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OCEAN Trial: Ablate Afib. Assess. Anticoagulate? 🌊

OCEAN Trial: Ablate Afib. Assess. Anticoagulate? 🌊

Dr RR Baliga's "Got Knowledge Doc" Podkast

November 12, 20253m 53s

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Show Notes

🌊 OCEAN Trial offers fresh insight into antithrombotic therapy after successful AF ablation. In 1284 patients followed for 3 years, event rates were remarkably low 🌟. Rivaroxaban did not show superiority over aspirin for preventing stroke, systemic embolism, or covert embolic events, while bleeding risk was higher with anticoagulation.

🧠 96% had no new infarcts on MRI at follow-up.

Published in NEJM (2025) — a valuable contribution to nuanced AF post-ablation care.