[1]辛小宇 梁兆光.心房颤动导管消融围术期抗凝治疗研究进展[J].心血管病学进展,2020,(8):809-811.[doi:10.16806/j.cnki.issn.1004-3934.2020.08.007]
 XIN XiaoyuLIANG Zhaoguang.Perioperative Anticoagulation for Atrial Fibrillation Catheter Ablation[J].Advances in Cardiovascular Diseases,2020,(8):809-811.[doi:10.16806/j.cnki.issn.1004-3934.2020.08.007]
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心房颤动导管消融围术期抗凝治疗研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2020年8期
页码:
809-811
栏目:
综述
出版日期:
2020-08-25

文章信息/Info

Title:
Perioperative Anticoagulation for Atrial Fibrillation Catheter Ablation
作者:
辛小宇 梁兆光
(哈尔滨医科大学附属第一医院,黑龙江 哈尔滨 150000)
Author(s):
XIN XiaoyuLIANG Zhaoguang
(Department of Cardiology,The First Affilicated Hospital of Harbin Medical University,Harbin 150000 ,Heilongjiang,China)
关键词:
心房颤动导管消融抗凝治疗围术期
Keywords:
Atrial fibrillationCatheter ablationAnticoagulant therapyPerioperative period
DOI:
10.16806/j.cnki.issn.1004-3934.2020.08.007
摘要:
导管消融是心房颤动节律控制最为有效的一种治疗手段,围术期优化的抗凝治疗能够有效降低血栓栓塞和出血风险。目前指南推荐导管消融术前不间断抗凝治疗,术中普通肝素抗凝并维持活化凝血时间≥300 s,消融成功3个月后血栓高风险患者需长期抗凝治疗。然而,随着心房颤动导管消融围术期新型口服抗凝药物应用的增加,当前围术期抗凝治疗策略是否安全有效尚不明确。现对导管消融围术期不同阶段抗凝治疗最新研究进展进行综述。
Abstract:
Catheter ablation is the most effective treatment for atrial fibrillation rhythm control.Optimized perioperative anticoagulation therapy can effectively reduce the risk of thromboembolism and bleeding.Current guidelines recommend uninterrupted anticoagulation before catheter ablation,intraoperative heparin anticoagulation and maintain activated coagulation time≥300 s,long-term anticoagulation is required for patients at high risk of stroke 3 months after successful ablation.However,increased use of new oral anticoagulant drugs during perioperative period of atrial fibrillation catheter ablation,it is unclear whether the current perioperative anticoagulation treatment strategy is safe and effective.The current research progress of anticoagulation at different stages of catheter ablation is reviewed

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备注/Memo

备注/Memo:

通讯作者:梁兆光,E-mail:zhaoguangliangsupper@126.com
收稿日期:2020-02-10

更新日期/Last Update: 2020-11-02