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首页> 外文期刊>Circulation journal >Electrophysiological Procedures in Patients With Coagulation Disorders　― A Systemic Review ―
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Electrophysiological Procedures in Patients With Coagulation Disorders　― A Systemic Review ―

机译：凝血疾病患者的电生理程序 - 系统综述 -

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Catheter ablation (CA) is considered first-line treatment for many patients with symptomatic arrhythmias. Indications for CA are constantly increasing, as is the number of procedures. Although CA is nowadays regarded a safe procedure, there is a risk of complications, including both bleeding- and thrombosis-related events. Several factors contribute to periprocedural risk; of these, patient coagulation status is of considerable clinical relevance. In this context, even a simple procedure poses a considerable challenge in a patient with coagulation disorder. However, the level of evidence regarding CA in patients with coagulation disorders is very low. Neither experts’ recommendations nor clinical guidelines have been presented so far. The aim of this article is to analyze potential procedure-related risks and provide clinicians with useful information and practical suggestions regarding optimization of procedural safety in patients with coagulation disorders.
机译：导管消融（CA）被认为是许多症状性心律失常患者的一线治疗。对于CA的迹象是不断增加的，程序数量也是如此。虽然如今是待安全的程序，但存在并发症的风险，包括出血和血栓形成相关的事件。有几个因素有助于霸权风险;其中，患者的凝血状况具有相当大的临床相关性。在这种情况下，即使是一个简单的程序甚至在患有凝血障碍的患者中都存在相当大的挑战。然而，有关凝血疾病患者的CA的证据水平非常低。到目前为止，两位专家的建议也没有提出临床指导。本文的目的是分析潜在的程序相关风险，并提供有关凝血障碍患者程序安全优化的有用信息和实际建议的临床医生。

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