当前位置： SCI文献检索 > JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY期刊下所有文献 > Periprocedural stroke risk in patients undergoing catheter ablation for atrial fibrillation on uninterrupted warfarin.

Periprocedural stroke risk in patients undergoing catheter ablation for atrial fibrillation on uninterrupted warfarin.

Abstract：

BACKGROUND:Catheter ablation is an effective treatment for symptomatic individuals with atrial fibrillation (AF) but is associated with a risk of periprocedual stroke. Recent data suggest that this risk may be abolished if catheter ablation is performed with uninterrupted warfarin (UW). We sought to compare the incidence, severity and timing of periprocedural stroke between 2 periprocedural anticoagulation protocols: bridging low-molecular-weight heparin (LMWH) and UW. METHODS AND RESULTS:Periprocedural stroke (≤14 days) was assessed in 2,855 ablations performed in 1,813 patients. Thromboembolic stroke occurred in 11/1,653 (0.7%) procedures with bridging LMWH and in 5/1,202 (0.4%) procedures on UW (P = 0.5). Four of the 5 strokes (80%) on UW occurred despite a therapeutic INR and a mean activated clotting time of ≥300 seconds and 4/5 strokes (80%) occurred in patients with a CHADS2 score of 0. Eleven of 16 (69%) strokes overall occurred within 24 hours of the procedure. All 4 strokes resulting in major neurological deficit occurred in the LMWH group. Major bleeding complications occurred in 6.0% of patients in the bridging LMWH group compared to 4.0% in the UW group (P = 0.02). CONCLUSIONS:In contrast to existing data, periprocedural stroke still occurs despite therapeutic anticoagulation throughout the operative period. The optimal strategy to protect patients against thromboembolic stroke remains unclear.

journal_name

J Cardiovasc Electrophysiol

journal_title

Journal of cardiovascular electrophysiology

authors

Page SP,Herring N,Hunter RJ,Withycombe E,Lovell M,Wali G,Betts TR,Bashir Y,Dhinoja M,Earley MJ,Sporton SC,Rajappan K,Schilling RJ

doi

10.1111/jce.12411

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

585-90

issue

6

eissn

1045-3873

issn

1540-8167

journal_volume

25

pub_type

杂志文章,多中心研究

相关文献

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY文献大全
  • Recent history of vasovagal syncope in a young, referral-based population is a stronger predictor of recurrent syncope than lifetime syncope burden.

    abstract：INTRODUCTION:accurate selection of patients for vasovagal syncope studies requires strong risk stratification and knowledge of the natural history of syncope. We aimed to test the hypothesis that recent history of vasovagal syncope compared to distant history better predicts subsequent recurrence of syncope. METHODS A...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1540-8167.2010.01848.x

    authors： Sumner GL,Rose MS,Koshman ML,Ritchie D,Sheldon RS,Prevention of Syncope Trial Investigators.

    更新日期：2010-12-01 00:00:00

  • Determination of single cryoablation outcome within 30 to 60 seconds of freezing based on ice impedance.

    abstract：BACKGROUND:A direct indicator of effective pulmonary vein isolation (PVI) based on early ice formation is presently lacking. OBJECTIVE:The initial impedance rise within 30 to 60 seconds (sec) of single cryoablation relating to ice on the distal surface of the cryoballoon could; predict effective PVI with early termina...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.14097

    authors： Avitall B,Lizama KS,Kalinski A,Coulombe N,Laske TG

    更新日期：2019-10-01 00:00:00

  • Ablation of ventricular tachycardia due to a postinfarct ventricular septal defect: identification and transection of a broad reentry loop.

    abstract：INTRODUCTION:Ventricular tachycardia (VT) after postinfarct ventricular septal defect (VSD) repair has not been well characterized. METHODS AND RESULTS:A 55-year-old man developed refractory VT after inferior wall infarction and VSD repair. Entrainment demonstrated a broad reentry circuit path (outer loop) between the...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.1997.tb01003.x

    authors： Ellison KE,Stevenson WG,Couper GS,Friedman PL

    更新日期：1997-10-01 00:00:00

  • Differentiation of atrioventricular nodal reentrant tachycardia from orthodromic reciprocating tachycardia by the resetting response to ventricular extrastimuli: comparison to response to continuous ventricular pacing.

