Left atrial appendage occlusion

So you have a lot of different causes of stroke and different types of stroke.

And from a very specific and very effective intervention like LAA closure, we would assume that it has a very specific effect in preventing cardiobolic strokes, which are the worst strokes.

They would have large clots in the circulation, blood having a lot of ischemic damage, leading to a significant amount of disability.

And this actually, if it prevents these types of strokes, it's very beneficial.

from about 2.2 to 3% and this comes a bit to surprise.

But again, I think we probably would love to see more details on these types of strokes.

So of course, if LAA closure prevents large vessel occlusion strokes, you're causing a lot of damage, but then you see some small strokes which the patient actually after one week doesn't really remember that he had a stroke while with a LVO stroke he will remain in nursery home.

So it's a totally different perspective from the patient.

And the topic is very interesting and very timely.

And as an interventional cardiologist and everything that has happened with pulse field ablation and concomitant LAC with ablation, we kind of are asking ourselves as interventional cardiologists being in this space for some time or even new to this space, you know, where do we fit now? And I came up with a series of questions with really kind of answers that largely remain undetermined.

And I thought it'd be fun to kind of explore those.

Excellent, my friend.

And you think about even concomitant growth, which depending on what you look at, estimates maybe around a quarter percent.

And projections are even within two years that could go to 50%.

And obviously, PFA and ablation really has changed this.

The option trial supported it clinically.