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

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 throm...

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Bibliographic Details
Published in:Medicina (Kaunas, Lithuania) Lithuania), 2019-08, Vol.55 (8), p.505
Main Authors: De Sensi, Francesco, Miracapillo, Gennaro, Addonisio, Luigi, Breschi, Marco, Cresti, Alberto, Baratta, Pasquale, Paneni, Francesco, Limbruno, Ugo
Format: Article
Language:English
Subjects:
anticoagulant interruption
atrial fibrillation ablation
Case Report
iatrogenic interatrial septum defect
paradoxical embolism
stroke
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Summary: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.
ISSN:1648-9144
1010-660X
1648-9144
1010-660X
DOI:10.3390/medicina55080505