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Percutaneous left atrial appendage closure in patients with gastrointestinal bleeding associated with oral anticoagulants
CONCLUSIONS: LAAC could be a safe and effective alternative to OAC in patients with non-valvular AF presenting significant, recurrent or potentially unresolvable GIB. This intervention also leads to important savings in the consumption of healthcare resources.PMID:37489111 | DOI:10.1080/00365521.2023.2239973
Source: Scandinavian Journal of Gastroenterology - July 25, 2023 Category: Gastroenterology Authors: Patricia Sanz Segura Javier Jimeno S ánchez Jos é Miguel Arbonés-Mainar Juan S ánchez-Rubio Lezcano Gabriel Galache Osuna Vanesa Bernal Monterde Source Type: research

Position statement from the Indian Society of Gastroenterology, Cardiological Society of India, Indian Academy of Neurology and Vascular Society of India on gastrointestinal bleeding and endoscopic procedures in patients on antiplatelet and/or anticoagulant therapy
AbstractAntiplatelet and/or anticoagulant agents (collectively known as antithrombotic agents) are used to reduce the risk of thromboembolic events in patients with conditions such as atrial fibrillation, acute coronary syndrome, recurrent stroke prevention, deep vein thrombosis, hypercoagulable states and endoprostheses. Antithrombotic-associated gastrointestinal (GI) bleeding is an increasing burden due to the growing population of advanced age with multiple comorbidities and the expanding indications for the use of antiplatelet agents and anticoagulants. GI bleeding in antithrombotic users is associated with an increase...
Source: Indian Journal of Gastroenterology - June 5, 2023 Category: Gastroenterology Source Type: research

Esophageal Thermal Injury after Catheter Ablation for Atrial Fibrillation with High-Power (50 Watts) Radiofrequency Energy.
CONCLUSIONS: In Asian patients, AF ablations using 50 W resulted in very low rates of mild esophageal complications. PMID: 33525069 [PubMed - as supplied by publisher]
Source: Korean Circulation Journal - February 2, 2021 Category: Cardiology Tags: Korean Circ J Source Type: research

Tu1031 THE INFLUENCE OF DIRECT ORAL ANTICOAGULANTS ON DELAYED BLEEDING IN PATIENTS WITH EARLY GASTRIC NEOPLASMS WHO UNDERWENT ENDOSCOPIC SUBMUCOSAL DISSECTION
Direct oral anticoagulants (DOAC) are widely prescribed for prevention of stroke in elderly patients with atrial fibrillation and approved indication for DOAC has been expanded. We aimed to evaluate the risk of delayed bleeding in patients who had taken DOAC and underwent endoscopic submucosal dissection (ESD) for gastric neoplasms.
Source: Gastrointestinal Endoscopy - May 31, 2020 Category: Gastroenterology Authors: Jinju Choi, Soo-Jeong Cho, Ayoung Lee, Jue L. Kim, Hyunsoo Chung, Sang Gyun Kim Tags: Poster abstracts Source Type: research

Ablation index ‐guided 50 W ablation for pulmonary vein isolation in patients with atrial fibrillation: Procedural data, lesion analysis, and initial results from the FAFA AI High Power Study
ConclusionAI ‐HP (50 W) ablation appears to be a feasible, safe, fast, and effective ablation technique for PVI.
Source: Journal of Cardiovascular Electrophysiology - October 12, 2019 Category: Cardiology Authors: Shaojie Chen, Boris Schmidt, Stefano Bordignon, Lukas Urbanek, Shota Tohoku, Fabrizio Bologna, Lazar Angelkov, Iskren Garvanski, Nikolaos Tsianakas, Athanasios Konstantinou, Luca Trolese, Felix Weise, Laura Perrotta, K. R. Julian Chun Tags: ORIGINAL ARTICLE Source Type: research

