title: [Pre-interventional, peri-interventional and post-interventional anticoagulation in the setting of catheter ablation for atrial fibrillation : current practice and practical approach].
abstract: In addition to treatment with drugs to control the rate and rhythm, the method of catheter ablation is a cornerstone in the treatment of atrial fibrillation. Another crucial part in treating patients with atrial fibrillation is an adequate oral anticoagulation. Apart from the vitamin K antagonists (VKA) phenprocoumon and warfarin, the direct oral anticoagulants (DOAC) apixaban, dabigatran and rivaroxaban have been approved for oral anticoagulation of patients with atrial fibrillation. As a result there are different potential treatment possibilities for pre-interventional, peri-interventional and post-interventional anticoagulation in the setting of catheter ablation for atrial fibrillation. Due to increasing clinical experience with DOAC and the increasing number of atrial fibrillation ablations worldwide, peri-interventional treatment strategies are continuously changing. Therefore, the current article discusses current standards and gives practical guidance.
authors: Klinik für Kardiologie, Klinikum Oldenburg, Herzzentrum, Rahel-Straus-Str. 10, 26133, Oldenburg, Deutschland, antz.matthias@klinikum-oldenburg.de.
authors: M
authors: M
authors: Antz
authors: S
authors: S
authors: Willems
authors: B A
authors: BA
authors: Hoffmann
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage*; D001281:Atrial Fibrillation / Q000150:complications / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D004305:Dose-Response Relationship, Drug; D006801:Humans; D019990:Perioperative Care / Q000379:methods; D011292:Premedication / Q000379:methods*; D013927:Thrombosis / Q000209:etiology* / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants
references: J Am Coll Cardiol. 2004 May 19;43(10 ):1861-7
references: 15145112
references: J Cardiovasc Electrophysiol. 2005 Jun;16(6):576-81
references: 15946352
references: Pacing Clin Electrophysiol. 2003 Jul;26(7 Pt 1):1438-45
references: 12914619
references: Circ Arrhythm Electrophysiol. 2013 Jun;6(3):460-6
references: 23553523
references: Pacing Clin Electrophysiol. 2009 Aug;32(8):995-9
references: 19659617
references: Europace. 2013 May;15(5):625-51
references: 23625942
references: Circulation. 2014 Dec 2;130(23):e199-267
references: 24682347
references: J Interv Card Electrophysiol. 2009 Sep;25(3):175-81
references: 19263201
references: J Cardiovasc Electrophysiol. 2012 Aug;23(8):890-923
references: 22953789
references: Circulation. 2014 May 27;129(21):2094-9
references: 24633881
references: J Cardiovasc Electrophysiol. 2007 May;18(5):560-80
references: 17456138
references: Europace. 2008 May;10(5):513-27
references: 18442963
references: N Engl J Med. 2011 Mar 3;364(9):806-17
references: 21309657
references: Cardiol Res Pract. 2011;2011:615087
references: 21747989
references: N Engl J Med. 2009 Sep 17;361(12):1139-51
references: 19717844
references: Heart Rhythm. 2013 Apr;10(4):483-9
references: 23237911
references: Can J Cardiol. 2014 Oct;30(10):1114-30
references: 25262857
references: Europace. 2012 Apr;14(4):528-606
references: 22389422
references: Am J Cardiol. 2012 Aug 1;110(3):453-60
references: 22537354
references: Lancet. 2014 Mar 15;383(9921):955-62
references: 24315724
references: Eur Heart J. 2014 Dec 1;35(45):3155-79
references: 25154388
references: Eur Heart J. 2012 Nov;33(21):2719-47
references: 22922413
references: Circ Arrhythm Electrophysiol. 2013 Apr;6(2):302-9
references: 23443620
references: J Interv Card Electrophysiol. 2008 Sep;22(3):211-9
references: 18568395
references: N Engl J Med. 2011 Sep 15;365(11):981-92
references: 21870978
references: J Interv Card Electrophysiol. 2011 Apr;30(3):211-5
references: 21336618
references: J Cardiovasc Electrophysiol. 2005 Jun;16(6):561-5
references: 15946349
references: J Cardiovasc Electrophysiol. 2005 May;16(5):474-7
references: 15877616
references: J Cardiovasc Electrophysiol. 2014 Mar;25(3):242-9
references: 24237758
references: N Engl J Med. 2011 Sep 8;365(10):883-91
references: 21830957
references: J Cardiovasc Electrophysiol. 2011 Feb;22(2):236-9
references: 21044211
references: Circulation. 2014 Jun 24;129(25):2638-44
references: 24744272
references: J Am Coll Cardiol. 2014 Mar 18;63(10):982-8
references: 24412445
references: J Am Coll Cardiol. 2011 Nov 29;58(23):2380-5
references: 22115643
references: Circ J. 2011;75(10):2312-3
references: 21817808
references: Europace. 2010 Oct;12 (10 ):1360-420
references: 20876603