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발작심방세동 환자에서 전극카테터절제술 이후 발생한뇌경색

Cerebral Infarction After Radiofrequency Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation

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초록

Radiofrequency catheter ablation (RFCA) is a useful treatment for drug-refractory atrial fibrillation. RFCA can cause cerebral infarction that remains the neurologic deficit if prompt managements are delayed. We report on 3 patients who developed cerebral infarctions immediately after RFCA. Periprocedural anticoagulation such as warfarin should be continued for patients, even if they are at low risk for cerebral infarction.

Abstract

Radiofrequency catheter ablation (RFCA) is a useful treatment for drug-refractory atrial fibrillation. RFCA can cause cerebral infarction that remains the neurologic deficit if prompt managements are delayed. We report on 3 patients who developed cerebral infarctions immediately after RFCA. Periprocedural anticoagulation such as warfarin should be continued for patients, even if they are at low risk for cerebral infarction.

참고문헌 (10)

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  5. Patel D, "Long-term functional and neurocognitive recovery in patients who had an acute cerebrovascular event secondary to catheter ablation for atrial fibrillation", J Cardiovasc Electrophysiol, 21, pp.412~417 (2010)
  6. Haeusler KG, "Left atrial catheter ablation and ischemic stroke", Stroke, 43, pp.265~270 (2012)
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  8. Camm AJ, "2012 focused update of the ESC Guidelines for the management of atrial fibrillation : an update of the 2010 ESC Guidelines for the management of atrial fibrillation--developed with the special contribution of the European Heart Rhythm Association", Europace, 14, pp.1385~1413 (2012)
  9. Calkins H, "2012 HRS", EHRA, Europace, pp.2012, 14[DOI]
  10. Kaiser DW, "Continuous warfarin versus periprocedural dabigatran to reduce stroke and systemic embolism in patients undergoing catheter ablation for atrial fibrillation or left atrial flutter", J Interv Card Electrophysiol, 37, pp.241~247 (2013)

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