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One-Day Interruption of NOAC Is Associated with Low Risk of Periprocedural Adverse Events during Pulmonary Vein Isolation If Combined with Left Atrial Thrombus Exclusion with Computed Tomography.
Piros, Katalin; Vida, Adorján; Szegedi, Nándor; Perge, Péter; Salló, Zoltán; Ferencz, Arnold Béla; Nagy, Vivien Klaudia; Herczeg, Szilvia; Ábrahám, Pál; Csobay-Novák, Csaba; Drobni, Zsófia; Tahin, Tamás; Apponyi, Györgyi; Merkely, Béla; Gellér, László; Osztheimer, István.
Afiliación
  • Piros K; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Vida A; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Szegedi N; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Perge P; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Salló Z; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Ferencz AB; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Nagy VK; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Herczeg S; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Ábrahám P; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Csobay-Novák C; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Drobni Z; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Tahin T; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Apponyi G; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Merkely B; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Gellér L; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
  • Osztheimer I; Heart and Vascular Center, Semmelweis University, Városmajor Street 68, 1122 Budapest, Hungary.
Life (Basel) ; 14(1)2024 Jan 17.
Article en En | MEDLINE | ID: mdl-38255747
ABSTRACT

BACKGROUND:

Safety, efficacy, and patient comfort are the expectations during pulmonary vein isolation (PVI). We aimed to validate the combined advantages of pre- and periprocedural anticoagulation with non-vitamin K anticoagulants (NOACs) and rigorous left atrial appendage thrombus (LAAT) exclusion with computed tomography (CT).

METHODS:

This study included a population of consecutive patients, between March 2018 and June 2020, who underwent cardiac CT within 24 h before PVI to guide the ablation and rule out LAAT. NOAC was omitted 24 h before the ablation.

RESULTS:

A total of 187 patients (63% male) underwent CT before PVI. None of the patients experienced stroke during or after the procedure. The complication rate was low, with no thromboembolic events and 2.1% of patients experiencing a major bleeding event.

CONCLUSIONS:

Omitting NOAC 24 h before the ablation might be safe if combined with left atrial thrombus exclusion with computed tomography.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Etiology_studies / Risk_factors_studies Idioma: En Revista: Life (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Hungria Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Etiology_studies / Risk_factors_studies Idioma: En Revista: Life (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Hungria Pais de publicación: Suiza