Dabigatran in the ischemic patient undergoing atrial fibrillation ablation

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Title Dabigatran in the ischemic patient undergoing atrial fibrillation ablation
 
Creator Spoladore, Roberto
 
Description Trans-catheter ablation of atrial fibrillation (AF) is a common treatment for symptomatic AF. Among the major complications of AF ablation are stroke, transient ischemic attacks and peri-procedural cardiac tamponade. Various clinical trials have shown that uninterrupted treatment with vitamin K antagonists (VKA) is associated with a lower incidence of embolic events compared to discontinuation of therapy; until recently, in the absence of equally solid evidence, this practice was not extended to the new oral anticoagulants (NOAC) not VKA due to the fear of hemorrhagic complications potentially associated with the use of an "irreversible" anticoagulant. The case of a patient suffering from numerous comorbidities is reported here. In light of the poor response to anti-arrhythmics, a TC-RF ablation was performed, with suspension of dabigatran administration only on the day of the procedure (for a total period <24 hours). Although the fear of the risk of bleeding potentially associated with the trans-catheter ablation procedure may still induce clinicians to stop anticoagulant therapy, even the decision to discontinue anticoagulant therapy with dabigatran on the day of surgery alone is challenged by recent evidence in the literature supporting the efficacy of dabigatran in reducing the incidence of hemorrhagic events during and after ablation, including the results of the RE-CIRCUIT study (Cardiology)
 
Publisher Aboutscience Srl
 
Date 2018-10-04
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Case report
 
Format application/pdf
 
Identifier https://journals.aboutscience.eu/index.php/aboutopen/article/view/137
10.19156/abtpn.2018.0065
 
Source AboutOpen; V. 4 N. 1 (2018): January - December 2018; 154-157
AboutOpen; Vol 4 No 1 (2018): January - December 2018; 154-157
2465-2628
 
Language eng
 
Relation https://journals.aboutscience.eu/index.php/aboutopen/article/view/137/102
 
Rights Copyright (c) 2018 The authors
http://creativecommons.org/licenses/by-nc-nd/4.0
 

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