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Atrial Fibrillation and Stroke Increasing Stroke Risk With Intervention


In this review, we focus on the important newly recognized appreciation for the paradoxical increase in stroke and TIA as a result of intervention meant to treat atrial fibrillation (AF) with the hope of decreasing stroke risk in the long term.  The impact of silent cerebral lesions recently appreciated as a potentially major limitation and risk with AF ablation is explained.  We categorize our present understanding of how we can minimize risk and provide a platform for what will undoubtedly be newer study, changes in the way procedures are done today, and possibly vascular-based stroke-reduction strategies.

Credits: Christopher V. DeSimone; Malini Madhavan; Elisa Ebrille; Alejandro A. Rabinstein; Paul A. Friedman; Samuel J. Asirvatham



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Introduction to AFib
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