[1]蒋靖波,钟国强.心房颤动导管消融中脑卒中和无症状脑梗死的预防[J].心血管病学进展,2015,(6):743-747.[doi:10.3969/j.issn.1004-3934.2015.06.022]
 JIANG Jingbo,ZHONG Guoqiang.Strategies to Prevent Periprocedural Stroke and Subclinical Cerebral Emboli in Patients Undergoing Catheter Ablation of Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2015,(6):743-747.[doi:10.3969/j.issn.1004-3934.2015.06.022]
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心房颤动导管消融中脑卒中和无症状脑梗死的预防()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2015年6期
页码:
743-747
栏目:
综述
出版日期:
2016-06-20

文章信息/Info

Title:
Strategies to Prevent Periprocedural Stroke and Subclinical Cerebral Emboli in Patients Undergoing Catheter Ablation of Atrial Fibrillation
作者:
蒋靖波1钟国强2
1. 桂林市人民医院心血管内科,广西 桂林 541002; 2. 广西医科大学第一附属医院心血管内科,广西 南宁 530021
Author(s):
JIANG Jingbo1ZHONG Guoqiang2
1. Department of Cardiology,Guilin People's Hospital,Guilin 541002,Guangxi,China; 2. The Institute of Cardiovascular Diseases,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China
关键词:
心房颤动 导管消融 抗凝治疗 脑卒中
Keywords:
atrial fibrillation catheter ablation anticoagulant therapy stroke
分类号:
R541.7+5
DOI:
10.3969/j.issn.1004-3934.2015.06.022
文献标志码:
A
摘要:
导管消融已成为治疗心房颤动的重要手段。然而,导管消融本身可能导致围手术期医源性脑卒中和无症状脑梗死事件的发生,优化围手术期抗凝管理策略是预防和减少围手术期脑卒中和无症状脑梗死的关键。现简要概述心房颤动导管消融围手术期脑卒中和无症状脑梗死预防方面的最新进展和亟待解决的问题,重点探讨了术前经食管超声心动图检查的必要性、围手术期不中断华法林抗凝、新型口服抗凝药的应用、消融术后抗凝策略等热点问题。
Abstract:
Catheter ablation is an increasingly recommended treatment for atrial fibrillation. However, the ablation procedure is associated with a potential risk for iatrogenic periprocedural stroke and subclinical cerebral emboli, which potentially could be prevented by making adjustments to the management of anticoagulation before and after catheter ablation. On the basis of published literature, this review describes the process and problems yet to be solved about the prevention strategy, which include transesophageal echocardiography prior to ablation procedure, uninterrupted anticoagulation with warfarin,new oral anticoagulants and anticoagulation strategy following ablation.

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备注/Memo

备注/Memo:
作者简介:蒋靖波(1973—),副主任医师,在职硕士,主要从事心律失常研究。Email:jjb90@sina.com
更新日期/Last Update: 2016-06-20