The patient am talking about is a 60 year old male, a K/C/O DM, HTN, CAD and has already a stent in LAD and is on anticoagulant. Recently the patient got re-admitted due to severe shortness of breath with severe LV dysfunction. Patient is in bradycardia, rate around 30-40/MIN. His anticoagulant medications have been stopped. My superiors have planned for TPI, is it possible to place with such a high INR?