What anticoagulation treatment alternatives exist for patients with atrial fibrillation (Afib) (AF) and high risk of clinically significant bleeding?

Updated: Nov 18, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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For patients with clinical indications for anticoagulation who are at an unacceptably high risk of clinically significant bleeding, two treatment alternatives exist:

  • Left atrial appendage isolation using the catheter-based WATCHMAN device (the only FDA device currently approved in the United States)

  • Left atrial appendage ligation using the LARIAT epicardial/endocardial suture system

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