Atrial Fibrillation Ablation and Stroke

作者：Aagaard Philip; Briceno David; Csanadi Zoltan; Mohanty Sanghamitra; Gianni Carola; Trivedi Chintan; Nagy Balo Edina; Danik Stephan; Barrett Conor; Santoro Francesco; Burkhardt J David; Sanchez Javier; Natale Andrea^*; Di Biase Luigi^*

来源：Cardiology Clinics, 2016, 34(2): 307-+.

DOI：10.1016/j.ccl.2015.12.012

• Anticoagulation
• Atrial fibrillation
• Silent cerebral ischemia
• Stroke

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.

• 出版日期2016-5