Withdrawal of oral anticoagulants 3 months after successful radiofrequency catheter ablation in patients with atrial fibrillation: A meta‐analysis

Abstract

The withdrawal of OACs 3 months after successful radiofrequency catheter ablation for patients with AF may be safe and feasible. It needs to be tested by randomized controlled trial.

Recurrent ischemic stroke in patients with atrial fibrillation ablation and prior stroke: A study based on etiological classification

“…[2][3][4] Furthermore, several recent reports have indicated that patients discontinuing OACs after successful ablation may experience a low stroke rate. [13][14][15] This finding is supported by a comprehensive meta-analysis that clarified the efficacy and safety of OAC discontinuation after successful AF catheter ablation. 16 This meta-analysis of 25 177 patients who underwent catheter ablation from 16…”

Anticoagulation after successful atrial fibrillation ablation: Brushing your teeth may keep you off of blood thinners

“…With studies such as the present one by Deng et al, future versions of the guidelines may be able to give clinicians a little bit of wiggle room for discontinuing oral anticoagulation in most patients with a successful ablation.…”

“…The excellent meta‐analysis in this issue of PACE by Deng et al sheds important light on the issue of the safety of stopping anticoagulation after a successful atrial fibrillation ablation. They studied a total of 7,612 patients.…”

Impact of successful catheter ablation for AF on the “dynamic nature” of stroke risk to give up anticoagulation: Fact or fiction?

“…Thus, stroke or ischemic thromboembolism risk assessment is required at each visit, as accumulation of risk factors with increasing CHA2DS2‐VASc score translates to greater stroke risks over time. As the follow‐up duration was short in the paper by Deng et al, both the risk scores and event rates may increase with further follow‐up durations over time. Another important issue to be mentioned in this paper was the definition of successful catheter ablation by using the limited sensitivity of 24‐h Holter monitorization.…”