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OCEAN Trial: Ablate Afib. Assess. Anticoagulate? ๐ŸŒŠ

OCEAN Trial: Ablate Afib. Assess. Anticoagulate? ๐ŸŒŠ

Dr RR Baliga's "Got Knowledge Doc" Podkast

November 12, 20253m 53s

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Show Notes

๐ŸŒŠ OCEAN Trial offers fresh insight into antithrombotic therapy after successful AF ablation. In 1284 patients followed for 3 years, event rates were remarkably low ๐ŸŒŸ. Rivaroxaban did not show superiority over aspirin for preventing stroke, systemic embolism, or covert embolic events, while bleeding risk was higher with anticoagulation.

๐Ÿง  96% had no new infarcts on MRI at follow-up.

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