{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T20:45:25Z","timestamp":1785789925429,"version":"3.56.0"},"reference-count":18,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartrhythmjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart Rhythm"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.hrthm.2026.06.049","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T23:32:49Z","timestamp":1783035169000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and safety of combined left atrial appendage occlusion and catheter ablation in persistent atrial fibrillation with left atrial appendage thrombus: The COAT procedure"],"prefix":"10.1016","author":[{"given":"Ahmad Naim Mustafa","family":"Alaswad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Hao","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia-Cheng","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhong-Hui","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan-Nan","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang-Qi","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue-Chun","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hrthm.2026.06.049_bib1","doi-asserted-by":"crossref","first-page":"7589","DOI":"10.3390\/jcm14217589","article-title":"Long-term clinical outcomes of left atrial appendage closure in patients with left atrial appendage thrombus","volume":"14","author":"Katz","year":"2025","journal-title":"J Clin Med"},{"key":"10.1016\/j.hrthm.2026.06.049_bib2","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1136\/heartjnl-2021-319811","article-title":"Management and outcomes of patients with left atrial appendage thrombus prior to percutaneous closure","volume":"108","author":"Marroquin","year":"2022","journal-title":"Heart"},{"key":"10.1016\/j.hrthm.2026.06.049_bib3","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2022.1071119","article-title":"Percutaneous left atrial appendage closure using the LAmbre device in patients with atrial fibrillation and left atrial appendage thrombus","volume":"9","author":"Jin","year":"2022","journal-title":"Front Cardiovasc Med"},{"key":"10.1016\/j.hrthm.2026.06.049_bib4","doi-asserted-by":"crossref","first-page":"50","DOI":"10.4244\/EIJ-D-21-00713","article-title":"Left atrial appendage closure for thrombus trapping: the international, multicentre TRAPEUR registry","volume":"18","author":"Sebag","year":"2022","journal-title":"EuroIntervention"},{"key":"10.1016\/j.hrthm.2026.06.049_bib5","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1056\/NEJMoa2408308","article-title":"Left atrial appendage closure after ablation for atrial fibrillation","volume":"392","author":"Wazni","year":"2025","journal-title":"N Engl J Med"},{"key":"10.1016\/j.hrthm.2026.06.049_bib6","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2022.1011037","article-title":"Combined atrial fibrillation ablation and left atrial appendage closure: Watchman vs. LAmbre devices","volume":"9","author":"Ke","year":"2022","journal-title":"Front Cardiovasc Med"},{"key":"10.1016\/j.hrthm.2026.06.049_bib7","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1093\/europace\/euy025","article-title":"Combined atrial fibrillation ablation and left atrial appendage closure: long-term follow-up from a large multicentre registry","volume":"20","author":"Wintgens","year":"2018","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.06.049_bib8","first-page":"4","article-title":"Percutaneous left atrial appendage occlusion: the Munich consensus document on definitions, endpoints, and data collection requirements for clinical studies","volume":"19","author":"Tzikas","year":"2017","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.06.049_bib9","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.hrthm.2024.10.061","article-title":"Management strategies to prevent stroke in patients with atrial fibrillation and malignant left atrial appendage","volume":"22","author":"Chatani","year":"2025","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.06.049_bib10","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1093\/europace\/euz257","article-title":"Diagnosis and management of left atrial appendage thrombus in patients with atrial fibrillation undergoing cardioversion or percutaneous left atrial procedures: results of the European Heart Rhythm Association survey","volume":"22","author":"Farkowski","year":"2020","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.06.049_bib11","doi-asserted-by":"crossref","first-page":"1384","DOI":"10.1016\/j.jcin.2023.01.011","article-title":"SCAI\/HRS expert consensus statement on transcatheter left atrial appendage closure","volume":"16","author":"Saw","year":"2023","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.hrthm.2026.06.049_bib12","doi-asserted-by":"crossref","first-page":"e1300","DOI":"10.1016\/j.hrthm.2025.07.055","article-title":"Visible arcing observed with pulsed field ablation applications delivered near a left atrial appendage occlusion device","volume":"22","author":"Campos-Villarreal","year":"2025","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.06.049_bib13","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.122.012812","article-title":"Antithrombotic management after left atrial appendage closure: current evidence and future perspectives","volume":"16","author":"Mesnier","year":"2023","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.hrthm.2026.06.049_bib14","doi-asserted-by":"crossref","first-page":"3636","DOI":"10.1093\/eurheartj\/ehaf454","article-title":"Left atrial appendage closure: a reappraisal of atrial fibrillation guidelines","volume":"46","author":"Nielsen-Kudsk","year":"2025","journal-title":"Eur Heart J"},{"key":"10.1016\/j.hrthm.2026.06.049_bib15","doi-asserted-by":"crossref","DOI":"10.1016\/j.hrthm.2026.04.018","article-title":"Pulsed field ablation with a pentaspline catheter and concomitant left atrial appendage closure for long-standing persistent atrial fibrillation: comparison with a radiofrequency cohort","author":"Schiavone","year":"2026","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.06.049_bib16","doi-asserted-by":"crossref","DOI":"10.1016\/j.hrthm.2026.03.1880","article-title":"Left atrial appendage occlusion and concomitant catheter ablation procedures","author":"Piccini","year":"2026","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.06.049_bib17","doi-asserted-by":"crossref","first-page":"2585","DOI":"10.1016\/j.hrthm.2025.04.029","article-title":"Comparison of left atrial appendage closure and oral anti-coagulation after catheter ablation for atrial fibrillation: concomitant and sequential cohorts of the Option randomized controlled trial","volume":"22","author":"Saliba","year":"2025","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.06.049_bib18","doi-asserted-by":"crossref","first-page":"2579","DOI":"10.1016\/j.hrthm.2025.03.1968","article-title":"Combined pulsed field ablation and left atrial appendage occlusion: a multicenter comparative study","volume":"22","author":"Tam","year":"2025","journal-title":"Heart Rhythm"}],"container-title":["Heart Rhythm"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527126025257?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527126025257?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T19:45:11Z","timestamp":1785786311000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1547527126025257"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":18,"alternative-id":["S1547527126025257"],"URL":"https:\/\/doi.org\/10.1016\/j.hrthm.2026.06.049","relation":{},"ISSN":["1547-5271"],"issn-type":[{"value":"1547-5271","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Feasibility and safety of combined left atrial appendage occlusion and catheter ablation in persistent atrial fibrillation with left atrial appendage thrombus: The COAT procedure","name":"articletitle","label":"Article Title"},{"value":"Heart Rhythm","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrthm.2026.06.049","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Heart Rhythm Society. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}