    abstract：BACKGROUND:The usefulness of ventricular entrainment to differentiate AV nodal reentrant tachycardia (AVNRT) from orthodromic reciprocating tachycardia (ORT) by substracting the corrected postpacing interval (cPPI) from the tachycardia cycle length (TCL) or the ventriculoatrial interval during stimulation (SA) from tha...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.12079

    authors： Javier García-Fernández F,Almendral J,Marta Pachón,González-Torrecilla E,Martín J,Gallardo R

    更新日期：2013-05-01 00:00:00

  • Importance of catheter contact force during irrigated radiofrequency ablation: evaluation in a porcine ex vivo model using a force-sensing catheter.

    abstract：INTRODUCTION:Ablation electrode-tissue contact has been shown to be an important determinant of lesion size and safety during nonirrigated ablation but little data are available during irrigated ablation. We aimed to determine the importance of contact force during irrigated-tip ablation. METHODS AND RESULTS:Freshly e...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2009.01693.x

    authors： Thiagalingam A,D'Avila A,Foley L,Guerrero JL,Lambert H,Leo G,Ruskin JN,Reddy VY

    更新日期：2010-07-01 00:00:00

  • Use of a novel bipolar sealer device in pocket infections: A case series.

    abstract：BACKGROUND:Cardiac implantable electronic device pocket infections require complete system removal. However, postoperative bleeding and hematoma can occur after extensive debridement and an optimal management strategy has yet to be defined. METHODS:Following system removal and debridement, all pockets were treated wit...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.14026

    authors： Schaller RD,Santangeli P,Tomczuk L,Frankel DS

    更新日期：2019-09-01 00:00:00

  • Electrical activation of sinus venosus myocardium and expression patterns of RhoA and Isl-1 in the chick embryo.

    abstract：UNLABELLED:Electrical Activity and RhoA in the Embryo. INTRODUCTION:Myocardium at the venous pole (sinus venosus) of the heart has gained clinical interest as arrhythmias can be initiated from this area. During development, sinus venosus myocardium is incorporated to the primary heart tube and expresses different mark...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2010.01790.x

    authors： Vicente-Steijn R,Kolditz DP,Mahtab EA,Askar SF,Bax NA,VAN DER Graaf LM,Wisse LJ,Passier R,Pijnappels DA,Schalij MJ,Poelmann RE,Gittenberger-DE Groot AC,Jongbloed MR

    更新日期：2010-11-01 00:00:00

  • Stellate ganglion blockade for the treatment of refractory ventricular arrhythmias: A systematic review and meta-analysis.

    abstract：INTRODUCTION:Treatment refractory ventricular arrhythmias (VAs) are often driven and exacerbated by heightened sympathetic tone. We aim to conduct a systematic review and meta-analysis of published studies of a temporary percutaneous stellate ganglion block (SGB) on VA burden and defibrillation episodes in patients wit...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,meta分析,评审

    doi：10.1111/jce.13324

    authors： Fudim M,Boortz-Marx R,Ganesh A,Waldron NH,Qadri YJ,Patel CB,Milano CA,Sun AY,Mathew JP,Piccini JP

    更新日期：2017-12-01 00:00:00

  • Sequential His bundle and left ventricular pacing for cardiac resynchronization.

    abstract：INTRODUCTION:Fusion of left ventricular pacing with intrinsic conduction provides superior resynchronization compared to biventricular pacing. His bundle pacing (HBP) preserves intrinsic conduction and allows for constant fusion with left ventricular pacing. This study evaluated sequential His bundle and left ventricul...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.14674

    authors： Deshmukh A,Sattur S,Bechtol T,Heckman LIB,Prinzen FW,Deshmukh P

    更新日期：2020-09-01 00:00:00

  • Amiodarone inhibits cardiac ATP-sensitive potassium channels.

    abstract：INTRODUCTION:ATP-sensitive K+ channels (K(ATP)) are expressed abundantly in cardiovascular tissues. Blocking this channel in experimental models of ischemia can reduce arrhythmias. We investigated the acute effects of amiodarone on the activity of cardiac sarcolemmal K(ATP) channels and their sensitivity to ATP. METHO...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2000.tb01762.x

    authors： Holmes DS,Sun ZQ,Porter LM,Bernstein NE,Chinitz LA,Artman M,Coetzee WA

    更新日期：2000-10-01 00:00:00

  • Prognostic value of signal-averaged electrocardiogram in Chagas disease.

