TY - JOUR
T1 - Atrial fibrillation and stroke
T2 - Increasing stroke risk with intervention
AU - DeSimone, Christopher V.
AU - Madhavan, Malini
AU - Ebrille, Elisa
AU - Rabinstein, Alejandro A.
AU - Friedman, Paul A.
AU - Asirvatham, Samuel J.
PY - 2014/3
Y1 - 2014/3
N2 - This article focuses on the important newly recognized appreciation for the paradoxic increase in stroke and transient ischemic attack as a result of intervention meant to treat atrial fibrillation (AF) with the hope of decreasing stroke risk in the long term. The impact of silent cerebral lesions has recently been identified as a potentially major limitation, and the risks with AF ablation, as well as the present understanding of how risk can be minimized, are explained. This article provides a platform for newer study, changes in the way procedures are done, and possibly vascular-based stroke-reduction strategies.
AB - This article focuses on the important newly recognized appreciation for the paradoxic increase in stroke and transient ischemic attack as a result of intervention meant to treat atrial fibrillation (AF) with the hope of decreasing stroke risk in the long term. The impact of silent cerebral lesions has recently been identified as a potentially major limitation, and the risks with AF ablation, as well as the present understanding of how risk can be minimized, are explained. This article provides a platform for newer study, changes in the way procedures are done, and possibly vascular-based stroke-reduction strategies.
KW - Ablation
KW - Atrial fibrillation
KW - Catheter
KW - Embolism
KW - Silent cerebral lesions
UR - http://www.scopus.com/inward/record.url?scp=84893360115&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84893360115&partnerID=8YFLogxK
U2 - 10.1016/j.ccep.2013.11.003
DO - 10.1016/j.ccep.2013.11.003
M3 - Review article
AN - SCOPUS:84893360115
SN - 1877-9182
VL - 6
SP - 87
EP - 94
JO - Cardiac Electrophysiology Clinics
JF - Cardiac Electrophysiology Clinics
IS - 1
ER -