Engage your friendly neighborhood vascular neurologist before LAAO if the indication is prior ICH or CAA. Better yet, send them to the @MayoClinic Heart-Brain Clinic. Risk stratification is essential.
Probable CAA is a very heterogenous population, and in select cases we don’t use anticoagulation in setting of high burden AF. Prior ICH and cortical superficial siderosis are significant risk factors for recurrent ICH, in which we may consider LAAO.View quoted post on X