The cessation of oral anticoagulation following left atrial appendage surgery.

摘要: Atrial fibrillation is associated with a significantly increased risk of stroke, and oral anticoagulation the mainstay preventative treatment. Scenarios arise where risks treatment may outweigh benefits, most commonly when there an elevated bleeding. Studies percutaneous closure left atrial appendage have strongly implicated this structure in etiology stroke fibrillation, provide some rationale for discontinuation following device implantation. A common clinical concern safety cessation after surgical patients history fibrillation. Here, we review evidence guiding management decision draw comparison data on closure.