Peri ‐procedural management of anticoagulation for atrial fibrillation catheter ablation in direct oral anticoagulant‐treated patients

ConclusionsOur data showed that uninterrupted DOAC therapy resulted in unpredictable and highly variable initial level of anticoagulation before catheter ablation. Moreover, they highlighted that even with DOAC interruption preventing from interference between DOAC, UFH and ACT, intra‐procedural UFH monitoring was complex. Altogether, our exploratory results call into question the appropriateness of transposing UFH dose protocols, as well as the relevance of ACT monitoring in uninterrupted DOAC‐treated patients.

Source: Clinical Cardiology - March 13, 2018 Category: Cardiology Authors: Anne ‐Céline Martin, Sarah Lessire, Isabelle Leblanc, Anne‐Sophie Dincq, Ivan Philip, Isabelle Gouin‐Thibault, Anne Godier Tags: CLINICAL INVESTIGATIONS Source Type: research