Catheter ablation is an established treatment option for symptomatic atrial
fibrillation (AF), with circumferential
pulmonary vein isolation being considered the cornerstone of the procedure. However, this is a complex
intervention with potential major complications and with common arrhythmia
recurrences. There is consensus among experts that all patients should be seen
in follow-up regularly after AF ablation. To date there are limited data
regarding the best methodology for routine clinical follow-up of this population.
This review summarizes a contemporary insight into management of late
complications following AF ablation, post-procedural
anticoagulation and arrhythmia monitoring strategies, in order to prevent
thromboembolic events, detect and treat arrhythmia recurrences, and discuss the
use of upstream therapies after AF ablation.
Credits: Dr. Mário M. Oliveira