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Periprocedural Use of Oral Anticoagulation Therapy in Patients Undergoing Atrial Fibrillation Ablation

Ilir Maraj1, Mario D Gonzalez1, Gerald V Naccarelli1

  • 1Cardiology Division/EP Section, Department of Medicine, Heart and Vascular Institute, Penn State Health Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA.

The Journal of Innovations in Cardiac Rhythm Management
|June 2, 2020
PubMed

Insights

Atrial fibrillation (AF) increases stroke risk fivefold. This review covers anticoagulant drugs for stroke prevention before, during, and after catheter ablation in AF patients.

Area of Science:

  • Cardiology
  • Electrophysiology

Background:

  • Atrial fibrillation (AF) is a common arrhythmia with a significant risk of stroke and thromboembolism.
  • Oral anticoagulation is standard for stroke prevention in AF patients.
  • Alternative stroke prevention methods like left atrial appendage occlusion are used for high-bleeding-risk patients.

Purpose of the Study:

  • To review anticoagulant drug options for patients undergoing catheter ablation for AF.
  • To discuss the peri-procedural use of anticoagulants in AF catheter ablation.

Main Methods:

  • Literature review of anticoagulant therapies.
  • Analysis of current guidelines and clinical practices.

Main Results:

  • Anticoagulant management is crucial for stroke prevention in AF patients undergoing ablation.
  • Specific anticoagulant strategies are employed before, during, and after catheter ablation procedures.

Conclusions:

  • Optimizing anticoagulant therapy is essential for improving outcomes in AF patients undergoing catheter ablation.
  • A comprehensive understanding of anticoagulant options supports effective stroke risk management in this population.

Keywords:
Atrial fibrillationNOACcatheter ablation

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