    abstract：BACKGROUND:The value of signal-averaged ECG (SAECG) in the risk stratification of Chagas disease (ChD), a potentially lethal illness prevalent in Latin America, remains controversial. The aim of this prospective longitudinal study was to determine the prognostic value of SAECG in ChD, using multivariate models with oth...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2007.01088.x

    authors： Ribeiro AL,Cavalvanti PS,Lombardi F,Nunes Mdo C,Barros MV,Rocha MO

    更新日期：2008-05-01 00:00:00

  • A feasibility study of noninvasive ablation of ventricular tachycardia using high-intensity focused ultrasound.

    abstract：BACKGROUND:Current transcatheter ablation of ventricular tachycardia (VT) techniques is limited in part by its invasive nature and superficial depth of ablation lesions. OBJECTIVES:This study was aimed at evaluating the feasibility of targeted ablation of cardiac tissues using high-intensity focused ultrasound (HIFU) ...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.13459

    authors： Lü F,Huang W,Benditt DG

    更新日期：2018-05-01 00:00:00

  • Catheter ablation of atrial fibrillation in heart failure with reduced ejection fraction.

    abstract：:Atrial fibrillation and heart failure are increasing in prevalence, and frequently coexist. Despite the desire to restore sinus rhythm in heart failure patients, large studies comparing rate control to pharmacologic rhythm control have failed to show superiority of either approach. This may in part be due to the ineff...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,评审

    doi：10.1111/jce.13497

    authors： Malhi N,Hawkins NM,Andrade JG,Krahn AD,Deyell MW

    更新日期：2018-07-01 00:00:00

  • Improvement in tricuspid regurgitation following catheter ablation of atrial fibrillation.

    abstract：INTRODUCTION:Functional tricuspid regurgitation (TR) remains a challenging clinical problem with poor outcomes and few effective treatments. Atrial fibrillation (AF) has been associated with functional TR. We sought to determine whether restoring sinus rhythm through catheter ablation of AF can decrease the degree of T...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.14707

    authors： Markman TM,Plappert T,De Feria Alsina A,Levin M,Amankwah N,Sheth S,Gertz ZM,Schaller RD,Marchlinski FE,Rame JE,Frankel DS

    更新日期：2020-11-01 00:00:00

  • Differentiating macroreentrant from focal atrial tachycardias occurred after circumferential pulmonary vein isolation.

    abstract：BACKGROUND:Atrial tachycardias (ATs) are commonly observed following catheter ablation of atrial fibrillation (AF). The aim of this study was to identify ECG characteristics that differentiate focal from macroreentrant ATs after circumferential pulmonary vein isolation (CPVI). METHODS AND RESULTS:One hundred and twent...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2010.02002.x

    authors： Chang SL,Tsao HM,Lin YJ,Lo LW,Hu YF,Tuan TC,Tsai WC,Chang CJ,Suenari K,Huang SY,Tai CT,Li CH,Chao TF,Wu TJ,Chen SA

    更新日期：2011-07-01 00:00:00

  • Distortion of right superior pulmonary vein anatomy by balloon catheters as a contributor to phrenic nerve injury.

    abstract：INTRODUCTION:Cryothermal, HIFU, and laser catheter-based balloon technologies have been developed to simplify ablation for AF. Initial enthusiasm for their widespread use has been dampened by phrenic nerve (PN) injury. The interaction between PN and pulmonary vein (PV) geometry contributing to PN injury is unclear. ME...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2009.01495.x

    authors： Okumura Y,Henz BD,Bunch TJ,Dalegrave C,Johnson SB,Packer DL

    更新日期：2009-10-01 00:00:00

  • Electroanatomic remodeling of the left atrium in paroxysmal and persistent atrial fibrillation patients without structural heart disease.

    abstract：INTRODUCTION:The nature of the atrial substrate thought to contribute toward maintaining atrial fibrillation (AF) outside the pulmonary veins remains poorly defined. Therefore, our objective was to determine whether patients with paroxysmal and persistent AF have an abnormal electroanatomic substrate within the left at...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2011.02178.x

    authors： Teh AW,Kistler PM,Lee G,Medi C,Heck PM,Spence SJ,Sparks PB,Morton JB,Kalman JM

