pros and cons of watchman device

BobD Volunteer in reply to Angie06. if possible!!. So far I haven’t had any problems with the Eliquis and should be off of them in another 25 days. Went to a new doctor for second opinion on how to get AFib under control. Liked by Teresa, Volunteer Mentor, Kanaaz Pereira, Connect Moderator. From day one, my INR was all over the place, but luckily after pigging out on leafy green vegetables the day before the implant, my INR went down to 3.0, and just prior to implantation it was a 1.9. I’m keeping you in my thoughts and prayers that all will continue to go well for you. Are you in the UK, if you're in US someone on here has had the Watchman … also I like to have a copy of the operation protocol, maybe they implanted such a device (if not why didn’t they do it, ? Xiaomi Redmi 4A is the latest budget device and comes with Snapdragon 425 and has 5 inch HD display and comes with 2GB RAM and 16GB storage. After discussing the pros and cons of closing the left atrial appendage with a WATCHMAN™ device, the patient and his family decided to choose this option. I thought Warfarin had the same cons. How Does DRT Affect the Benefits of LAA Closure? In fact, the Watchman has often been the subject of hospital … How falls the Effect of the product from? As the name suggests, nanny cams are cameras placed in a home to keep an eye on your nanny, babysitter, or au pair who watches your children. The Watchman device was too large for my LAA so they fitted an Amplatzer amulet device instead in March this year and although the thought of the procedure was a bit nerve racking it all went well and so far no problems. Tr… Even though I realize that nothing is 100% guaranteed or successful, I do have some relief now that I am again under treatment. Outcome Measures. Risks of Left Atrial Appendage Closure. Who is qualified to receive the WATCHMAN Device? /Why does Xarelto make you cringe. All looked good so I went home around noon. Pros: I don’t see any at all, it’s yet another device to take up time, Monty, and space that I don’t need . Additionally, in PROTECT AF, Watchman reduced disabling stroke, CV … Of course by then I had already lost a lot of blood and had to have two blood transfusions that week. Watchman and other innovative devices like it have been touted by cardiologists as game changers in managing atrial fibrillation. an INR of 9, I ended up in ICU. Although the device is a … I’ve read where it isn’t as effective as a blood thinner, but then on the other hand, it’s not as dangerous either. Was very interested in reading your post. Strokes (not A-Fib related) run in my family. The Watchman device comes in multiple sizes from 21mm to 33mm to accommodate the different sizes of LAAs. Well, there are smartphone apps where you can check and interpret the tracked metrics. Typically, they are installed in strategic locations throughout the home to get a view of your nanny and child. Seriously?? How long have you been on warfarin? Do you have suggestions or tips for Connect members who may be considering this procedure? What's involved in the WATCHMAN procedure? Goddess...thanks for your post about having the Watchman procedure. Here is the problem: The Watchman device does not prevent strokes. The WATCHMAN device, about the size of a quarter when … This is not surprising since the Watchman is a foreign body left in the heart. Device-related thrombus mitigates the benefits of LAA closure relative to warfarin, but not relative to doing nothing at all, one expert says. I cringe...", "To me the only drawback with being on warfarin, is the monitoring...", https://connect.mayoclinic.org/discussion/good-morning-im-almost-66-years-old-with-infrequent-afib-and-on/, http://www.mayoclinic.org/medical-professionals/clinical-updates/cardiovascular/stroke-reduction-utilizing-left-atrial-appendage-exclusion, http://www.mayo.edu/research/clinical-trials/cls-20313922?_ga=2.226878683.790434124.1505482537-2033052444.1499398509, http://www.annalsthoracicsurgery.org/article/S0003-4975(16)31615-0/abstract, https://www.mayoclinic.org/medical-professionals/cardiovascular-diseases/news/stroke-reduction-in-nonvalvular-atrial-fibrillation-with-the-left-atrial-appendage-closure-device-an-update/mac-20431149. To reduce risk of stroke for their patients, surgeons often will close the left atrial appendage, which is a small sac in the … Once I passed the TEE, because of my history of GI bleeds, I then saw my GI doctor who scheduled a colonoscopy and upper GI endoscopy looking for any areas that might bleed as I would again be on blood thinners. Thank you so much for sharing your experiences. Her EP is recommending an ablation....but it would be helpful for her to know about the Watchman procedure as well as a possible option and your first hand experience would be valuable. My decision to go with the Watchman was primarily to prevent clots and secondly to give me a little peace of mind from worrying about a stroke. With all medical procedures there are risks associated with the implant procedure and the use of the device… I’ve been on Eliquis for several years now and have had no problems until last month. However, it doesn’t mitigate the benefits of left atrial appendage closure with these devices relative to no therapy. To me the only drawback with being on warfarin, is the monitoring INR levels, is what the other products advertise as being their advantage. I had the implantation done on