Common atrial flutter catheter ablation without discontinuing oral anticoagulation

To determine if performing catheter ablation under oral anticoagulation is associated with a higher risk of thromboembolic or bleeding complications. Patients with common atrial flutter that underwent catheter ablation of the cavo-tricuspid isthmus were consecutively included in the study. All patie...

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Bibliographic Details
Published in:Future cardiology 2017-09, Vol.13 (5), p.429-432
Main Authors: Escobar, Carlos, Castrejón, Sergio, de Oca, Rosa Montes, Ortega, Marta, Lopez-Sendon, José Luis, Merino, José Luis
Format: Article
Language:English
Subjects:
Ablation
Anticoagulants
anticoagulation
atrial flutter
Cardiac arrhythmia
Cardiology
Cardiovascular disease
catheter ablation
Catheters
cavo-tricuspid isthmus
Chronic obstructive pulmonary disease
Hematoma
Hospitalization
Patients
Robotics
Thromboembolism
Ultrasonic imaging
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Description
Summary:To determine if performing catheter ablation under oral anticoagulation is associated with a higher risk of thromboembolic or bleeding complications. Patients with common atrial flutter that underwent catheter ablation of the cavo-tricuspid isthmus were consecutively included in the study. All patients were taking oral anticoagulants at least 3 weeks before the ablation. A total of 102 patients (mean age 67.9 ± 10.3 years; 83.3% male) were included. Among them 80.6% patients were taking acenocoumarol, 10.7% dabigatran, 7.8% rivaroxaban and 0.9% apixaban. After the procedure, no new pericardial effusion or major complications were detected. In the study 7.8% of patients had mild hematoma in the puncture site. Performing common atrial flutter catheter ablation under oral anticoagulation is associated with low risk of complications.
ISSN:1479-6678
1744-8298
DOI:10.2217/fca-2017-0007