Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Dec 31;9(4):1500.
doi: 10.4022/jafib.1500. eCollection 2016 Dec.

How To Manage Oral Anticoagulation Periprocedurally During Ablations And Device Implantations

Sarah A Worsnick  1 , Pugazhendhi Vijayaraman  1
Affiliations
Review

How To Manage Oral Anticoagulation Periprocedurally During Ablations And Device Implantations

Sarah A Worsnick et al. J Atr Fibrillation. .

Abstract

More than 150, 000 patients undergo ablation for atrial fibrillation (AF) each year.Current guidelines recommend oral anticoagulation in all patients undergoing AF ablation. A large number of patients undergoing cardiac implantable electronic devices (CIEDs) are on long-term oral anticoagulation. These patients are at increased risk for thromboembolism with interruption of oral anticoagulation. Due to the increased risk for bleeding complications during the procedure combined with the need to prevent thromboembolism, periprocedural management of anticoagulation in these patients can be challenging. In this article we review the current evidence for periprocedural management of oral anticoagulation in patients undergoing ablation and CIED implantation.

PubMed Disclaimer

References

    1. Baron Todd H, Kamath Patrick S, McBane Robert D. Management of antithrombotic therapy in patients undergoing invasive procedures. N. Engl. J. Med. 2013 May 30;368 (22):2113–24. - PubMed
    1. Birnie David H, Healey Jeff S, Essebag Vidal. Management of anticoagulation around pacemaker and defibrillator surgery. Circulation. 2014 May 20;129 (20):2062–5. - PubMed
    1. Wiegand Uwe K H, LeJeune Dominik, Boguschewski Frank, Bonnemeier Hendrik, Eberhardt Frank, Schunkert Heribert, Bode Frank. Pocket hematoma after pacemaker or implantable cardioverter defibrillator surgery: influence of patient morbidity, operation strategy, and perioperative antiplatelet/anticoagulation therapy. Chest. 2004 Oct;126 (4):1177–86. - PubMed
    1. Cappato Riccardo, Calkins Hugh, Chen Shih-Ann, Davies Wyn, Iesaka Yoshito, Kalman Jonathan, Kim You-Ho, Klein George, Natale Andrea, Packer Douglas, Skanes Allan, Ambrogi Federico, Biganzoli Elia. Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation. Circ Arrhythm Electrophysiol. 2010 Feb;3 (1):32–8. - PubMed
    1. Connolly Stuart J, Ezekowitz Michael D, Yusuf Salim, Eikelboom John, Oldgren Jonas, Parekh Amit, Pogue Janice, Reilly Paul A, Themeles Ellison, Varrone Jeanne, Wang Susan, Alings Marco, Xavier Denis, Zhu Jun, Diaz Rafael, Lewis Basil S, Darius Harald, Diener Hans-Christoph, Joyner Campbell D, Wallentin Lars. Dabigatran versus warfarin in patients with atrial fibrillation. N. Engl. J. Med. 2009 Sep 17;361 (12):1139–51. - PubMed

LinkOut - more resources