PFO Device Closure V OHS

[Octavia80]

I have a large PFO, it will need a 35mm+ device to close it. I also have quite bad AF which is currently controlled by drugs. I have to decide between an ablation followed by a device closure (estimated total waiting time of a year to complete) or OHS with some sort of procedure included which may or may not improve the AF (with a waiting time of about 4 months).

Has anyone else had this dilemma with a large PFO? What did you choose and what was the outcome? I am having trouble deciding as both seem to have equal pros and cons.

Thanks.