A 65-year-old with AF and recent GI bleed from ulcer now controlled asks about LAA occlusion. CHA₂DS₂-VASc 5; long-term anticoagulation is contraindic...

Question

A 65-year-old with AF and recent GI bleed from ulcer now controlled asks about LAA occlusion. CHA₂DS₂-VASc 5; long-term anticoagulation is contraindicated. Best option?

Accepted Answer

Left atrial appendage occlusion device

Answer

No stroke prevention

Answer

Aspirin alone

Answer

Dual antiplatelet therapy

Answer

Low-dose DOAC despite contraindication

us-usmle-step-2 MCQ (SBA): AF Stroke Prevention (LAAO)

A 65-year-old with AF and recent GI bleed from ulcer now controlled asks about LAA occlusion. CHA₂DS₂-VASc 5; long-term anticoagulation is contraindicated. Best option?