Ablation Index guided 50 Watts ablation for pulmonary vein isolation in patients with atrial fibrillation: procedural data, lesion analysis and initial results from the FAFA AI High Power Study
CONCLUSIONAblation ‐index guided high‐power (50W) ablation appears to be a feasible, safe, fast and effective ablation technique for PVI.This article is protected by copyright. All rights reserved.
Source: Journal of Cardiovascular Electrophysiology - October 5, 2019 Category: Cardiology Authors: Shaojie Chen, Boris Schmidt, Stefano Bordignon, Lukas Urbanek, Shota Tohoku, Fabrizio Bologna, Lazar Angelkov, Iskren Garvanski, Nikolaos Tsianakas, Athanasios Konstantinou, Luca Trolese, Felix Weise, Laura Perrotta, K. R. Julian Chun Tags: ORIGINAL ‐ CLINICAL Source Type: research

478 what kind of direct oral anticoagulant presents the lowest bleeding risk after endoscopic resection of colorectal polyps?
Direct oral anticoagulants (DOACs), including dabigatran, rivaroxaban, apixaban, and edoxaban, have become popular as equivalent to warfarin for stroke prevention in non-valvular atrial fibrillation; however, bleeding risk from DOACs, especially the difference in risks among DOACs in endoscopic treatment, has not been reported. The study aimed to evaluate delayed bleeding risk related to early resumption of DOACs and compare the bleeding risk among DOACs after endoscopic resection of colorectal polyps.
Source: Gastrointestinal Endoscopy - May 31, 2019 Category: Gastroenterology Authors: Kazuko Beppu, Kazunori Yokoi, Hisafumi Yamagata, Satoko Suzuki, Tatsuo Ogihara Tags: Oral abstract Source Type: research

Gastrointestinal Hemorrhage Is Associated with Mortality after Acute Ischemic Stroke.
CONCLUSION: AF, oral anticoagulant use, brain herniation and male sex increase GI hemorrhage risk, while hyperlipidemia reduces risk. GI hemorrhage itself increases risk for mortality of acute ischemic stroke. The interaction between GI hemorrhage and brain herniation increased the risk for the mortality after acute ischemic stroke. PMID: 30977448 [PubMed - as supplied by publisher]
Source: Current Neurovascular Research - April 11, 2019 Category: Neurology Authors: Zhou Y, Xu W, Wang W, Yao S, Xiao B, Wang Y, Chen B Tags: Curr Neurovasc Res Source Type: research

Mo1133 PROSPECTIVE EVALUATION OF 30-DAY BLEEDING AND THROMBOEMBOLIC RISKS IN PATIENTS UNDERGOING COLONOSCOPY WHILE TAKING WARFARIN OR NOVEL ANTICOAGULANTS
With the rising prevalence of ischemic heart disease and atrial fibrillation as well as the expanding indications on the use of anticoagulants, there are increasing number of patients undergoing colonoscopies while on these agents. International societies issued guidelines on the peri-endoscopic management of the anticoagulants but little is known on the actual outcome of these patients, particularly those taking novel anti-coagulants (NOACs). We aim to prospectively evaluate the 30-day morbidities (gastrointestinal bleeding, stroke and cardiovascular complications) and mortalities of patients taking warfarin, NOACs and/or...
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Sze Hang Kevin Liu, Lijia Chen, Sze Kan Leung, Wai K. Leung Tags: Monday abstract Source Type: research

Esophageal Injury and Atrioesophageal Fistula Caused by Ablation for Atrial Fibrillation.
Abstract Esophageal perforation is a dreaded complication of atrial fibrillation ablation that occurs in 0.1% to 0.25% of atrial fibrillation ablation procedures. Delayed diagnosis is associated with the development of atrial-esophageal fistula (AEF) and increased mortality. The relationship between the esophagus and the left atrial posterior wall is variable, and the esophagus is most susceptible to injury where it is closest to areas of endocardial ablation. Esophageal ulcer seems to precede AEF development, and postablation endoscopy documenting esophageal ulcer may identify patients at higher risk for AEF. AEF...
Source: Circulation - September 26, 2017 Category: Cardiology Authors: Kapur S, Barbhaiya C, Deneke T, Michaud GF Tags: Circulation Source Type: research

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