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Left Atrial Appendage Closure or Anticoagulation for Atrial Fibrillation - PubMed

3 hours ago
  • #Clinical Trial
  • #Atrial Fibrillation
  • #Stroke Prevention
  • The CHAMPION-AF trial compared left atrial appendage closure with NOAC therapy in atrial fibrillation patients suitable for anticoagulation.
  • At 3 years, left atrial appendage closure was noninferior to NOACs for the composite endpoint of cardiovascular death, stroke, or systemic embolism (5.7% vs. 4.8%).
  • Left atrial appendage closure was superior to NOACs in reducing non-procedure-related bleeding (10.9% vs. 19.0%).
  • The findings suggest that device-based closure is a viable alternative for eligible patients, offering similar stroke prevention with lower bleeding risk.