Thromboembolic Events Following Atrial Fibrillation Cardioversion and Ablation: What's the Culprit?

被引：0

作者：

De Sensi, Francesco ^{[1
]}

Miracapillo, Gennaro ^{[1
]}

Addonisio, Luigi ^{[1
]}

Breschi, Marco ^{[1
]}

Cresti, Alberto ^{[1
]}

Baratta, Pasquale ^{[1
]}

Paneni, Francesco ^{[2
]}

Limbruno, Ugo ^{[1
]}

机构：

[1] Misericordia Hosp, Cardiol Dept, I-58100 Grosseto, Italy

[2] Univ Hosp, Ctr Mol Cardiol, CH-8057 Zurich, Switzerland

来源：

MEDICINA-LITHUANIA | 2019年 / 55卷 / 08期

关键词：

atrial fibrillation ablation; stroke; iatrogenic interatrial septum defect; paradoxical embolism; anticoagulant interruption; ROBOTIC NAVIGATION SYSTEM; CATHETER ABLATION; SEPTAL-DEFECT; RADIOFREQUENCY ABLATION; TRANSSEPTAL APPROACH; SAFETY; STROKE; PERSISTENCE; DABIGATRAN; THROMBUS;

D O I：

10.3390/medicina55080505

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Stroke is a rare but possible complication after atrial fibrillation (AF) ablation. However, its etiopathogenesis is far from being completely characterized. Here we report a case of stroke, with recurrent peripheral embolism after AF ablation procedure. In our patient, an in situ femoral vein thrombosis and iatrogenic atrial septal defect were simultaneously detected. A comprehensive review of multiple pathophysiological mechanisms of stroke in this context is provided. The case underlines the importance of a global evaluation of patients undergoing AF ablation.

引用

页数：8

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