Document Detail

Prevention of embolic stroke by catheter ablation of atrial fibrillation.
MedLine Citation:
PMID:  19049566     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND PURPOSE: Radiofrequency-catheter-ablation of atrial fibrillation is now commonly performed. Aim of this short review is to summarize questions and uncertainties concerning radiofrequency ablation of atrial fibrillation with respect to therapeutic mechanisms, long-term efficacy and stroke-prevention. RESULTS: The majority of atrial fibrillation patients is too old for radiofrequency ablation. Candidates for radiofrequency ablation belong to a subgroup with a low embolic risk. The radiofrequency ablation procedure itself may increase the embolic risk, and at present it is uncertain how long this embolic risk persists after the procedure. CONCLUSION: We doubt if radiofrequency ablation prevents embolism in atrial fibrillation.
C Stöllberger; B Schneider; M Winkler-Dworak; J Finsterer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European journal of neurology : the official journal of the European Federation of Neurological Societies     Volume:  15     ISSN:  1468-1331     ISO Abbreviation:  Eur. J. Neurol.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-03     Completed Date:  2009-02-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506311     Medline TA:  Eur J Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1419-20     Citation Subset:  IM    
II. Medizinische Abteilung, Rudolfstiftung, Wien, Austria.
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MeSH Terms
Age Distribution
Age Factors
Atrial Fibrillation / complications*,  surgery*
Catheter Ablation* / adverse effects
Heart Atria / innervation,  physiopathology,  surgery
Intracranial Embolism / etiology,  physiopathology,  prevention & control*
Middle Aged
Patient Selection
Postoperative Complications / etiology,  physiopathology
Risk Assessment
Risk Factors
Stroke / etiology,  physiopathology,  prevention & control*
Treatment Outcome
Comment In:
Eur J Neurol. 2008 Dec;15(12):1261-2   [PMID:  19049540 ]

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