Anticoagulant/Cancer Question Had an ablation for flutter in March with Natale. His protocol is to implant a Watchman when he performs an ablation three months post-procedure. Watchman implanted in June…..TEE in August to establish the Watchman is properly implanted. Second follow-up TEE planned for December. With the Watchman, hopefully will be able to stop the Xeralto. Ater the Watchman procedure Natale prescribed a “half dose” of Xeralto. If the TEE im December indicates the Watchman is still “perfect”……may stop Xeralto (or potentially 81 mg aspirin). In a conversation with my Nurse Navigator, she told me that Natale likes to keep patients with a history of cancer on anticoagulants. and may recommend to continue the half-dose. I am a 23 year testicular cancer survivor. She planned to discuss with Natale. Question…....what is the relationship to cancer. Was caught somewhat off-guard by the comments, and did not ask the question at that time. Prior to asking her the question, thought I would get opinions. Thanks Steve Klein, Tx. https://www.afibbers.org/forum/read.php?9,200101,200101#msg-200101 Thu, 30 Apr 2026 23:30:48 +0000 Phorum 5.2.23 https://www.afibbers.org/forum/read.php?9,200101,200148#msg-200148 Re: Anticoagulant/Cancer Question https://www.afibbers.org/forum/read.php?9,200101,200148#msg-200148
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Carey
A TEE is the usual route but they must have a reason for wanting the CT. I would give the PA a call, express your concerns about radiation, and ask why they need it.

When this came up for me, I was told that TCA had a method of enhancing the CT through equipment from Boston Scientific that they had there….or something like that! So when they receive your CT they take another step to enhance it.]]> Daisy AFIBBERS FORUM Fri, 26 Sep 2025 15:51:36 +0000 https://www.afibbers.org/forum/read.php?9,200101,200139#msg-200139 Re: Anticoagulant/Cancer Question https://www.afibbers.org/forum/read.php?9,200101,200139#msg-200139 Carey AFIBBERS FORUM Thu, 25 Sep 2025 18:45:20 +0000 https://www.afibbers.org/forum/read.php?9,200101,200137#msg-200137 Re: Anticoagulant/Cancer Question https://www.afibbers.org/forum/read.php?9,200101,200137#msg-200137 Natale's group wanted me to followup with a CT scan with contrast after my followup 45 day TEE showed good seal and placement. My new local EP told me a followup TEE is the way they do it not a CT w contrast.
He wrote the order for CT but I'm hesistant to do more radiation, I'm also need to do a calcium score.
In light of blood clots and cancer I don't mind staying on 10mg of Xarelto then.

So can anyone shed any light on what the protocol is?


McHale]]> McHale AFIBBERS FORUM Thu, 25 Sep 2025 16:44:25 +0000 https://www.afibbers.org/forum/read.php?9,200101,200121#msg-200121 Re: Anticoagulant/Cancer Question https://www.afibbers.org/forum/read.php?9,200101,200121#msg-200121
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Carey
Cancer can cause clotting disorders, so it's precautionary.

I happened to have had an appointment with my long-time internist this week for another issue, and posed the same question. He gave me the same answer as you. However, he is very familiar with my cancer history......testicular cancer with an orchiectomy and no chemotherapy or other treatment. It was his opinion that there was minimal risk for clotting issues.

Plan to discuss the details of my cancer history with Natale.

Thanks]]> JAYHAWK AFIBBERS FORUM Thu, 18 Sep 2025 13:42:05 +0000 https://www.afibbers.org/forum/read.php?9,200101,200106#msg-200106 Re: Anticoagulant/Cancer Question https://www.afibbers.org/forum/read.php?9,200101,200106#msg-200106 Carey AFIBBERS FORUM Mon, 15 Sep 2025 19:43:01 +0000 https://www.afibbers.org/forum/read.php?9,200101,200101#msg-200101 Anticoagulant/Cancer Question https://www.afibbers.org/forum/read.php?9,200101,200101#msg-200101
With the Watchman, hopefully will be able to stop the Xeralto. Ater the Watchman procedure Natale prescribed a “half dose” of Xeralto. If the TEE im December indicates the Watchman is still “perfect”……may stop Xeralto (or potentially 81 mg aspirin).

In a conversation with my Nurse Navigator, she told me that Natale likes to keep patients with a history of cancer on anticoagulants. and may recommend to continue the half-dose. I am a 23 year testicular cancer survivor. She planned to discuss with Natale.

Question…....what is the relationship to cancer. Was caught somewhat off-guard by the comments, and did not ask the question at that time. Prior to asking her the question, thought I would get opinions.

Thanks

Steve
Klein, Tx.]]> JAYHAWK AFIBBERS FORUM Mon, 15 Sep 2025 13:26:53 +0000