and methods to reduce catheter ablation related cerebral insults.

Original languageEnglish (US)
Pages (from-to)307-316
Number of pages10
JournalCardiology clinics
Volume34
Issue number2
DOIs
StatePublished - May 2016

Keywords

  • Anticoagulation
  • Atrial fibrillation
  • Silent cerebral ischemia
  • Stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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