In current atrial fibrillation ablation practice, adjunctive ablation beyond PVI is common, and NOACs are the dominant choice for peri-procedural anticoagulation.
Informs contemporary AF ablation protocols; confirms practice trends but leaves optimal adjunctive strategies open to RCTs.
In addition to PVI, additional ablation procedures are also performed very frequently. Although the mean CHADS2 score was low, peri-procedural OAC therapy was commonly performed, and NOAC drastically superseded VKA.
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Inoue et al. (2014) studied this question.
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