Is Dual Anti-Platelet a Good Option?

In Europe they've been doing a lot of them in dual anti-platelet without an equagulation the US the indication required the anti-quagulation. There's one other device that's on the market now just got recently approved by the FDA so there's now two two devices then there's the number of surgical devices that if you're getting cardiac surgery while they're in there take out the appendix Take out the appendage if someone has a FIB I think that's becoming a more common strategy.