Question

A 58-year-old woman with AF and moderate bleeding risk asks about left atrial appendage occlusion (LAAO). CHA₂DS₂‑VASc=4. She refuses long‑term anticoagulation. Guideline-based recommendation?

Accepted Answer

LAAO may be reasonable in patients with appropriate stroke risk and contraindication to long-term OAC

Answer

LAAO is contraindicated

Answer

Use aspirin instead of LAAO

Answer

Start warfarin plus aspirin

Answer

No stroke prevention needed with paroxysmal AF

Practice question

A 58-year-old woman with AF and moderate bleeding risk asks about left atrial appendage occlusion (LAAO). CHA₂DS₂‑VASc=4. She refuses long‑term anticoagulation. Guideline-based recommendation?