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Journal of the Korean Neurological Association 2013;31(4): 282-285.
발작심방세동 환자에서 전극카테터절제술 이후 발생한 뇌경색
이성욱, 김지선 박영민 유성욱 조경희
고려대학교 의과대학 신경과학교실
Cerebral Infarction After Radiofrequency Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation
Sung-Woog Lee
Department of Neurology, Korea University College of medicine, Seoul, Korea
Abstract
Radiofrequency catheter ablation (RFCA) is a useful treatment for drug-refractory atrial fibrillation. RFCA can cause cerebral infarction that remains the neurologic deficit if prompt managements are delayed. We report on 3 patients who developed cerebral infarctions immediately after RFCA. Periprocedural anticoagulation such as warfarin should be continued for patients, even if they are at low risk for cerebral infarction. Key Words: Radiofrequency catheter ablation, Atrial fibrillation, Cerebral infarction