For stroke patients with ablated paroxysmal atrial fibrillation without known recurrence and ICAD, would you recommend dual antiplatelet therapy or anticoagulation with or without an antiplatelet agent?

I would use DAPT for three months after the stroke. I do not see evidence for either anticoagulation or protracted DAPT for ICAD.

Ablation treats cardiopulmonary symptoms, but it has not been adequately tested against anticoagulation for Afib-related stroke. Anecdotally, at least once I month, I will see a patient with acute embolic-appearing stroke after their cardiologist has stopped their anticoagulation because they were a...