Can the vicious cycle of obscure or intractable gastrointestinal bleeding be broken in patients with atrial fibrillation subject to anticoagulant therapy?: the role of percutaneous left atrial appendage closure
Gastrointestinal bleeding of obscure origin or with an intractable cause is particularly common in patients with atrial fibrillation subject to oral anticoagulant therapy. This condition is highly recurrent and therefore gives rise to high morbidity and mortality rates, thus entailing a vicious cycl...
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| Format: | Article |
| Language: | English |
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Aran Ediciones
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| Series: | Revista Espanola de Enfermedades Digestivas |
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| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082014000500009&lng=en&tlng=en |
| _version_ | 1819227756205965312 |
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| author | Diego Fernández-Rodríguez Victoria Martín-Yuste Faust Feu Salvatore Brugaletta Xavier Freixa Ander Regueiro Manel Sabaté |
| author_facet | Diego Fernández-Rodríguez Victoria Martín-Yuste Faust Feu Salvatore Brugaletta Xavier Freixa Ander Regueiro Manel Sabaté |
| author_sort | Diego Fernández-Rodríguez |
| collection | DOAJ |
| description | Gastrointestinal bleeding of obscure origin or with an intractable cause is particularly common in patients with atrial fibrillation subject to oral anticoagulant therapy. This condition is highly recurrent and therefore gives rise to high morbidity and mortality rates, thus entailing a vicious cycle that is difficult to solve. Percutaneous left atrial appendage closure has become a therapeutic alternative for patients with atrial fibrillation and a contraindication for oral anticoagulation. This technique would allow the discontinuation of oral anticoagulants, thus helping to reduce the risk for gastrointestinal bleeding, and would also be protective against embolic events in this group of patients, thereby eventually breaking this vicious cycle. We report our experience with percutaneous left atrial appendage closure in the management of patients with atrial fibrillation who are subject to oral anticoagulation therapy and suffer from obscure or intractable gastrointestinal bleeding. |
| first_indexed | 2024-12-23T10:46:26Z |
| format | Article |
| id | doaj.art-af5ebaa3086f4123af47338457d0c5d0 |
| institution | Directory Open Access Journal |
| issn | 1130-0108 |
| language | English |
| last_indexed | 2024-12-23T10:46:26Z |
| publisher | Aran Ediciones |
| record_format | Article |
| series | Revista Espanola de Enfermedades Digestivas |
| spelling | doaj.art-af5ebaa3086f4123af47338457d0c5d02022-12-21T17:50:01ZengAran EdicionesRevista Espanola de Enfermedades Digestivas1130-01081065350353S1130-01082014000500009Can the vicious cycle of obscure or intractable gastrointestinal bleeding be broken in patients with atrial fibrillation subject to anticoagulant therapy?: the role of percutaneous left atrial appendage closureDiego Fernández-Rodríguez0Victoria Martín-Yuste1Faust Feu2Salvatore Brugaletta3Xavier Freixa4Ander Regueiro5Manel Sabaté6Instituto del TóraxInstituto del TóraxHospital ClinicInstituto del TóraxInstituto del TóraxInstituto del TóraxInstituto del TóraxGastrointestinal bleeding of obscure origin or with an intractable cause is particularly common in patients with atrial fibrillation subject to oral anticoagulant therapy. This condition is highly recurrent and therefore gives rise to high morbidity and mortality rates, thus entailing a vicious cycle that is difficult to solve. Percutaneous left atrial appendage closure has become a therapeutic alternative for patients with atrial fibrillation and a contraindication for oral anticoagulation. This technique would allow the discontinuation of oral anticoagulants, thus helping to reduce the risk for gastrointestinal bleeding, and would also be protective against embolic events in this group of patients, thereby eventually breaking this vicious cycle. We report our experience with percutaneous left atrial appendage closure in the management of patients with atrial fibrillation who are subject to oral anticoagulation therapy and suffer from obscure or intractable gastrointestinal bleeding.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082014000500009&lng=en&tlng=enfibrilación auricularanticoagulantes oraleshemorragia digestiva de origen oscurohemorragia digestiva intratablecierre percutáneo de la orejuela de la aurícula izquierda |
| spellingShingle | Diego Fernández-Rodríguez Victoria Martín-Yuste Faust Feu Salvatore Brugaletta Xavier Freixa Ander Regueiro Manel Sabaté Can the vicious cycle of obscure or intractable gastrointestinal bleeding be broken in patients with atrial fibrillation subject to anticoagulant therapy?: the role of percutaneous left atrial appendage closure Revista Espanola de Enfermedades Digestivas fibrilación auricular anticoagulantes orales hemorragia digestiva de origen oscuro hemorragia digestiva intratable cierre percutáneo de la orejuela de la aurícula izquierda |
| title | Can the vicious cycle of obscure or intractable gastrointestinal bleeding be broken in patients with atrial fibrillation subject to anticoagulant therapy?: the role of percutaneous left atrial appendage closure |
| title_full | Can the vicious cycle of obscure or intractable gastrointestinal bleeding be broken in patients with atrial fibrillation subject to anticoagulant therapy?: the role of percutaneous left atrial appendage closure |
| title_fullStr | Can the vicious cycle of obscure or intractable gastrointestinal bleeding be broken in patients with atrial fibrillation subject to anticoagulant therapy?: the role of percutaneous left atrial appendage closure |
| title_full_unstemmed | Can the vicious cycle of obscure or intractable gastrointestinal bleeding be broken in patients with atrial fibrillation subject to anticoagulant therapy?: the role of percutaneous left atrial appendage closure |
| title_short | Can the vicious cycle of obscure or intractable gastrointestinal bleeding be broken in patients with atrial fibrillation subject to anticoagulant therapy?: the role of percutaneous left atrial appendage closure |
| title_sort | can the vicious cycle of obscure or intractable gastrointestinal bleeding be broken in patients with atrial fibrillation subject to anticoagulant therapy the role of percutaneous left atrial appendage closure |
| topic | fibrilación auricular anticoagulantes orales hemorragia digestiva de origen oscuro hemorragia digestiva intratable cierre percutáneo de la orejuela de la aurícula izquierda |
| url | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082014000500009&lng=en&tlng=en |
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