TY - JOUR
T1 - Catheter ablation of atrial fibrillation in patients with hardware in the heart
T2 - Septal closure devices, mechanical valves and more
AU - Bartoletti, Stefano
AU - Santangeli, Pasquale
AU - Biase, Luigi D.I.
AU - Natale, Andrea
PY - 2013/6
Y1 - 2013/6
N2 - Patients with mechanical "hardware" in the heart, such as those with mechanical cardiac valves or atrial septal closure devices, represent a population at high risk of developing AF. Catheter ablation of AF in these subjects might represent a challenge, due to the perceived higher risk of complications associated with the presence of intracardiac mechanical devices. Accordingly, such patients were excluded or poorly represented in major trials proving the benefit of catheter ablation for the rhythm-control of AF. However, recent evidence supports the concept that catheter ablation procedures might be equally effective in these patients, without a significant increase in the risk of procedural complications. This review will summarize the current state-of-the-art on catheter ablation of AF in patients with mechanical "hardware" in the heart.
AB - Patients with mechanical "hardware" in the heart, such as those with mechanical cardiac valves or atrial septal closure devices, represent a population at high risk of developing AF. Catheter ablation of AF in these subjects might represent a challenge, due to the perceived higher risk of complications associated with the presence of intracardiac mechanical devices. Accordingly, such patients were excluded or poorly represented in major trials proving the benefit of catheter ablation for the rhythm-control of AF. However, recent evidence supports the concept that catheter ablation procedures might be equally effective in these patients, without a significant increase in the risk of procedural complications. This review will summarize the current state-of-the-art on catheter ablation of AF in patients with mechanical "hardware" in the heart.
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M3 - Review article
AN - SCOPUS:84882626904
SN - 1941-6911
VL - 6
SP - 145
EP - 151
JO - Journal of Atrial Fibrillation
JF - Journal of Atrial Fibrillation
IS - 1
ER -