Cerebrovascular complications related to atrial fibrillation ablation and strategies for periprocedural stroke prevention

Zoltan Csanadi; Edina Nagy-Baló; Stephan Danik; Conor Barrett; J. David Burkhardt; Javier Sanchez; Pasquale Santangeli; Francesco Santoro; Luigi Di Biase; Andrea Natale

doi:10.1016/j.ccep.2013.10.003

Cerebrovascular complications related to atrial fibrillation ablation and strategies for periprocedural stroke prevention

Zoltan Csanadi, Edina Nagy-Baló, Stephan Danik, Conor Barrett, J. David Burkhardt, Javier Sanchez, Pasquale Santangeli, Francesco Santoro, Luigi Di Biase, Andrea Natale

Research output: Contribution to journal › Review article › peer-review

6 Scopus citations

Abstract

Transcatheter treatment of atrial fibrillation (AF) is a complex intervention performed in patients who are at inherently increased risk of a thromboembolic complication, including stroke. It is therefore not surprising that cerebrovascular accidents have been among the most feared complications since the inception of AF ablation. While improvements have been made to limit the incidence of thromboembolic events during catheter ablation of AF, the optimal strategy to minimize such complications has yet to be determined. It is hoped that larger trials using periprocedural anticoagulation strategies can be undertaken to definitively address these important concerns.

Original language	English
Pages (from-to)	111-123
Number of pages	13
Journal	Cardiac Electrophysiology Clinics
Volume	6
Issue number	1
DOIs	https://doi.org/10.1016/j.ccep.2013.10.003
State	Published - Mar 2014
Externally published	Yes

Keywords

Atrial fibrillation
Diffusion-weighted cerebral magnetic resonance imaging
Silent cerebral ischemia
Stroke
Transcranial Doppler

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10.1016/j.ccep.2013.10.003

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title = "Cerebrovascular complications related to atrial fibrillation ablation and strategies for periprocedural stroke prevention",

abstract = "Transcatheter treatment of atrial fibrillation (AF) is a complex intervention performed in patients who are at inherently increased risk of a thromboembolic complication, including stroke. It is therefore not surprising that cerebrovascular accidents have been among the most feared complications since the inception of AF ablation. While improvements have been made to limit the incidence of thromboembolic events during catheter ablation of AF, the optimal strategy to minimize such complications has yet to be determined. It is hoped that larger trials using periprocedural anticoagulation strategies can be undertaken to definitively address these important concerns.",

keywords = "Atrial fibrillation, Diffusion-weighted cerebral magnetic resonance imaging, Silent cerebral ischemia, Stroke, Transcranial Doppler",

author = "Zoltan Csanadi and Edina Nagy-Bal{\'o} and Stephan Danik and Conor Barrett and Burkhardt, {J. David} and Javier Sanchez and Pasquale Santangeli and Francesco Santoro and {Di Biase}, Luigi and Andrea Natale",

year = "2014",

month = mar,

doi = "10.1016/j.ccep.2013.10.003",

language = "English",

volume = "6",

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T1 - Cerebrovascular complications related to atrial fibrillation ablation and strategies for periprocedural stroke prevention

AU - Csanadi, Zoltan

AU - Nagy-Baló, Edina

AU - Danik, Stephan

AU - Barrett, Conor

AU - Burkhardt, J. David

AU - Sanchez, Javier

AU - Santangeli, Pasquale

AU - Santoro, Francesco

AU - Di Biase, Luigi

AU - Natale, Andrea

PY - 2014/3

Y1 - 2014/3

N2 - Transcatheter treatment of atrial fibrillation (AF) is a complex intervention performed in patients who are at inherently increased risk of a thromboembolic complication, including stroke. It is therefore not surprising that cerebrovascular accidents have been among the most feared complications since the inception of AF ablation. While improvements have been made to limit the incidence of thromboembolic events during catheter ablation of AF, the optimal strategy to minimize such complications has yet to be determined. It is hoped that larger trials using periprocedural anticoagulation strategies can be undertaken to definitively address these important concerns.

AB - Transcatheter treatment of atrial fibrillation (AF) is a complex intervention performed in patients who are at inherently increased risk of a thromboembolic complication, including stroke. It is therefore not surprising that cerebrovascular accidents have been among the most feared complications since the inception of AF ablation. While improvements have been made to limit the incidence of thromboembolic events during catheter ablation of AF, the optimal strategy to minimize such complications has yet to be determined. It is hoped that larger trials using periprocedural anticoagulation strategies can be undertaken to definitively address these important concerns.

KW - Atrial fibrillation

KW - Diffusion-weighted cerebral magnetic resonance imaging

KW - Silent cerebral ischemia

KW - Stroke

KW - Transcranial Doppler

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U2 - 10.1016/j.ccep.2013.10.003

DO - 10.1016/j.ccep.2013.10.003

M3 - Review article

AN - SCOPUS:84895070738

SN - 1877-9182

VL - 6

SP - 111

EP - 123

JO - Cardiac Electrophysiology Clinics

JF - Cardiac Electrophysiology Clinics

IS - 1

ER -

Cerebrovascular complications related to atrial fibrillation ablation and strategies for periprocedural stroke prevention

Abstract

Keywords

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