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Profile picture for gloaming @gloaming

The EP community seems to be settled on there being an elevated risk of thromboembolic stroke from dislodged clots from the left atrial appendage for several months, not days, after a successful ablation or after the last bout of AF. If I were an EP, and I am not, and knowing what I have read here and there, I would advise my patients to continue taking a DOAC for at least the next six months.

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Replies to "The EP community seems to be settled on there being an elevated risk of thromboembolic stroke..."

@gloaming thanks,good to know.

@gloaming I actually had a stroke on Jan 2, 2024, 48 days after an ablation. Have always felt the 2 were related. I was on Eliquis already and Drs were perplexed that I had a stroke while on Eliquis. TEE was done and small hole made by catheter making small hole from 1 side of heart to other during Ablation that had not closed could have caused a blood clot from some where pass thru opening and go to brain causing stroke. Was told the hole, a Secundum, usually takes several weeks to close! Much discussion afterwards to have the Watchman implant, but I was on the fence about another implant (I already have a Pacemaker), so myself and EP Cardiologist decided to wait. Has been over year and half and no other stroke, but several AFIB episodes and cardioversions since, so AFIB not well controlled! Lots of changes in meds and Sotalol 120mg is presently working for almost 2 months!

@gloaming what is DOAC from your recent post? Thanks!