Silent Cerebral Embolism during Atrial Fibrillation Ablation:Pathophysiology, Prevention and Management

Journal of Atrial Fibrillation
Matteo AnselminoFiorenzo Gaita

Abstract

Although many efforts have been directed to improve atrial fibrillation transcatheter ablation safety, thromboembolism to the brain remains one of the major complications. In fact several studies have confirmed occurrence of silent cerebral embolic lesions by post-procedure magnetic resonance imaging. The present review will focus on the possible mechanisms leading to silent cerebral embolism in an attempt to provide recommendations holding the potential to reduce the incidence of this clinically relevant complication.

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