Catheter ablation of atrial fibrillation to reduce stroke risk

被引:3
作者
Schmidt, B. [1 ]
Bordignon, S. [1 ]
Fuernkranz, A. [1 ]
Chun, K. R. J. [1 ]
机构
[1] Cardioangiol Ctr Bethanien, D-60431 Frankfurt, Germany
关键词
Atrial fibrillation; Catheter ablation; Stroke; Risk; Thromboembolic event; THROMBOEMBOLIC EVENTS; FOLLOW-UP; VENOUS THROMBOEMBOLISM; SINUS RHYTHM; CHADS(2); ASPIRIN; MANAGEMENT; OUTCOMES; DEATH; HEART;
D O I
10.1007/s00059-013-3776-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Stroke is the most devastating complication of atrial fibrillation (AF), and the latter increases the risk of stroke by almost fivefold. AF elimination by catheter ablation should lower the risk of thromboembolic complications. Several studies support this hypothesis, demonstrating rates of stroke in AF patients similar to non-AF populations after successful catheter ablation. Widespread discontinuation of oral anticoagulation after catheter ablation is currently not supported by scientific data but it may be a viable option for patients with a CHA(2)DS(2)VASc score of less than 2 and a well-documented stable sinus rhythm.
引用
收藏
页码:247 / 250
页数:4
相关论文
共 26 条
[1]   Aspirin for Preventing the Recurrence of Venous Thromboembolism [J].
Becattini, Cecilia ;
Agnelli, Giancarlo ;
Schenone, Alessandro ;
Eichinger, Sabine ;
Bucherini, Eugenio ;
Silingardi, Mauro ;
Bianchi, Marina ;
Moia, Marco ;
Ageno, Walter ;
Vandelli, Maria Rita ;
Grandone, Elvira ;
Prandoni, Paolo .
NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (21) :1959-1967
[2]   Low-Dose Aspirin for Preventing Recurrent Venous Thromboembolism [J].
Brighton, Timothy A. ;
Eikelboom, John W. ;
Mann, Kristy ;
Biostat, M. ;
Mister, Rebecca ;
Gallus, Alexander ;
Ockelford, Paul ;
Gibbs, Harry ;
Hague, Wendy ;
Xavier, Denis ;
Diaz, Rafael ;
Kirby, Adrienne ;
Simes, John .
NEW ENGLAND JOURNAL OF MEDICINE, 2012, 367 (21) :1979-1987
[3]   Patients Treated with Catheter Ablation for Atrial Fibrillation Have Long-Term Rates of Death, Stroke, and Dementia Similar to Patients Without Atrial Fibrillation [J].
Bunch, T. Jared ;
Crandall, Brian G. ;
Weiss, J. Peter ;
May, Heidi T. ;
Bair, Tami L. ;
Osborn, Jeffrey S. ;
Anderson, Jeffrey L. ;
Muhlestein, Joseph B. ;
Horne, Benjamin D. ;
Lappe, Donald L. ;
Day, John D. .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2011, 22 (08) :839-845
[4]   2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design [J].
Calkins, Hugh ;
Kuck, Karl Heinz ;
Cappato, Riccardo ;
Brugada, Josep ;
Camm, A. John ;
Chen, Shih-Ann ;
Crijns, Harry J. G. ;
Damiano, Ralph J., Jr. ;
Davies, D. Wyn ;
DiMarco, John ;
Edgerton, James ;
Ellenbogen, Kenneth ;
Ezekowitz, Michael D. ;
Haines, David E. ;
Haissaguerre, Michel ;
Hindricks, Gerhard ;
Iesaka, Yoshito ;
Jackman, Warren ;
Jalife, Jose ;
Jais, Pierre ;
Kalman, Jonathan ;
Keane, David ;
Kim, Young-Hoon ;
Kirchhof, Paulus ;
Klein, George ;
Kottkamp, Hans ;
Kumagai, Koichiro ;
Lindsay, Bruce D. ;
Mansour, Moussa ;
Marchlinski, Francis E. ;
McCarthy, Patrick M. ;
Mont, J. Lluis ;
Morady, Fred ;
Nademanee, Koonlawee ;
Nakagawa, Hiroshi ;
Natale, Andrea ;
Nattel, Stanley ;
Packer, Douglas L. ;
Pappone, Carlo ;
Prystowsky, Eric ;
Raviele, Antonio ;
Reddy, Vivek ;
Ruskin, Jeremy N. ;
Shemin, Richard J. ;
Tsao, Hsuan-Ming ;
Wilber, David ;
Ad, Niv ;
Cummings, Jennifer ;
Gillinov, A. Mark ;
Heidbuchel, Hein .
