Should high-risk left atrial appendage morphology, such as a cauliflower configuration, lower the threshold for anticoagulation or left atrial appendage occlusion in patients with atrial fibrillation?

I would start by asking what the indication for the LAA occlusion is. Is it due to a high risk of bleeding or simply patient preference? Is the patient in permanent AF? Burden of AF? The LAA-O device is not a replacement for anticoagulation. It is simply a physical device that eliminates the most co...