@saganjames I see your point, and for me it would/should be protocol that all EPs discuss the ramifications of leaving the LAA open vs closed, not needing a DOAC if it checks out fully closed at the 6-month TEE mark, reducing the risk of stroke with an occluded LAA vs relying on a DOAC with its risk of serious bleeding, and so on. My hope is that this is done and that some opt not to have it (probably from being surprised with the topic's introduction as they sit there on their first visit not having done some homework about AF and it's associated issues, including the risk of leaving the LAA open). But, as a lifelong learner and educator, I try hard to remember all the pertinent and possible outcomes or potential problems with any action or intervention, and discussing the LAA's risks for AF sufferers would be high on the list. Why not a one 'n done approach while the body is on the slab right before them and open or otherwise catheterized, ready for the job(s)?