    更新日期：2012-03-01 00:00:00

  • Complex fractionated atrial electrograms related to left atrial wall thickness.

    abstract：INTRODUCTION:The mechanism of complex fractionated atrial electrogram (CFAE) in patients with atrial fibrillation (AF) remains controversial. This study investigated the relationship between CFAE and left atrial (LA) wall thickness. METHODS AND RESULTS:LA muscular wall thickness (excluding fat) was measured by cardiac...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.12473

    authors： Wi J,Lee HJ,Uhm JS,Kim JY,Pak HN,Lee M,Kim YJ,Joung B

    更新日期：2014-11-01 00:00:00

  • Efficacy of Left Atrial Voltage-Based Catheter Ablation of Persistent Atrial Fibrillation.

    abstract：BACKGROUND:Low-voltage zones (LVZs) represent fibrotic tissue and are substrates for atrial fibrillation (AF). We hypothesized that LVZ-based substrate modification along with pulmonary vein isolation (PVI) would improve outcomes in persistent AF (PeAF) patients with LVZs, whereas PVI alone would work in patients witho...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.13019

    authors： Yamaguchi T,Tsuchiya T,Nakahara S,Fukui A,Nagamoto Y,Murotani K,Eshima K,Takahashi N

    更新日期：2016-09-01 00:00:00

  • Clinical efficacy of open-irrigated electrode cooled with half-normal saline for initially failed radiofrequency ablation of idiopathic outflow tract ventricular arrhythmias.

    abstract：BACKGROUND:Acute failure of radiofrequency ablation (RFA) of ventricular arrhythmias (VAs) occur in 10%-20% of patients and is partly attributed to inadequate lesion depth acquired with standard ablation protocols. Half-normal saline (HNS)-irrigation is a promising strategy to improve the success rate of VA ablation. ...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.14057

    authors： Chung FP,Vicera JJB,Lin YJ,Chang SL,Lo LW,Hu YF,Lin CY,Tuan TC,Chao TF,Liao JN,Chang TY,Salim S,Liu CM,Chuang CM,Chen CC,Chin CG,Wu CI,Chou CY,Chen SA

    更新日期：2019-09-01 00:00:00

  • Clinical predictors of noninducibility of sustained atrial fibrillation after pulmonary vein isolation.

    abstract：BACKGROUND:Noninducibility of sustained atrial fibrillation (AF) after pulmonary vein isolation (PVI) has been shown to be associated with a better clinical outcome. We evaluated the role of clinical variables that could predict noninducibility of sustained AF after PVI. METHODS AND RESULTS:Data were collected prospec...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2005.00225.x

    authors： Rotter M,Jaïs P,Garrigue S,Sanders P,Hocini M,Hsu LF,Takahashi Y,Rostock T,Sacher F,Clementy J,Haïssaguerre M

    更新日期：2005-12-01 00:00:00

  • His-bundle parasystole masquerading as exercise-induced 2:1 atrioventricular block.

    abstract：:We describe a case of symptomatic pseudo-AV block due to His-bundle parasystole masquerading as exercise-induced 2:1 AV block. Electrophysiologic study revealed the presence of His-bundle parasystole, and the fluctuation of parasystolic cycle length could be explained by the concept of modulated parasystole. Modulated...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1046/j.1540-8167.2001.00965.x

    authors： Kasaoka Y,Ajiki K,Hayami N,Murakawa Y

    更新日期：2001-08-01 00:00:00

  • Do atrial differences in endothelial damage, leukocyte and platelet activation, or tissue factor activity contribute to chamber-specific thrombogenic status in patients with atrial fibrillation?

    abstract：BACKGROUND:Thrombi form mainly in the left rather than the right atria of patients with atrial fibrillation (AF), the reason of this predilection being unknown. OBJECTIVE:The purpose of this study was to investigate whether atrial-specific differences in endothelial damage, leukocyte activation, platelet stimulation, ...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 临床试验,杂志文章

    doi：10.1111/jce.12312

    authors： Jesel L,Arentz T,Herrera-Siklody C,Trenk D,Zobairi F,Abbas M,Weber R,Minners J,Toti F,Morel O

    更新日期：2014-03-01 00:00:00

  • Is adenosine useful for the identification of atrial fibrillation triggers?

