Does short-term anticoagulation with heparin increase risk for microemboli patients undergoing transesophageal guided electrical cardioversion for atrial fibrillation? A transcranial Doppler ultrasonography study

International Journal of Cardiology

Volumn 88, Issue 1, 2003, Pages 107-112

  Gokterin, O ^a,c   Uzener, N ^b   Ata, N ^a   Kudaiberdieva, G ^a   Gucuyener, D ^b   Ozdemir, G ^b   Timuralp, B ^a  

^a ESKISEHIR OSMANGAZI UNIVERSITY   (Turkey)

^b University Faculty of Medicine   (Turkey)

^c Oncag Park Sitesi   (Turkey)

Author keywords

Cardioversion; Heparin; Microemboli

Indexed keywords

HEPARIN; WARFARIN;

ADULT; AGED; ANTICOAGULATION; ARTICLE; BRAIN EMBOLISM; CARDIOVASCULAR RISK; CARDIOVERSION; CLINICAL ARTICLE; CLINICAL FEATURE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEVICE; DOPPLER ECHOGRAPHY; FEMALE; HEART ATRIUM FIBRILLATION; HUMAN; MALE; MICROEMBOLISM; MIDDLE CEREBRAL ARTERY; PATIENT MONITORING; PRIORITY JOURNAL; SHORT COURSE THERAPY; SINUS RHYTHM; SKULL; TEMPORAL LOBE;

EID: 0345268750     PISSN: 01675273     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0167-5273(02)00373-X     Document Type: Article

References (30)

