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.