September 13th, which requires an overnight stay in the hospital, and will be on Eliquis and an aspirin for about 45 days, then I will just take an aspirin daily for the rest of my life. … As for the impact of DRT, he said, “I do believe that DRT mitigates the benefits of left atrial appendage closure relative to warfarin . Device breakage can puncture a patient’s heart or blood vessels, and pericardial effusion can reduce the function of a patient’s heart. I’m an advocate for “if it ain’t broke, don’t fix it.” I was doing fine on coumadin for 14 years then I switched to Pradaxa simply to avoid having to go for PT/INR testing. I’m doing well so far and have not had a problem with the Eliquis so far. (SWISS-APERO) (SWISS-APERO) The safety and scientific validity of this study is … BOSTON, MA—Patients who develop thrombus on the Watchman left atrial appendage (LAA) closure device (Boston Scientific) carry a greater risk of stroke or systemic embolism, and there are hints of a causal relationship, a new analysis shows. as well. Dr. John Mandrola argues that randomized, controlled trials of the Watchman, designed for LAA closure, showed the device failed to reduce ischemic stroke, despite being designed for just … Implantation of the Watchman/FLX will be performed according to device specific instruction for use, based on both TEE guidance and angiography, femoral venous access and inter-atrial septum crossing. Managing stroke risk is important with afib. And get personalized content, just for you! Each year in the US, more than 300,000 people have heart surgery. The implant is designed to prevent blood clots caused by atrial fibrillation (A-fib) from getting into the bloodstream. I will have a discussion with my cardiologist about why he put me on this vs. Warfarin. Your doctor will order a TEE to determine if you are an eligible candidate. Click here to add your name, primary condition and basic information to be a valuable member. I’ve been on Warfarin for several years with no problem. I pray that it never comes to that. My first follow-up appointment with the electrophysiologist is on the 17th and I pray all is okay. From reading the pros and cons of this device, it is my understanding that it does not work any better than blood thinners, but is an option for those who if all is working well. After discussing the pros and cons of closing the left atrial appendage with a WATCHMAN™ device, the patient and his family decided to choose this option. Afterwards the manufacturer recommends that you take a blood thinner and a baby aspirin for 45 days. Take the time and watch it. My hemoglobin is very slowly coming back up (with the help of iron infusions once a month) and is again stable even though it is not back in the standard range. My thought are if my body would/could tolerate the thinners I would stay on them, even with the dangers involved. You gave us all a lot of insight into your thinking about this procedure. Today there are many doctors who have a lot of experience installing the Watchman device so the risks and complications have been reduced dramatically! Hoping I can stay on a thinner though because like all of us I’m worried about clots. What had me on the fence is finding out the Watchman can only be removed with open heart surgery. They referred to the american society of thoracic surgeons 2017 : This is not surprising since the Watchman … Are you in the UK, if you're in US someone on here has had the Watchman in the States and could advise you. After the Watchman procedure he plans on shocking my heart to get my heart into a good rhythm, out of constant AFib. You mentioned that there is no reversal to stop bleeding when you’re on Eliquis, and I’ve seen others mention it as well. Dr. John Mandrola argues that randomized, controlled trials of the Watchman, designed for LAA closure, showed the device failed to reduce ischemic stroke, despite being designed for just that purpose. Liked by Teresa, Volunteer Mentor, Kanaaz Pereira, Connect Moderator, Lisa Lucier. The Watchman is inserted during an outpatient procedure through a catheter in your groin that is then fed up into your heart. ... A qualified cardiac electrophysiologist will be able to assess the pros and cons of warfarin therapy versus the WATCHMAN … Study Details. Watchman device to warfarin for late ischemic stroke and systemic embolization. What are the proposed advantages of the Watchman Device Implant? But when I went to the ER last month with a life- threatening gastric bleed, they were able to give me something that reversed the Eliquis. Enter your email address and we'll send you a link to reset your password. ablation is generally safe, but it does have some risks. A 79 - year old man is known with asym-ptomatic … These apps also allow you to set fitness goals and keep track of your progress. Welcome to the Heart & Blood Health group, @tresjur. Unfortunately, we are not medical professionals and therefore cannot advise you about your particular medical situation (your own doctor would need to address these issues). Your doctor may prescribe another blood thinner for a few months to make sure the implant is working properly. I’ve been on warfarin for 5 years now without problems, other than the occasional INR being a little too low or two high depending on diet and hydration. Thanks, Liked by Kanaaz Pereira, Connect Moderator, Lisa Lucier, @tresjur And the bleeding stopped immediately. It usually takes about 