Is it safe to stop oral anticoagulation after catheter ablation for atrial fibrillation?

Jorge E. Romero, Ricardo Avendano, Juan Carlos Diaz, Jose Taveras, Florentino Lupercio, Luigi Di Biase

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Introduction: Atrial fibrillation is the most common arrhythmia worldwide. Its increasing prevalence has made the use of oral anticoagulants for stroke prevention routine; however, their use after the blanking period of catheter ablation remains uncertain. Areas covered: This review outlines the pros and cons of stopping oral anticoagulation after catheter ablation. Major databases such as Pubmed or Embase were used. The most relevant articles published were used along with major recommendations of society guidelines. Authors will also discuss different proposed mechanisms of atrial fibrillation and more importantly future directions in this topic. Expert commentary: The use of oral anticoagulants after catheter ablation for atrial fibrillation is debatable; however, based on current guidelines, we support the use of oral anticoagulants after the blanking period of catheter ablation. Noteworthy is that although the risk of bleeding can be fatal in some cases, it does not outweigh the risk of a disabling stroke.

Original languageEnglish (US)
Pages (from-to)31-41
Number of pages11
JournalExpert Review of Cardiovascular Therapy
Volume17
Issue number1
DOIs
StatePublished - Jan 2 2019

Keywords

  • Atrial fibrillation
  • catheter ablation
  • oral anticoagulation
  • stroke
  • thromboembolism

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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