    abstract：INTRODUCTION:Both isoproterenol (Iso) and adenosine (Ado) are used to induce atrial fibrillation (AF) in the electrophysiology lab. However, the utility of Ado has not been systematically established. OBJECTIVE:The purpose of this study was to compare Ado to Iso for the induction of paroxysmal AF. METHODS:Forty patie...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/jce.13779

    authors： Tutuianu C,Pap R,Riesz T,Bencsik G,Makai A,Saghy L

    更新日期：2019-02-01 00:00:00

  • Atrial fibrosis in non-atrial fibrillation individuals and prediction of atrial fibrillation by use of late gadolinium enhancement magnetic resonance imaging.

    abstract：INTRODUCTION:Besides the traditional concept of atrial fibrillation (AF) perpetuating atrial structural remodeling, there is increasing evidence that atrial fibrosis might precede AF, highlighting the need for better characterization of the fibrotic substrate. We aimed to assess atrial fibrosis by use of late gadoliniu...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.13846

    authors： Siebermair J,Suksaranjit P,McGann CJ,Peterson KA,Kheirkhahan M,Baher AA,Damal K,Wakili R,Marrouche NF,Wilson BD

    更新日期：2019-04-01 00:00:00

  • Combined amiodarone and silymarin treatment, but not amiodarone alone, prevents sustained atrial flutter in dogs.

    abstract：UNLABELLED:Amiodarone/Silymarin Treatment for Sustained Atrial Flutter. INTRODUCTION:Because amiodarone generates free radicals that may mediate amiodarone's toxicity, simultaneous therapy with an antioxidant might be beneficial if the antioxidant did not impair amiodarone's antiarrhythmic action. We tested whether si...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1046/j.1540-8167.2003.02446.x

    authors： Vereckei A,Zipes DP,Besch H Jr

    更新日期：2003-08-01 00:00:00

  • An unusual form of bundle branch reentrant tachycardia.

    abstract：INTRODUCTION:We report the case of a 36-year-old patient with a longstanding history of paroxysmal tachycardia. METHODS AND RESULTS:During the electrophysiological study, the H-V interval was prolonged in sinus rhythm, and a second potential (H'') with distal to proximal activation pattern was recorded in the region o...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2006.00468.x

    authors： Sarkozy A,Boussy T,Chierchia GB,Geelen P,Brugada P

    更新日期：2006-08-01 00:00:00

  • Longstanding persistent accelerated idioatrial rhythm: Benign sinus node-like rhythm or insidious rhythm?

    abstract：INTRODUCTION:Detailed description of longstanding persistent accelerated idioatrial rhythm (AIAR) is lacking. This observational study investigated the clinical manifestations, electrophysiological characteristics, diagnosis, treatment, and prognosis of this unusual arrhythmia. METHODS AND RESULTS:Fifteen patients (11...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.13255

    authors： Liu H,Zhu C,Yang B,Ju W,Chen H,Zhang F,Gu K,Li M,Kojodjojo P,Chen M

    更新日期：2017-08-01 00:00:00

  • Association between epicardial adipose tissue and embolic stroke after catheter ablation of atrial fibrillation.

    abstract：INTRODUCTION:Risk factors of embolic stroke (ES) after atrial fibrillation (AF) ablation have not been fully elucidated especially among the Asian subjects, particularly regarding epicardial adipose tissue (EAT) in cardiac imaging. We aimed to assess the incidence of ES during a long-term follow-up period after AF abla...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,多中心研究

    doi：10.1111/jce.14154

    authors： Ahn J,Shin SY,Shim J,Kim YH,Han SJ,Choi EK,Oh S,Shin JY,Choe JC,Park JS,Lee HW,Oh JH,Choi JH,Lee HC,Cha KS,Hong TJ,Lip GYH,Lim HE

    更新日期：2019-11-01 00:00:00

  • Idiopathic left ventricular tachycardia with left and right bundle branch block configurations.

    abstract：INTRODUCTION:Idiopathic left ventricular tachycardia typically has a right bundle branch block configuration. The purpose of this case report is to demonstrate that idiopathic ventricular tachycardia arising in or near the left posterior fascicle also may have a left bundle branch block configuration. METHODS AND RESU...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.1997.tb00810.x

    authors： Zivin A,Goyal R,Daoud E,Man KC,Strickberger SA,Morady F

    更新日期：1997-04-01 00:00:00