CONCLUSION
A weight-based protocol for peri-procedural heparin administration which accounted for oral anticoagulation resulted in a higher proportion of therapeutic ACT, higher administered bolus dose, and decreased the time to therapeutic ACT for those on pre-procedure DOAC. A weight-base bolus dosing protocol may serve as a contemporary template for future peri-procedural anticoagulation strategies during left atrial ablation.
Acknowledgements: The authors would like to thank Divyashree Varma, MD, Ilana Kutinsky, DO, K. Ching Man, DO, David Nori, MD, Salim Ahmed, MD, Hazim Al-Ameri, MD, and Nathan Foster, MD for their procedural expertise and willingness to participate during protocol initiation. Additionally, we would like to acknowledge Shirley Qu for help in assembling the database.