Persistent Left Atrial Appendage Thrombus in Atrial Fibrillation Despite Anticoagulation
For 3653 patients who underwent Preprocedural TEE, 39 exhibited LAA thrombus despite compliance with OAC. Switching OAC or maintaining the same agent for longer period of time resolved the thrombus in 31% of cases. LAA-O was effective in cases where the thrombus did not resolve. Patients with non-valvular AF, compliance with OAC > 4 weeks, CHADS-VASc ≤ 2, and normal EF exhibited the lowest probability for not having a thrombus on TEE.
Authors
- Chirag R. Barbhaiya (ORCID: https://orcid.org/0000-0003-3479-936X)
- Leonid Garber (ORCID: https://orcid.org/0000-0003-1126-4100)
- Douglas Holmes (ORCID: https://orcid.org/0000-0002-3125-9483)
- Lior Jankelson (ORCID: https://orcid.org/0000-0003-2714-2212)
- Anthony Aizer (ORCID: https://orcid.org/0000-0001-6550-0178)
- Felix Yang (ORCID: https://orcid.org/0000-0001-8751-6752)
- Alexander Kushnir (ORCID: https://orcid.org/0000-0003-1644-643X)
- Larry A. Chinitz (ORCID: https://orcid.org/0000-0003-4454-6761)
- David Park (ORCID: https://orcid.org/0000-0001-5858-5353)
- Scott Bernstein
- Michael Spinelli
Institutions
- New York University (US)
Publication Details
- Journal
- Journal of Cardiovascular Electrophysiology
- Published
- 2025-05-15
- DOI
- https://doi.org/10.1111/jce.16718
- Citations
- 4
- Primary Topic
- Atrial Fibrillation Management and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 5.55