Would you pursue imaging to clear the left atrial appendage or have a risk/benefit discussion with a patient prior to semi-urgent cardioversion if there was concern for delayed administration or a single missed dose of anticoagulation?

If imaging pursued, would you favor CTA or TEE?

Answer from: at Academic Institution

This would probably depend on the CHA2DS2VASc score. If CHA2DS2VASc <=2 for men or <=3 for women, I would have a risk/benefit discussion with the patient and consider proceeding without preprocedural imaging after shared decision-making. If CHA2DS2VASc risk is higher, I would favor pre-procedu...

Comments

at Miami Va Healthcare System
Reasonable approach. However, the CHADSVASC score ...

at Cardiovascular Institute At Beth Israel Deaconess Medical Center
Should depend on how long the patient was on antic...

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Would you pursue imaging to clear the left atrial appendage or have a risk/benefit discussion with a patient prior to semi-urgent cardioversion if there was concern for delayed administration or a single missed dose of anticoagulation?

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