For patients over 90 years old, is there any foreseeable benefit to undergoing left atrial appendage occlusion over permanent cessation of anticoagulation, particularly for those at high risk for major bleeding?  

I don’t think age/number alone should ever be a deciding factor. I recently sent a patient in their 90s in chronological age but looked more like a 79-year-old for TAVR (fully functional, healthy, active, and of clear mind). But was limited by shortness of breath/fatigue/weakness with exertio...