For stroke patients with ablated paroxysmal atrial fibrillation without known recurrence and ICAD, would you recommend dual antiplatelet therapy or anticoagulation with or without an antiplatelet agent?
What is the duration of each treatment choice and which drug is preferred by either group? What else should we take into consideration when deciding on treatment?
Answer from: at Academic Institution
I would use DAPT for three months after the stroke. I do not see evidence for either anticoagulation or protracted DAPT for ICAD.
Comments
at University of Louisville School of Medicine Thanks, Dr. @Kirshner! Would it be different if th...
at Vanderbilt University Medical Center Good questions! With a history of GI bleeding or s...
Ablation treats cardiopulmonary symptoms, but it has not been adequately tested against anticoagulation for Afib-related stroke. Anecdotally, at least once I month, I will see a patient with acute embolic-appearing stroke after their cardiologist has stopped their anticoagulation because they were a...
Thanks, Dr. @Kirshner! Would it be different if th...
Good questions! With a history of GI bleeding or s...