Anticoagulant therapy in catheter ablation of atrial fibrillation and flutter
https://doi.org/10.15829/1728-8800-2021-2974
Abstract
Catheter ablation (CA) of atrial fibrillation and flutter is associated with a high risk of both perioperative thromboembolic events and bleeding. Adequate anticoagulation is imperative to reduce the risk of complications. The aim of this review was to analyze modern approaches to anticoagulant therapy for CA of atrial fibrillation and flutter, as well as provide practical information based on a comparison of current guidelines and evidence base. The search for literature sources on anticoagulant therapy in CA was carried out in the PubMed, Scopus, Web of Science databases. The results of key randomized trials and meta-analyzes are presented, and a comparison of current Russian and international guidelines is given. Unresolved issues requiring further research are discussed.
Keywords
atrial fibrillation,
catheter ablation,
atrial flutter,
anticoagulant therapy,
perioperative management
Supporting agencies: This article was financially supported by Pfizer. The article expresses the authors' position, which may differ from Pfizer.
About the Authors
M. V. Serova
I.M. Sechenov First Moscow State Medical University; City Clinical Hospital № 1
Russian Federation
Russian Federation
Maria V. Serova - Assistant Professor of the department of cardiology, functional and ultrasound diagnostics N.V. Sklifosovsky Clinical Medicine Institution.
Moscow.
Tel.: +7 (926) 043-46-06
D. A. Andreev
I.M. Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Denis A. Andreev - Professor, Head of the department of cardiology, functional and ultrasound diagnostics N.V. Sklifosovsky Clinical Medicine Institution; Director of the Clinic of cardiology UKB № 1 of the I.M. Sechenov First Moscow State Medical University (Sechenov University).
Moscow.
M. I. Chashkina
I.M. Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Maria I. Chashkina - Assistant Professor of the department of cardiology, functional and ultrasound diagnostics N.V. Sklifosovsky Clinical Medicine Institution.
Moscow.
Z. K. Salpagarova
I.M. Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Zukhra K. Salpagarova - Associate Professor of the department of cardiology, functional and ultrasound diagnostics N.V. Sklifosovsky Clinical Medicine Institution.
Moscow.
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Supplementary files
Review
For citations:
Serova M.V., Andreev D.A., Chashkina M.I., Salpagarova Z.K. Anticoagulant therapy in catheter ablation of atrial fibrillation and flutter. Cardiovascular Therapy and Prevention. 2021;20(5):2974. (In Russ.) https://doi.org/10.15829/1728-8800-2021-2974
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