Key result
Omitting anticoagulation during ICD implantation in paroxysmal AF linked to acute renal infarction.
Why the study?
Renal infarction in patients with atrial fibrillation receiving implantable cardioverter defibrillator treatment is rarely seen.
Case Report (n=1)
No
This case highlights the importance of appropriate periprocedural anticoagulation in elderly patients with paroxysmal atrial fibrillation undergoing ICD implantation to prevent thromboembolic events like renal infarction.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for periprocedural anticoagulation in paroxysmal AF during ICD implantation; should not yet change practice.
Background: Atrial fibrillation increases the risk of thromboembolism in the kidney. Renal infarction in atrial fibrillation receiving implantable cardioverter defibrillator (ICD) treatment is rarely seen. Case Presentation: We reported a case of a 76-year-old woman who presented with palpitations and short of breath with ECG showing paroxysmal atrial fibrillation (AF) and long RR interval. The patient was diagnosed congestive heart failure with NYHA class III-IV and received an ICD implantation as the onset of ventricular tachycardia. The seventh after ICD implantation operation, she complained of right lower abdominal pain with fever and blood WBC increased. Right renal infarction was confirmed after abdominal enhancement computed tomography scan. Anticoagulation therapy was given immediately, the patient had an stable international normalized ratio (INR) and mild elevated serum creatinine levels during follow-up. Conclusion : This case enlightened us some comprehension about the strategy for periprocedural anticoagulation and prevention of thromboembolism in the elderly with paroxysmal atrial fibrillation. Renal infarction and anticoagulation strategies for atrial fibrillation during perioperation were reviewed in this paper.
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Huang et al. (2021) conducted a case report in Atrial Fibrillation (n=1). Anticoagulation therapy was evaluated on Renal infarction. Anticoagulation therapy might have prevented renal infarction in a 76-year-old woman with paroxysmal atrial fibrillation undergoing ICD implantation.
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