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Thrombosis on a left atrial appendage occluder device: the double-edged sword of stroke prevention strategies in atrial fibrillation

Ciconte, Giuseppe; Conti, Manuel; Baldi, Mario; Saviano, Massimo; Vicedomini, Gabriele; Pappone, Carlo

Journal of Cardiovascular Medicine: November 2017 - Volume 18 - Issue 11 - p 920–921
doi: 10.2459/JCM.0000000000000570
Images in cardiology

A huge thrombus, developing after percutaneous left atrial appendage occlusion, has been successfully treated with dabigatran and aspirin as combination therapy.

Although novel oral anticoagulants alone may be effective in thrombus dissolution, the association of an antiplatelet drug may safely enhance this process.

Department of Arrhythmology and Electrophysiology, IRCCS Policlinico San Donato, Milano, Italy

Correspondence to Giuseppe Ciconte, MD, PhD, Department of Arrhythmology and Electrophysiology, IRCCS Policlinico San Donato, 20097, Piazza E. Malan 1, San Donato Milanese, Milano, Italy E-mail: g.ciconte@gmail.com

Received 23 June, 2017

Revised 17 July, 2017

Accepted 22 August, 2017

© 2017 Italian Federation of Cardiology. All rights reserved.