EUROPACE, 2012, 14 (04) :528-606
[5]   2012 focused update of the ESC Guidelines for the management of atrial fibrillation [J].
Camm, A. John ;
Lip, Gregory Y. H. ;
De Caterina, Raffaele ;
Savelieva, Irene ;
Atar, Dan ;
Hohnloser, Stefan H. ;
Hindricks, Gerhard ;
Kirchhof, Paulus ;
Bax, Jeroen J. ;
Baumgartner, Helmut ;
Ceconi, Claudio ;
Dean, Veronica ;
Deaton, Christi ;
Fagard, Robert ;
Funck-Brentano, Christian ;
Hasdai, David ;
Hoes, Arno ;
Knuuti, Juhani ;
Kolh, Philippe ;
McDonagh, Theresa ;
Moulin, Cyril ;
Popescu, Bogdan A. ;
Reiner, Zeljko ;
Sechtem, Udo ;
Sirnes, Per Anton ;
Tendera, Michal ;
Torbicki, Adam ;
Vahanian, Alec ;
Windecker, Stephan ;
Vardas, Panos ;
Al-Attar, Nawwar ;
Alfieri, Ottavio ;
Angelini, Annalisa ;
Blomstrom-Lundqvist, Carina ;
Colonna, Paolo ;
De Sutter, Johan ;
Ernst, Sabine ;
Goette, Andreas ;
Gorenek, Bulent ;
Hatala, Robert ;
Heidbuchel, Hein ;
Heldal, Magnus ;
Kristensen, Steen Dalby ;
Le Heuzey, Jean-Yves ;
Mavrakis, Hercules ;
Mont, Lluis ;
Filardi, Pasquale Perrone ;
Ponikowski, Piotr ;
Prendergast, Bernard ;
Rutten, Frans H. .
EUROPEAN HEART JOURNAL, 2012, 33 (21) :2719-2747
[6]  
Camm AJ, 2010, EUROPACE, V12, P1360, DOI [10.1093/europace/euq350, 10.1093/eurheartj/ehq278]
[7]   Randomized trial of rate-control versus rhythm-control in persistent atrial fibrillation - The Strategies of Treatment of Atrial Fibrillation (STAF) study [J].
Carlsson, J ;
Miketic, S ;
Windeler, J ;
Cuneo, A ;
Haun, S ;
Micus, S ;
Walter, S ;
Tebbe, U .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2003, 41 (10) :1690-1696
[8]   CHADS2 and CHA2DS2-VASc Scores in the Prediction of Clinical Outcomes in Patients With Atrial Fibrillation After Catheter Ablation [J].
Chao, Tze-Fan ;
Lin, Yenn-Jiang ;
Tsao, Hsuan-Ming ;
Tsai, Chin-Feng ;
Lin, Wei-Shiang ;
Chang, Shih-Lin ;
Lo, Li-Wei ;
Hu, Yu-Feng ;
Tuan, Ta-Chuan ;
Suenari, Kazuyoshi ;
Li, Cheng-Hung ;
Hartono, Beny ;
Chang, Hung-Yu ;
Ambrose, Kibos ;
Wu, Tsu-Juey ;
Chen, Shih-Ann .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 58 (23) :2380-2385
[9]   Relationships between sinus rhythm, treatment, and survival in the atrial fibrillation follow-up investigation of rhythm management (AFFIRM) study [J].
Corley, SD ;
Epstein, AE ;
DiMarco, JP ;
Domanski, MJ ;
Geller, N ;
Greene, HL ;
Josephson, RA ;
Kellen, JC ;
Klein, RC ;
Krahn, AD ;
Mickel, M ;
Mitchell, LB ;
Nelson, JD ;
Rosenberg, Y ;
Schron, E ;
Shemanski, L ;
Waldo, AL ;
Wyse, DG .
CIRCULATION, 2004, 109 (12) :1509-1513
[10]   Temporal relationship of atrial tachyarrhythmias, cerebrovascular events, and systemic emboli based on stored device data: A subgroup analysis of TRENDS [J].
Daoud, Emile G. ;
Glotzer, Taya V. ;
Wyse, D. George ;
Ezekowitz, Michael D. ;
Hilker, Christopher ;
Koehler, Jodi ;
Ziegler, Paul D. .
HEART RHYTHM, 2011, 8 (09) :1416-1423