Perioperative anticoagulation management during thoracoscopic ablation

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F17%3A43912502" target="_blank" >RIV/00216208:11120/17:43912502 - isvavai.cz</a>

Alternative codes found

RIV/00064173:_____/17:N0000005

Result on the web

<a href="http://dx.doi.org/10.1016/j.hrthm.2016.11.028" target="_blank" >http://dx.doi.org/10.1016/j.hrthm.2016.11.028</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.hrthm.2016.11.028" target="_blank" >10.1016/j.hrthm.2016.11.028</a>

Result language

angličtina

Original language name

Perioperative anticoagulation management during thoracoscopic ablation

Original language description

With interest we read the article by Romanov et al in the September issue of HeartRhythm.1 They reported that 6 strokes/ transient ischemic attacks (TIAs) occurred perioperatively: 4 (4.5%) in patients undergoing thoracoscopic pulmonary vein isolation þ box lesion only and 2 (2.2%) in patients who underwent an additional occlusion of the left atrial appendage (LAA).1 The exact peri- and postoperative anticoagulation protocol was not reported. Compared with other articles on thoracoscopic ablation (TA) or hybrid ablation, the absence of a description of the peri- and postoperative anticoagulation stands out in this article. In our recent report, 1 stroke and 5 asymptomatic thrombi occurred in 17 patients who underwent TA without heparin and without LAA occlusion, but no strokes or asymptomatic thrombi occurred while on heparin and if the LAA was occluded.2 Compared with endocardial catheter ablation, the risk of stroke/TIA seems to be higher during TA; for example, Probst et al 3 reported 5.1%strokes/TIAs. Therefore, one would expect precise reporting of anticoagulation used perioperatively to address this issue. Unfortunately, the opposite seems to be true; clear description of peri- and postoperative anticoagulation management is obviously lacking.1,3 This is in stark contrast to articles on catheter ablation, in which the anticoagulation protocol is described in detail. In articles on TA, typically the only anticoagulation information given is with regard to withdrawal of warfarin or novel oral anticoagulants before ablation.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Heart Rhythm

ISSN

1547-5271

e-ISSN

—

Volume of the periodical

14

Issue of the periodical within the volume

3

Country of publishing house

US - UNITED STATES

Number of pages

1

Pages from-to

"e47"

UT code for WoS article

000397243700001

EID of the result in the Scopus database

2-s2.0-85007564336