Table of advice.
Peri-procedural anticoagulation management
| Advice | Evidence | Strength |
|---|---|---|
| Advice TO DO | ||
| Performing catheter ablation under uninterrupted oral anticoagulation.60 | OBS |
|
| Administration of heparin for the ablation procedure to achieve and maintain an ACT ≥300 s. | OPN |
|
| Peri-procedural administration of unfractionated heparin or low molecular weight heparin in the presence of a sub-therapeutic INR until a therapeutic INR is reached (2–3). | OPN |
|
| Advice NOT TO DO | ||
| Reversal of anticoagulation with protamine after ablation should be avoided. | OPN |
|