novel oral anticoagulants and dc cardioversion - what to do?

I saw a lady on friday who has presented with fast AF and has recently been anticoagulated with rivoroxaban. She is being considered for cardioversion and we have been discussing how long she should be anticoagulated for and whether she will need a transoesophageal echo prior to the cardioversion. I have jsut been reading this BCS editorial

http://www.bcs.com/pages/news_full.asp?NewsID=19792241

and it seems that we don't really know!  Do you use NOAC's in this context and what do you do?

sadian

Source: Doc2Doc BMJ Cardiology - June 15, 2014 Category: Cardiology Authors: sadian Source Type: forums