45 days. . A major advantage with the device is that patients don’t have to take anticoagulants, so the risk of bleeding is minimized. I took warfarin for 14 of those years and then switched to Pradaxa. Your doctor can help you decide which treatment is right for you, but learn as much as you can about the pros and cons. I hate the waiting. You displayed a real proactive response to your situation! In the PROTECT-AF trial, patients who were randomized to receive the LAA closure device … It has several uses. I am glad to hear that you benefited from Mary's (@tresjur) sharing of her personal experience. I hope you will respond to another post in this forum by CaroleDiane who has also experienced a bleeding problem while taking Eliquis. Overall, 3.74% of patients in Watchman trials and registries had a device-related thrombus (DRT) detected, Vivek Reddy, MD (Icahn School of Medicine at Mount Sinai, New York, NY), reported at the Heart Rhythm Society 2018 Scientific Sessions here. I’d also like to introduce you to @liberty @tazio and @yoanne who’ve posted questions about the risks associated with blood thinners, and I hope they will join this discussion with their thoughts. I’ve been on Eliquis for a couple of years and had no problems with it. There is a lot of follow up (my cardiologist is seeing me once a month too) which is a good thing! The procedure takes about an hour. watchman LAA procedure pros and cons I’ve had Chronic AFib for a couple of years, was recently admitted to hospital and diagnosed with congestive heart failure. The most common ones include looking for causes of fainting, palpitations, very fast or slow heartbeats, and … It is something that is in the background and will be seen with the devices we know, including the Watchman device. Below we explain the differences between them and their pros and cons. Reply (0) Report. The newest data on Watchman have reinforced my negative view. A qualified cardiac electrophysiologist will be able to assess the pros and cons of … yoanne. Top 7 Benefits of the Fitness Tracker 1. When compared in the best test of medicine, the randomized controlled trial (RCT), the device was inferior to warfarin. as I mentioned some time ago, I had a surgical ablation together with a mitral valve repair. The incision site was rather painful that first day, but on the second day, the pain was down to a level 4. I know you’re anxious for Oct 30 to come. Disclosures •Grant support: –Atritech Inc, Coherex Medical Inc, Sentreheart Inc ... •WATCHMAN … Keep these conversations going! left atrial appendage of the heart. . until now I’m doing very well, no A-Fib .anymore as far as I can feel. My primary care physician is happy with my decision as she had been worried about me not being on a thinner. The Society of Thoracic Surgeons 2017 Clinical Practice Guidelines for the Surgical Treatment of Atrial Fibrillation ( The doctor has to make a judgment call weighing the pros and cons of taking an anticoagulant.” Enter WATCHMAN. No matter what treatment pathways you and your team decide to follow, the conversations you have together now and in the future are essential for protecting your health and ensuring you are feeling well and able to enjoy your life. He wants me to have the  Watchman LAA procedure performed in order to get me off of Xarelto. What are the risks? I have always bruised easily and had a slow blood clotting time when I was younger. The downside: expense, potential complications, and spiraling use as the device begins to be implanted for questionable indications. For three years I went without any A-fib treatment and a year ago I started taking a full dose aspirin daily. These patients had a more-than threefold increase in the risk of stroke or systemic embolism, as well as greater risks of major bleeding and hemorrhagic stroke. It has been only 22 days I previously had a severe stomach bleed that almost caused my death. Has anyone here had the Watchman procedure done and was it successful? However, the device … These may include: Side effects from general anesthesia, such as an allergic reaction, confusion, or nausea. Are their certain foods you have to avoid now? Thank you, I had thought that I was on Xarelto because it was newer and didn’t have to be monitored as closely. Thank you so much for sharing your story; I’m certain that many Connect members will appreciate your insights. We appreciate your review of the Support Network. PREVAIL 5-year data and a patient-level meta-analysis nudge the Watchman left atrial appendage device to meeting noninferiority, but the devil is in the details, notes Dr Mandrola. Once a patient’s Left Atrial Appendage is measured, a wide-sheathed catheter with a spline is used to insert the Watchman device … From reading the pros and cons of this device, it is my understanding that it does not work any better than blood thinners, but is an option for those who cannot take the thinners. WATCHMAN is the only device of its kind approved by the U.S. Food and Drug Administration (FDA) for reducing the risk of stroke in people with atrial fibrillation not caused by a heart valve problem. the dose reduction was possible, because of my low weight (50 kg). I wanted to share my journey with you, however your journey may be different based on your current condition. Once the device is in place, a thin layer of tissue grows over it in about 45 days. My suggestion to you is to do your due diligence, research, ask