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hello my name is kent morris iamp;#39;m an electrophysiologist with norton heart specialist here in louisville kentucky today weamp;#39;re going to talk about left atrial appendage occlusion patients with atrial fibrillation are roughly five times more likely to have a stroke the atria the top chambers of the heart do not contract normally and instead fibrillate or quiver this can lead to pooling and stagnant blood flow in one corner of the heart called the left atrial appendage or the laa a blood clot could form in this area of the heart if the blood clot breaks loose it can then travel through the blood vessels to the brain causing a stroke in fact 90 percent of the blood clots that form in a-fib originate in the left atrial appendage blood thinners are often given to reduce the risk of stroke in a-fib however they also increase the risk of bleeding and bruising in addition some patients just donamp;#39;t tolerate them very well there is an alternative to blood thinners called lef