Left atrial appendage thrombus with resulting stroke post-RF ablation for atrial fibrillation in a patient on dabigatran.
Issue Date
2015-11Keywords
HEART DISEASESTROKE PREVENTION
MeSH
AntithrombinsAtrial Appendage
Atrial Fibrillation
Benzimidazoles
Catheter Ablation
Coronary Thrombosis
Drug Interactions
Female
Humans
Middle Aged
Stroke
beta-Alanine
Metadata
Show full item recordCitation
Left atrial appendage thrombus with resulting stroke post-RF ablation for atrial fibrillation in a patient on dabigatran., 107 (10):329-30 Ir Med JPublisher
Irish Medical JournalJournal
Irish medical journalPubMed ID
25551903Abstract
Dabigatran etexilate is licensed for use in prevention of deep venous thromboembolism and in prevention of stroke and systemic embolism in nonvalvular atrial fibrillation (AF). It has also been used in patients for other indications as a substitute for warfarin therapy because it requires no monitoring; one group being patients undergoing radiofrequency (RF), ablation for AF, although there have been no consensus guidelines with regards to dosage and timing of dose. We report the case of a patient with documentary evidence of left atrial appendage (LAA) thrombus formation and neurological sequelae post-RF ablation despite being on dabigatran. This case highlights the concern that periprocedural dabigatran may not provide adequate protection from development of LAA thrombus and that a standardised protocol will need to be developed and undergo large multicentre trials before dabigatran can be safely used for patients undergoing RF-ablation.Item Type
ArticleLanguage
enISSN
0332-3102Collections
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