医学
心房颤动
导管消融
心脏病学
冲程(发动机)
无症状的
痴呆
内科学
烧蚀
脑梗塞
入射(几何)
围手术期
认知
重症监护医学
麻醉
缺血
精神科
机械工程
物理
疾病
光学
工程类
作者
Jingrui Zhang,Songnan Li,Caihua Sang,Changsheng Ma
摘要
The incidence of silent cerebral emboli (SCE) associated with atrial fibrillation catheter ablation (AFCA) is much higher than that of stroke/transient ischemic attack (TIA). Interventional electrophysiologists have been increasingly alerted to asymptomatic cerebral infarction over the years. Plentiful studies revealed that diagnostic definitions, detection modalities, energy sources, ablation strategies, perioperative anticoagulation regimens, and patient-related factors were associated with the risk of AFCA-associated SCE. Studies related to non-interventional procedures found that SCE may prompt stroke, cognitive decline, and dementia later in life, suggesting a possible role of AFCA-associated SCE in the cognitive function of patients with AF. However, there is no consistent evidence for this view to date. Given that the majority of patients with AF being elderly and the increased risk of cognitive impairment in AF itself, efforts should be made to minimize the occurrence of AFCA-associated SCE.
科研通智能强力驱动
Strongly Powered by AbleSci AI