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- W2490787293 abstract "Objectives: Our aim was to compare the incidence of left atrial appendage (LAA) thrombus in patients on warfarin versus NOACs prior to transoesophageal echocardiogram (TOE) guided cardioversion in patients with Atrial Fibrillation. Background: Prior to cardioversion in patients with atrial fibrillation, careful transoesophageal echocardiographic assessment of the LAA is paramount. Warfarin has traditionally been used for anticoagulation prior to TOE guided cardioversion. More recently advantages of NOAC administration compared to warfarin have been demonstrated. However, evidence for use in cardioversion for patients with atrial fibrillation is limited. Methods: This is a retrospective study undertaken at a single regional centre between January 2014 – Dec 2015. Consecutive patients undergoing TOE guided cardioversion for atrial fibrillation were included. Patients not administered anticoagulation or anticoagulation for < 3 weeks were excluded. Primary end point was incidence of LAA thrombus. Secondary end point was bleeding. Patients were grouped according to pre-procedure warfarin (group 1) or NOAC (group 2) administration. Results: 151 patients underwent cardioversion; 73 patients were excluded. 31 patients were in group 1 and 47 in group 2. Gender and comorbidities between groups were similar. LAA thrombus was found in three patients (4%), (Group 1 N=0, group 2 N=3) (p=0.15). Secondary there were no significant complications of anticoagulation administration between groups. Conclusion: There was no significant difference in the incidence of LAA thrombus in patients administered NOACs compared to warfarin prior to transoesophageal guided cardioversion." @default.
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- W2490787293 date "2016-08-01" @default.
- W2490787293 modified "2023-09-27" @default.
- W2490787293 title "The Incidence of Left Atrial Appendage Thrombus in Warfarin Versus Noacs Prior to Transoesophageal Echocardiogram Guided Cardioversion" @default.
- W2490787293 doi "https://doi.org/10.1016/j.hlc.2016.06.654" @default.
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