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- M Antz, S Willems, and B A Hoffmann.
- Klinik für Kardiologie, Klinikum Oldenburg, Herzzentrum, Rahel-Straus-Str. 10, 26133, Oldenburg, Deutschland, antz.matthias@klinikum-oldenburg.de.
- Herz. 2015 Feb 1; 40 (1): 45-9.
AbstractIn addition to treatment with drugs to control the rate and rhythm, the method of catheter ablation is a cornerstone in the treatment of atrial fibrillation. Another crucial part in treating patients with atrial fibrillation is an adequate oral anticoagulation. Apart from the vitamin K antagonists (VKA) phenprocoumon and warfarin, the direct oral anticoagulants (DOAC) apixaban, dabigatran and rivaroxaban have been approved for oral anticoagulation of patients with atrial fibrillation. As a result there are different potential treatment possibilities for pre-interventional, peri-interventional and post-interventional anticoagulation in the setting of catheter ablation for atrial fibrillation. Due to increasing clinical experience with DOAC and the increasing number of atrial fibrillation ablations worldwide, peri-interventional treatment strategies are continuously changing. Therefore, the current article discusses current standards and gives practical guidance.
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