Mugnai, Giacomo; Farkowski, Michal; Tomasi, Luca; Roten, Laurent; Migliore, Federico; de Asmundis, Carlo; Conte, Giulio; Boveda, Serge; Chun, Julian K R (2023). Prevention of venous thromboembolism after right heart-sided electrophysiological procedures: results of an EHRA survey. Europace, 26(1) Oxford University Press 10.1093/europace/euad364
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INTRODUCTION
Limited data are available regarding venous thromboembolism (VTE), specifically deep vein thrombosis (DVT) and pulmonary embolism (PE), following right-sided ablations and electrophysiological (EP) studies. Compared to left-sided procedures, no guidelines on antithrombotic management strategies for the prevention of DVT and PE are available. The main purpose of the present European Heart Rhythm Association (EHRA) survey is to report the current management of right-sided EP procedures, focusing on anticoagulation and prevention of VTE.
METHODS AND RESULTS
An online survey was conducted using the EHRA infrastructure. A total of 244 participants answered a 19-items questionnaire on the periprocedural management of EP studies and right-sided catheter ablations.The right femoral vein is the most common access for EP studies and right-sided procedures. An ultrasound-guided approach is employed by more than 2/3 of respondents. Intravenous heparin is not commonly given by the majority of participants. About 1/3 of participants (34%) routinely prescribe VTE prophylaxis during (mostly aspirin and low molecular weight heparin) and 1/4 of respondents (25%) commonly prescribe VTE prophylaxis after discharge (mostly aspirin). Of note, respectively 13% and 9% of participants observed at least one DVT and one PE related to right-sided ablation or EP study within the last year in their center.
CONCLUSIONS
The present survey shows that only a minority of operators routinely gives intraprocedural intravenous heparin and prescribes VTE prophylaxis after right-sided EP procedures. Compared to left-sided procedures like AF ablation, there are no consistent systematic antithrombotic management strategies.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology |
UniBE Contributor: |
Roten, Laurent |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1532-2092 |
Publisher: |
Oxford University Press |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
14 Dec 2023 10:16 |
Last Modified: |
29 Dec 2023 00:16 |
Publisher DOI: |
10.1093/europace/euad364 |
PubMed ID: |
38091971 |
Uncontrolled Keywords: |
anticoagulation catheter ablation electrophysiological study right-sided ablations |
BORIS DOI: |
10.48350/190336 |
URI: |
https://boris.unibe.ch/id/eprint/190336 |
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