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Uninterrupted warfarin anticoagulation for atrial fibrillation ablation: too good to be true?

作者信息

Winkle Roger A

机构信息

Silicon Valley Cardiology, East Palo Alto, California, and Sequoia Hospital, Redwood City, California.

出版信息

Pacing Clin Electrophysiol. 2014 Jun;37(6):661-4. doi: 10.1111/pace.12398. Epub 2014 Apr 26.

DOI:10.1111/pace.12398
PMID:24766476
Abstract
摘要

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Uninterrupted warfarin anticoagulation for atrial fibrillation ablation: too good to be true?房颤消融术中不间断华法林抗凝：好得难以置信？
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Which is the optimal therapy to prevent thromboembolism after atrial fibrillation ablation procedures in low stroke risk patients, anticoagulation or antiplatelet therapy?对于低卒中风险患者，在房颤消融术后预防血栓栓塞的最佳治疗方法是抗凝治疗还是抗血小板治疗？
J Cardiovasc Electrophysiol. 2009 Sep;20(9):994-6. doi: 10.1111/j.1540-8167.2009.01512.x. Epub 2009 Jun 22.
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Apixaban versus Warfarin for the Prevention of Periprocedural Cerebral Thromboembolism in Atrial Fibrillation Ablation: Multicenter Prospective Randomized Study.阿哌沙班与华法林预防心房颤动消融围手术期脑栓塞的多中心前瞻性随机研究
J Cardiovasc Electrophysiol. 2016 May;27(5):549-54. doi: 10.1111/jce.12928. Epub 2016 Feb 12.
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Pulmonary vein antrum isolation for atrial fibrillation on therapeutic coumadin: special considerations.在服用华法林的情况下进行房颤的肺静脉电隔离：特殊考虑因素。
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Oral anticoagulant use around the time of atrial fibrillation ablation: a review of the current evidence of individual oral anticoagulant use for periprocedural atrial fibrillation ablation thromboembolic prophylaxis.心房颤动消融术前后口服抗凝药的使用：关于围手术期心房颤动消融术预防血栓栓塞的个体口服抗凝药使用的当前证据综述
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Warfarin is not needed in low-risk patients following atrial fibrillation ablation procedures.心房颤动消融术后的低风险患者无需使用华法林。
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引用本文的文献

1
Immediate post-procedure bridging with unfractioned heparin versus low molecular weight heparin in patients undergoing radiofrequency ablation for atrial fibrillation with an interrupted oral anticoagulation strategy.采用中断口服抗凝策略的心房颤动患者在接受射频消融术后，使用普通肝素与低分子肝素进行即刻桥接抗凝的比较
J Interv Card Electrophysiol. 2016 Mar;45(2):149-58. doi: 10.1007/s10840-015-0098-x. Epub 2016 Jan 6.