Prevention of embolic stroke by catheter ablation of atrial fibrillation
Article first published online: 28 OCT 2008
© 2008 The Author(s). Journal compilation © 2008 EFNS
European Journal of Neurology
Volume 15, Issue 12, pages 1419–1420, December 2008
How to Cite
Stöllberger, C., Schneider, B., Winkler-Dworak, M. and Finsterer, J. (2008), Prevention of embolic stroke by catheter ablation of atrial fibrillation. European Journal of Neurology, 15: 1419–1420. doi: 10.1111/j.1468-1331.2008.02341.x
- Issue published online: 12 NOV 2008
- Article first published online: 28 OCT 2008
- Received 11 July 2008 Accepted 4 September 2008
- atrial fibrillation;
- radiofrequency ablation;
Background and purpose: Radiofrequency-catheter-ablation of atrial fibrillation is now commonly performed. Aim of this short review is to summarize questions and uncertainties concerning radiofrequency ablation of atrial fibrillation with respect to therapeutic mechanisms, long-term efficacy and stroke-prevention.
Results: The majority of atrial fibrillation patients is too old for radiofrequency ablation. Candidates for radiofrequency ablation belong to a subgroup with a low embolic risk. The radiofrequency ablation procedure itself may increase the embolic risk, and at present it is uncertain how long this embolic risk persists after the procedure.
Conclusion: We doubt if radiofrequency ablation prevents embolism in atrial fibrillation.