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Safety and Convenience of Continuous Warfarin Strategy During the Periprocedural Period in Patients Who Underwent Catheter Ablation of Atrial Fibrillation

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dc.contributor.authorKwak, Jae-Jin-
dc.contributor.authorPak, Hui-Nam-
dc.contributor.authorJang, Jin-Kun-
dc.contributor.authorKim, Sook Kyoung-
dc.contributor.authorPark, Jae Hyung-
dc.contributor.authorChoi, Jong-Il-
dc.contributor.authorHwang, Chun-
dc.contributor.authorKim, Young-Hoon-
dc.date.available2020-11-03T05:51:07Z-
dc.date.created2020-10-19-
dc.date.issued2010-06-
dc.identifier.issn1045-3873-
dc.identifier.urihttps://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/14831-
dc.description.abstractMethods and Results: We compared CW (n = 49) and SH (n = 55, 3 days before RFCA) in 104 patients who underwent RFCA of AF (77 males, 55 +/- 12 years old, paroxysmal AF: persistent AF = 63:41). During the procedure, the activated clotting time (ACT) was maintained between 350 and 400 seconds, and a requirement of H, postablation INR, and periprocedural complications were compared. Results were as follows: (1) in the CW group, the preprocedural INR (1.85 +/- 0.61 vs 1.05 +/- 0.12, P < 0.001) and the proportions of INR > 2.0 after RFCA (1st postprocedure day 61.2% vs 5.5%, P < 0.001; 2nd postprocedure day 83.3% vs 21.8%, P < 0.005) were higher, and the heparin requirement was lower (2012 +/- 998 U/30 minutes vs 2921 +/- 795 U/30 minutes, P < 0.001) than in the SH group. (2) The incidences of hemorrhagic complications (18.2% vs 18.4%, P = NS) or the major bleeding rates (reduced hemoglobin >= 4 g/dL, requiring blood transfusion; 3.6% vs 12.2%, P = NS) were not significantly different in the CW group than in the SH group. Conclusion: The periprocedural CW strategy maintains a more stable INR immediately after AF ablation without increasing hemorrhagic complications compared with the classic strategy of SH. Simple CW can replace SH in an experienced laboratory with a low risk of hemopericardium during AF ablation. (J Cardiovasc Electrophysiol, Vol. 21, pp. 620-625, June 2010).-
dc.language영어-
dc.publisherWILEY-
dc.subjectPULMONARY-VEIN ABLATION-
dc.subjectANTICOAGULATION-
dc.subjectRISK-
dc.subjectSTROKE-
dc.subjectINITIATION-
dc.subjectOUTCOMES-
dc.subjectSCHEMES-
dc.subjectEVENTS-
dc.titleSafety and Convenience of Continuous Warfarin Strategy During the Periprocedural Period in Patients Who Underwent Catheter Ablation of Atrial Fibrillation-
dc.typeArticle-
dc.contributor.affiliatedAuthorChoi, Jong-Il-
dc.contributor.affiliatedAuthorKim, Young-Hoon-
dc.identifier.doi10.1111/j.1540-8167.2009.01670.x-
dc.identifier.scopusid2-s2.0-77952592945-
dc.identifier.wosid000277785900005-
dc.identifier.bibliographicCitationJOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, v.21, no.6, pp.620 - 625-
dc.relation.isPartOfJOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY-
dc.citation.titleJOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY-
dc.citation.volume21-
dc.citation.number6-
dc.citation.startPage620-
dc.citation.endPage625-
dc.type.rimsART-
dc.type.docTypeArticle-
dc.description.journalClass1-
dc.description.isOpenAccessN-
dc.description.journalRegisteredClassscie-
dc.description.journalRegisteredClassscopus-
dc.relation.journalResearchAreaCardiovascular System & Cardiology-
dc.relation.journalWebOfScienceCategoryCardiac & Cardiovascular Systems-
dc.subject.keywordPlusPULMONARY-VEIN ABLATION-
dc.subject.keywordPlusANTICOAGULATION-
dc.subject.keywordPlusRISK-
dc.subject.keywordPlusSTROKE-
dc.subject.keywordPlusINITIATION-
dc.subject.keywordPlusOUTCOMES-
dc.subject.keywordPlusSCHEMES-
dc.subject.keywordPlusEVENTS-
dc.subject.keywordAuthoranticoagulation-
dc.subject.keywordAuthoratrial fibrillation-
dc.subject.keywordAuthorwarfarin-
dc.subject.keywordAuthorheparin-
dc.subject.keywordAuthorcatheter ablation-
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