Treatment FAQ

what is the watchman treatment for afib

by Kris Monahan Published 2 years ago Updated 2 years ago
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A potential option for people with atrial fibrillation who do not want to take blood thinners is a minimally invasive surgery that blocks the heart’s left atrial appendage, where blood is most likely to stagnate and clot. One device used for this procedure, the Watchman, is a plug that seals the appendage from inside the heart.

The WATCHMAN device is a one-time, permanent implant that reduces the risk of stroke in patients with AFib, eliminating the need for and long-term risk of bleeding caused by blood thinners such as warfarin.

Full Answer

What are the side effects of Watchman?

The WATCHMAN device is a first-of-its-kind implant alternative to treat AFib and reduce stroke risk without the need for medication. WATCHMAN is designed to close a pouch in the heart called the left atrial appendage (LAA). The device seals off the LAA. Over time, heart tissue grows over the device, and it becomes a permanent part of the body.

Does watchman fix AFIB?

The Watchman FLX Left Arial Appendage Closure Device offers select patients with non-valvular atrial fibrillation an alternative to blood-thinning medication to prevent a potentially life-threatening stroke. More than 5 million Americans have atrial fibrillation (AFib), the most common type of heart arrhythmia.

How safe is watchman procedure?

Does the watchman stop AFIB?

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What is the success rate of the Watchman procedure?

The good news is, there is a new FDA-approved device called the WATCHMAN that can be a long-term alternative to drug therapy for people with atrial fibrillation or an increased risk of stroke. The even better news is that the WATCHMAN procedure is proven successful in 94.7 percent of patients.

How serious is a watchman procedure?

Although the procedure is minimally invasive and effective, some people may experience complications during or following the procedure. Risks and complications associated with the Watchman procedure include: Cardiac tamponade. Accidental heart puncture.Dec 18, 2020

What are the side effects of a watchman?

What are the risks of the WATCHMAN procedure?AV fistula.Blood clots/air bubbles in the lungs.GI bleeding.Renal failure.Stroke.Accidental heart puncture.Complications from anesthesia.Bleeding in throat from TEE.More items...

How long does a watchman procedure last?

The procedure, called left atrial appendage closure (LAAC), is designed to reduce your risk of stroke by preventing blood from pooling in the left atrial appendage and creating blood clots. The procedure usually takes one hour, but the preparation and recovery time may add several hours.

Which is safer eliquis or watchman?

Apixaban (Eliquis) was the safest, followed by edoxaban (Savaysa), dabigatran (Pradaxa), warfarin (Coumadin) and then rivaroxaban (Xarelto); the Watchman device ranked last. The Watchman device has been advertised heavily, both to the public, in medical journals, and at medical conferences.Jul 4, 2019

Who is a candidate for the Watchman procedure?

The Watchman Device is for those who are felt to be unsuitable for long-term treatment with blood thinners. Later in the section “what does a Watchman patient look like” we go through some different scenarios. Examples would be patients who have had a bleed or are at high risk for bleed for various reasons.Dec 6, 2016

How safe is the watchman?

“As the most studied LAAC device, Watchman is proven as a safe, efficacious alternative to long-term warfarin therapy for patients with non-valvular atrial fibrillation seeking another treatment option to reduce their risk of stroke.Jul 10, 2019

Is watchman better than warfarin?

Both NOACs and Watchman were superior to warfarin in hemorrhagic stroke prevention (OR = 0.46 [0.30-0.82] and OR = 0.21 [0.05-0.99], respectively). NOACs significantly reduced total stroke (OR = 0.78 [0.58-0.96]) and major bleeding (OR = 0.78 [0.65-0.91]) compared with warfarin.Feb 15, 2016

Can the WATCHMAN device be removed?

Despite late-stage extraction with complete endothelialization, most devices can be safely removed, providing high-risk patients with an alternative treatment to lifelong anticoagulation.Aug 15, 2020

Is the Watchman procedure painful?

Discomfort. It is very common for patients have a sharp chest pain that usually worsens with deep breathing. It can worsen over the first few days after the procedure and then gradually resolves over the next 2-3 weeks.

