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What is your approach to management of chronic GI bleeding from AVM's in elderly patient on DOAC for atrial fibrillation?
Especially if Watchman is an option, which would still require temporary anticoagulation post-procedure.
Answer from: at Community Practice
I would definitely strongly consider the left atrial appendage occlusion device in these patients. While usually these devices (such as Watchman) do require anticoagulation for about 45 days until the device has an endothelial layer form on it (we usually confirm with a CT scan or TEE), there are so...
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Answer from: at Academic Institution
Watchman or other LAA occluders would be the best choice for stroke prevention if GI bleeding cannot be satisfactorily corrected , as can be the case with AVM’s. Watchman and Amulet don’t mandate anticoagulation immediately after implant. DAPT is an option in Watchman and the correct approach in...