Why the study?
Appropriate anticoagulation during left-sided catheter ablation is confirmed by measuring ACT, but erroneous ACT results can occur and necessitate alternative strategies.
Highlights the possibility of erroneous ACT results during catheter ablation and the need for alternative anticoagulation monitoring strategies.
Erroneous ACT readings may mislead anticoagulation in ablation; leaves open prospective validation of alternatives.
When performing left-sided catheter ablation, anticoagulation is used to prevent formation of thrombi that might embolize. After heparin administration, appropriate anticoagulation is confirmed by measuring Activated Coagulation Time (ACT). We report a case during which ACT results were erroneous, and review alternatives to the ACT under such circumstances.
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Goldstein et al. (2020) studied this question.
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