Abstract Introduction Oral anticoagulants are the standard treatment for prevention of stroke in patients with atrial fibrillation (AF). However, some still have despite anticoagulation or contraindications to anticoagulation. The left appendage occlusion (LAAO) is an option those patients. use intracardiac echocardiography (ICE) instead Transesophageal guiding LAAO procedures has increased, al...