An Advanced Alternative to Blood Thinners

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Ready to Learn More About The Watchman device?

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What is the Watchman device?

The WATCHMAN device is a first-of-its-kind implant alternative to treat AFib and reduce stroke risk without the need for medication. WATCHMAN is designed to close a pouch in the heart called the left atrial appendage (LAA). The device seals off the LAA.

Why did Carol Cobb stop taking blood thinners?

Carol Cobb was battling AFib and wanted to stop taking blood thinners because of the side effects. That's when she found an innovative alternative that would reduce her stroke risk without the need for medication. Read Carol's story

Is Watchman a blood thinner?

WATCHMAN is a proven, safe alternative to blood thinners for many patients. Good candidates are those who are at an increased risk for stroke, who can take warfarin, and who have nonvalvular AFib (AFib that isn’t related to heart valve disease ).

Can AFIB cause a stroke?

These clots can leave the heart, travel to the brain and cause a stroke. Many patients are prescribed a blood thinner like warfarin to lower the risk of stroke.

What is a Watchman procedure?

WATCHMAN is a one-time, minimally invasive procedure for people with atrial fibrillation not caused by a heart valve problem (also known as non-valvuar AFib) who need an alternative to blood thinners .

What is Watchman implant?

WATCHMAN is for people with atrial fibrillation not caused by a heart valve problem who need an alternative to blood thinners. This website is intended to provide patients and caregivers with some information about the WATCHMAN Implant.

How does Watchman work?

How WATCHMAN Works. To understand how WATCHMAN works, it helps to know more about the connection between atrial fibrillation and stroke. Atrial fibrillation, or AFib, affects your heart’s ability to pump blood normally. This can cause blood to pool in an area of the heart called the left atrial appendage, or LAA.

Who is Dr. Rosenbluth?

Dr. Rosenbluth is a clinical cardiologist who’s been in practice for over 16 years. Dr. Rosenbluth referred appropriate patients for the WATCHMAN Implant during the clinical trials. And he continues to counsel patients about this life-changing procedure today. In the video below, he explains how WATCHMAN works and describes the WATCHMAN procedure.

How long does it take to implant Watchman?

Your doctor then guides WATCHMAN into the left atrial appendage (LAA) of your heart. The procedure is done under general anesthesia and takes about an hour.

How long does it take to get blood thinners after Watchman?

Following the WATCHMAN procedure, you’ll take blood thinners for 45 days or until your LAA is permanently closed off. During this time, heart tissue will grow over the implant to form a barrier against blood clots. Your doctor will monitor this process by taking pictures of your heart to see when you can stop taking your blood thinner.

What happens when blood clots in the heart?

This can cause blood to pool in an area of the heart called the left atrial appendage, or LAA. There, blood cells can stick together and form a clot. When a blood clot escapes from the LAA and travels to another part of the body, it can cut off the blood supply to the brain, causing a stroke. 1,2. In people with AFib not caused by ...

How is Watchman FLX implanted?

Approximately the size of a quarter, the Watchman FLX device is implanted like a stent using a narrow tube or catheter inserted through a small incision in the upper leg and guided into the heart while the patient is under general anesthesia.

What is the Watchman FLX?

Today, the next generation Watchman FLX device is being used by specially trained Michigan Medicine cardiologists to treat a broader range of patients whose anatomy was not suitable with the first generation device. The Watchman FLX is designed to treat the widest range of patient anatomies, as shown below:

How many people have AFIB?

More than 5 million Americans have atrial fibrillation (AFib), the most common type of heart arrhythmia. This population is at an increased risk of stroke—in fact, one in three AFib patients is likely to have a stroke.

What is a TEE in a cardiologist?

A potential recipient will undergo a transesophageal echocardiogram (TEE) to ensure no existing clots are present and to determine whether the appendage is compatible with one of the available device sizes and shapes. Clots, if detected, will need to be treated with blood thinners before proceeding.

Can you take warfarin with blood thinners?

Have been recommended to take blood thinning medicines by their doctor. Can take warfarin but need an alternative to blood thinners because they have a history of bleeding or a lifestyle that puts them at risk for bleeding. Are at increased risk for stroke and are recommended for anticoagulation therapy.

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