Why the study?
Does the addition of AF type and renal function to the CHA2DS2VASc score improve the identification of LAA thrombus in patients scheduled for AF ablation?
Does the addition of AF type and renal function to the CHA2DS2VASc score improve the identification of LAA thrombus in patients scheduled for AF ablation?
Adding AF type and renal function to the CHA2DS2VASc score slightly improves specificity while maintaining 100% sensitivity for detecting LAA thrombus, potentially identifying patients who can safely avoid preprocedural TEE.
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May support avoiding TEE in selected AF ablation patients; leaves open prospective validation.
Sikorska et al. (2015) studied this question.
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