经皮导管消融术治疗心房颤动围术期抗凝治疗进展
黄俊,薛玉梅,吴书林
摘要(Abstract):
<正>导管消融历经十余年的发展,目前已成为心房颤动(房颤)的一线治疗方式,临床应用日益广泛。由于房颤患者固有的血栓栓塞风险,导管消融术中左心房操作、心内膜损伤激活凝血系统,导管消融术后左心房功能顿抑等因素,围术期血栓栓塞事件并不少见。2003年至2006年全球185个中心共16 309例房颤患者导管消融术数据显示,围术期卒中及短暂性脑缺血发生率约1%,危及生命的出血并发症发生率
关键词(KeyWords): 导管消融;心房颤动;华法林;新型口服抗凝药物
基金项目(Foundation):
作者(Author): 黄俊,薛玉梅,吴书林
参考文献(References):
- [1]Cappato R,Calkins H,Chen SA,et al.Updated worldwide survey on the methods,efficacy,and safety of catheter ablation for human atrial fibrillation.Circ Arrhythm Electrophysiol,2010,3:32-38.
- [2]Wazni OM,Beheiry S,Fahmy T,et al.Atrial fibrillation ablation in patients with therapeutic international normalized ratio:comparison of strategies of anticoagulation management in the periprocedural period.Circulation,2007,116:2531-2534.
- [3]Hussein AA,Martin DO,Saliba W,et al.Radiofrequency ablation of atrial fibrillation under therapeutic international normalized ratio:a safe and efficacious periprocedural anticoagulation strategy.Heart Rhythm,2009,6:1425-1429.
- [4]Di Biase L,Burkhardt JD,Mohanty P,et al.Periprocedural stroke and management of major bleeding complications in patients undergoing catheter ablation of atrial fibrillation:the impact of periprocedural therapeutic international normalized ratio.Circulation,2010,121:2550-2556.
- [5]Santangeli P,Di Biase L,Horton R,et al.Ablation of atrial fibrillation under therapeutic warfarin reduces periprocedural complications:evidence from a meta-analysis.Circ Arrhythm Electrophysiol,2012,5:302-311.
- [6]Di Biase L,Burkhardt JD,Santangeli P,et al.Periprocedural stroke and bleeding complications in patients undergoing catheter ablation of atrial fibrillation with different anticoagulation management:results from the Role of Coumadin in Preventing Thromboembolism in Atrial Fibrillation(AF)Patients Undergoing Catheter Ablation(COMPARE)randomized trial.Circulation,2014,129:2638-2644.
- [7]Di Biase L,Gaita F,Toso E,et al.Does periprocedural anticoagulation management of atrial fibrillation affect the prevalence of silent thromboembolic lesion detected by diffusion cerebral magnetic resonance imaging in patients undergoing radiofrequency atrial fibrillation ablation with open irrigated catheters?Results from a prospective multicenter study.Heart Rhythm,2014,11:791-798.
- [8]Chen J,Todd DM,Hocini M,et al.Current periprocedural management of ablation for atrial fibrillation in Europe:results of the European Heart Rhythm Association survey.Europace,2014,16:378-381.
- [9]Arshad A,Johnson CK,Mittal S,et al.Comparative safety of periablation anticoagulation strategies for atrial fibrillation:data from a large multicenter study.Pacing Clin Electrophysiol,2014,37:665-673.
- [10]Winkle RA.Uninterrupted warfarin anticoagulation for atrial fibrillation ablation:too good to be true?Pacing Clin Electrophysiol,2014,37:661-664.
- [11]Gomes T,Mamdani MM,Holbrook AM,et al.Rates of hemorrhage during warfarin therapy for atrial fibrillation.CMAJ,2013,185:E121-E127.
- [12]Lakkireddy D,Reddy YM,Di Biase L,et al.Feasibility and safety of dabigatran versus warfarin for periprocedural anticoagulation in patients undergoing radiofrequency ablation for atrial fibrillation:results from a multicenter prospective registry.J Am Coll Cardiol,2012,59:1168-1174.
- [13]Providencia R,Albenque JP,Combes S,et al.Safety and efficacy of dabigatran versus warfarin in patients undergoing catheter ablation of atrial fibrillation:a systematic review and meta-analysis.Heart,2014,100:324-335.
- [14]Bin AA,Khan AR,Tleyjeh IM,et al.Safety and efficacy of interrupted dabigatran for peri-procedural anticoagulation in catheter ablation of atrial fibrillation:a systematic review and meta-analysis.Europace,2013,15:1412-1420.
- [15]Hohnloser SH,Camm AJ.Safety and efficacy of dabigatran etexilate during catheter ablation of atrial fibrillation:a metaanalysis of the literature.Europace,2013,15:1407-1411.
- [16]Sardar P,Nairooz R,Chatterjee S,et al.Meta-analysis of risk of stroke or transient ischemic attack with dabigatran for atrial fibrillation ablation.Am J Cardiol,2014,113:1173-1177.
- [17]Lakkireddy D,Reddy YM,Di Biase L,et al.Feasibility and safety of uninterrupted rivaroxaban for periprocedural anticoagulation in patients undergoing radiofrequency ablation for atrial fibrillation:results from a multicenter prospective registry.J Am Coll Cardiol,2014,63:982-988.
- [18]Nagao T,Inden Y,Shimano M,et al.Efficacy and safety of apixaban in the patients undergoing the ablation of atrial fibrillation.Pacing Clin Electrophysiol,2015,38:155-163.
- [19]Armbruster HL,Lindsley JP,Moranville MP,et al.Safety of novel oral anticoagulants compared with uninterrupted warfarin for catheter ablation of atrial fibrillation.Ann Pharmacother,2015,49:278-284.