- The need for anticoagulation after Atriclip is still a matter of equipoise1. However, long-term anticoagulation is recommended after surgical exclusion based on the patient’s thromboembolic risk1. Endocardial devices are in contact with blood stream, and for that reason, the recommendation is to resume anticoagulation for 2 months after endocardial devices are implanted2. After the procedure, patients will have a follow-up appointment 45 days after the procedure. At that point, anti-coagulant medication will be stopped if complete occlusion of the left atrial appendage is demonstrated. Once the left atrial appendage is blocked, patients will remain on low-dose aspirin indefinitely3.Learn more:✕This summary was generated using AI based on multiple online sources. To view the original source information, use the "Learn more" links.The safety of stopping anticoagulation after Atriclip and the need for transesophageal echocardiogram (TEE) precardioversion are equipoise. However, long-term anticoagulation is recommended after surgical exclusion based on the patient’s thromboembolic risk.academic.oup.com/ehjcr/article/6/6/ytac160/6568541Generally, endocardial devices are in contact with blood stream, and for that reason, the recommendation is to resume anticoagulation for 2 months after endocardial devices are implanted, making this a less attractive option for patients with absolute contraindications for AC.europepmc.org/article/MED/31384360
What happens after the procedure?
- You will have a follow-up appointment 45 days after the procedure. At that point your, anti-coagulant medication will be stopped if complete occlusion of the left atrial appendage is demonstrated.
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May 1, 2021 · Atriclip is often used for Left atrial appendage (LAA) occlusion during open heart surgery. Follow-up imaging, to assess LAA occlusion (LAAO) and need for anticoagulation, is not routinely performed.
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