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different ablation experience

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After 5 yrs a Pace and ablate also a PVI I have ended up at square one with another clot in my heart. This was stunning as I have taken Apixiban for the last 3 years. My EP has changed my anticoagulant to Dabigatron and plans a repeat TOE on 2 months time. One of the options that he has mentioned that I have is an Epicardial Ablation. Is there anyone who has had one done and if so what the experience and possible success is.

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