1. Prichett E.L. Management of atrial fibrillation. N Engl J Med. 326:1992;1264-1271.
2. Kinch J.W., Davidoff R.V. Prevention of embolic events after cardioversion of atrial fibrillation: current and evolving strategies. Arch Intern Med. 55:1995;1353-1360.
3. Mancini G.B.J., Goldberger A.L. Cardioversion of atrial fibrillation. Consideration of immobilisation, anticoagulation, prophylactic pacemaker, and long-term success. Am Heart J. 104:1982;617-621.
4. Collins L.J., Silverman D.I., Douglas P.S., Manning W.J. Cardioversion of non-rheumatic atrial fibrillation. Reduced thrombotic complications with 4 weeks of precardioversion anticoagulation are related to atrial thrombus resolution. Circulation. 92:1995;156-159.
5. Arnold A.Z., Mick M.J., Mazurek R.P., Loop F.D., Trohman R.G. Role of prophylactic anticoagulation for direct cardioversion in patients with atrial fibrillation and atrial flutter. J Am Coll Cardiol. 19:1992;851-855.
6. Dehty M., Chassat C., Roy D., Mercier L.A. Doppler echocardiographic predictors of recurrence of atrial fibrillation after cardioversion. Am J Cardiol. 62:1988;723-726.
7. Dittrich H.C., Erickson J.S., Schneiderman T., Blacky R., Savides T., Nicod P.H. Echocardiographic and clinical predictors for outcome of elective cardioversion atrial fibrillation. Am J Cardiol. 63:1989;193-197.
8. Manning W.J., Silverman D.I., Oettgen P., Douglas P.S. Transesophageal echocardiography facilitated early cardioversion from atrial fibrillation using short-term anticoagulation: final result of a prospective 4.5-year study. J Am Coll Cardiol. 25:1995;1354-1361.
9. Manning W.J., Silverman D.I., Gordan S.P.F., Krumholz H.M., Douglas P.S. Cardioversion from atrial fibrillation without prolonged anticoagulation with use of transesophageal echocardiography to exclude the presence of atrial thrombi. N Engl J Med. 328:1993;750-755.
10. Klein A.L., Grimm R.A., Black I.W., et al. Cardioversion guided by transesophageal echocardiography: the ACUTE pilot study: a randomized, controlled trial. Ann Intern Med. 126:1997;200-209.
11. Peterson P., Madsen E.B., Brun B., Pedersen F., Gydensted C., Boysen G. Silent cerebral infarction in chronic atrial fibrillation. Stroke. 18:1987;1098-1100.
12. Kay R., Chung H.K., Wong K.S., et al. Transcranial Doppler evaluation of microembolism immediately after direct-current cardioversion for atrial fibrillation in anticoagulated patients. Am J Cardiol. 84:1999;937-938.
13. Stygall J., Kong R., Walker M., et al. Cerebral microembolism detected by transcranial Doppler during cardiac procedures. Stroke. 31:2000;2508-2510.
14. Nabavi D.G., Allogren A., Reinecke H., et al. Absence of circulating microemboli in patients with atrial fibrillation undergoing electric cardioversion. Cerebrovasc Dis. 11:2001;95-99.
15. Ringelstein E.B., Kahlscheuer B., Niggemeyer E., Otis S.M. Transcranial Doppler sonography: anatomical landmarks and normal velocity values. Ultrasound Med Biol. 16:1990;745-761.
16. Basic identification criteria of Doppler microemboic signals. Stroke. 26:1995;1123.
17. Pugsley W., Klinger L., Paschalis C., Treasure T., Harrisan M.J.G., Newman S. The impact of microemboli during cardiopulmonary bypass on neuropsychological functioning. Stroke. 25:1994;1393-1399.
18. Spencer M.P., Thomas G.L., Nisholls S.C., Sauvage L.R. Detection of middle cerebral artery emboli during carotid endarterectomy using transcranial Doppler ultrasonography. Stroke. 21:1990;415-423.
19. Bladin C.F., Bingham L., Grigg L., Yapanis A.G., Gerraty R., Davis S.M. Transcranial Doppler detection of microemboli during percutaneous transluminal coronary angioplasty. Stroke. 29:1998;2367-2370.
20. Nadareishvili Z.G., Choudary Z., Joyner C., Brodie D., Norris J.W. Cerebral microembolism in acute myocardial infarction. Stroke. 30:1999;2679-2682.
21. Siebler M., Kleinschmidt A., Sitzer M., Steinmetz H., Freund H.J. Cerebral microemboli in symptomatic and asymptomatic high-grade carotid artery stenosis. Neurology. 44:1994;615-618.
22. Diehl R.R., Sliwka U., Rautenberg W., Schwartz A. Evidence for embolization from a posterior artery thrombus by transcranial Doppler monitoring. Stroke. 24:1993;606-608.
23. Georgiadis D., Grosset D.E., Kelman A., Faichey A., Lees K.R. Prevalence and characteristic of intracranial microembolic signals in patients with different types of prosthetic valves. Stroke. 25:1994;587-592.
24. Nabavi D.G., Arato S., Droste D.W., et al. Microembolic load asymptomatic patients with cardiac aneurysm, severe ventricular dysfunction and atrial fibrillation. Clinical and hemorheological correlates. Cerebrovasc Dis. 8:1998;214-221.
25. Infeld B., Bowser D.N., Gerraty R.P., Voukelatos J., Grigg L., Mitchell P.J. Cerebral microemboli in atrial fibrillation detected by transcranial Doppler ultrasonography. Cerebrovasc Dis. 6:1996;339-345.
26. Culliane M., Wainwright R., Brown A., Monaghan M., Markus H.S. Asymptomatic embolization in subjects with atrial fibrillation not taking anticoagulants. Stroke. 29:1998;1810-1815.
27. Sliwka U., Jop F.P., Wissuva D., et al. Occurrence of transcranial Doppler high-intensity transient signals in patients with potential cardiac sources of embolism. A prospective study. Stroke. 26:1995;1225-1230.
28. Tong D.C., Bolger A., Albers G.W. Incidence of transcranial Doppler-detected cerebral microemboli in patients referred for echocardiography. Stroke. 25:1994;2138-2141.
29. Lown B., Perlroth M.G., Kaidey S., Abe T., Harken D.E. Cardioversion of atrial fibrillation: a report on the treatment of 65 episodes in 50 patients. N Engl J Med. 269:1963;325-331.
30. Wijffels M.C.E.F., Kirchhof C.J.H.J., Dorland R., Allesie M.A. Atrial fibrillation begets atrial fibrillation. Circulation. 92:1995;1954-1968.