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Updated: Aug 19, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
New oral anticoagulants in patients undergoing atrial flutter radiofrequency catheter ablation: an observational
Walid Amara1, Stéphane Fromentin, Antoine Dompnier
1Cardiology Department, GHI Le Raincy-Montfermeil, 10 rue du GL Leclerc, 93370 Montfermeil, France.
Aim:
Atrial flutter (AFL) ablation requires optimal periprocedural anticoagulation in order to minimize thromboembolic events/bleeding risk. This study describes the characteristics of patients receiving new oral anticoagulants before AFL ablation and assesses complications.
Methods:
This multicenter, retrospective study reports ischemic and hemorrhagic predischarge, postprocedural complications.
Results:
We evaluated 60 patients (62.3% male; mean age: 69.2 ± 9.7 years; CHA2DS2-VASc score: 2.44 ± 1.46, HAS-BLED score: 1.14 ± 0.7). Twenty-one (35.0%) and 23 patients (38.3%) received twice-daily dabigatran 110 or 150 mg; 16 patients (26.6%) received once-daily rivaroxaban (15 mg [n = 5] or 20 mg [n = 11]). Four cases of postprocedural minor bleeding were reported.
Conclusion:
This is the first study assessing new oral anticoagulants for periprocedural anticoagulation, specifically in patients undergoing AFL ablation. No major bleeding was reported. Further prospective investigation is warranted.
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