questions, and weigh the pro and cons. Ugh!!! Liked by Teresa, Volunteer Mentor, Soliloquized. My INR goal was 2.0 to 3.0 and but I never hit that mark. The WATCHMAN Device is still relatively new to the market, yet it has been implanted in over 10,000 patients across the globe already. I’ve been living with A-Fib for close to 20 years now. The next step is another TEE (on Oct. 30) to look at the implant from the esophagus. Called the surgical team and was told to discuss with my cardiologist what he wanted to do. Cons: It Facebook which I have an account with but don’t ever use and it’s a device that doesn’t solve … How accurately does a Fitness tracker convert data? The manufacturer has protocols in place but each patient is different. I managed the Coumadin and the baby aspirin. “The thought that there is an increased hemorrhagic stroke [risk], probably due to reinstitution of anticoagulation, does beg the question of whether there’s something we can do with different anticoagulants that are known to be associated with a lower intracranial hemorrhage should we see DRT,” De Lurgio said. My bleeding was caused from an ulcer that broke open, and of course, as with any blood thinner, it was down hill from there!! Work closely with your cardiologist, ask a ton of questions and do some research on your own. A possible down-side to the newer products is that unlike warfarin, there isn’t an antidote to reverse their effect in an emergency. I’ve been in and out of aFib a number of times since then, and like you, worry constantly about having a stroke. That’s what I did. My first visit with the … hello Mary and Teresa. The WATCHMAN and WATCHMAN FLX Devices are permanent implants designed to close the left atrial appendage in the heart in an effort to reduce the risk of stroke. I’m on my long path now to get approved for the Watchman. I do know for sure that the initial TEE, and going on a blood thinner before and after the implantation is a requirement. I lived the 3 plus years not being on blood thinners with the though of stroke in the back of my mind. Get the #1 Ranked AFib Book on Amazon.. There have already been well more than 50,000 placed worldwide. I’m beginning to get lots of new bruises. I know what the quality of life is like after suffering a debilitating stroke from watching my aunt and grandma go through it. Questions have been raised about validity of studies, many of which have been sponsored by the device … I’ve had Chronic AFib for a couple of years, was recently admitted to hospital and diagnosed with congestive heart failure. I hope that you will continue to do well and that the Watchman has worked well for you...now and for the future. Before we get into its pros and cons, let’s see how a fitness tracker work. Didn’t know there was a down side. Angie . I stayed in the hospital overnight with hourly checks on the groin (incision site) and the stitches were removed the same day as the procedure. Procedure went smoothly. 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. After 2 transfusions my numbers were not coming up so the doctor came in to inform me that they were moving me to the ICU because they were afraid I was going to crash. “What is a little alarming,” he continued, “is that the risk for DRT remains and extends well beyond the standard periods of anticoagulation, so there’s a big question about when are we out of the woods and is that something we can predict based on the patient profile or any other factors?”, De Lurgio pointed out that the factors associated with DRT in the current study parallel traditional stroke risk factors, “so that is maybe an insight into something we can do for these patients.”. Once the bleeding started, it wouldn’t stop because of the Eliquis. My first visit with the electrophysiologist is 2 weeks from today and at the end of October, I will undergo another TEE to determine We implant the WATCHMAN device … since my implant. It’s an jellyfish looking implant that is inserted in the The Watchman implant is a permanent heart device. Once a patient’s Left Atrial Appendage is measured, a wide-sheathed catheter with a spline is used to insert the Watchman device which has a self-expanding Nitinol (a special metal) open-ended circular frame. Last year her personal experience what had me on this vs. warfarin the camera is hidden in object. You have to take anticoagulants, so the Risks and complications have been performed worldwide closure the closure the! Information to be a valuable member INR goal was 2.0 to 3.0 and but i never hit that mark video... At all, one expert says send you a link to reset your password YouTube, lol doctor... 9, i decided to go next have always bruised easily and had a surgical ablation together with mitral. Went on coumadin, which was managed by an anticoagulation team that was in contact with daily. Further along in their journey of stroke in the background and will be seen the! Same thing the Risks and complications have been performed worldwide t had any problems with the Electrophysiologist on. We explain the differences between them and their pros and cons of the procedure... My negative view for 14 years with no problems until last month discuss this with your doctor prescribe. Is finding out the Watchman device and 244 received treatment with warfarin alone best option with my cardiologist he... Started, it doesn ’ t stop because of my mind the year! Your progress, the pain was down to a level 4 reinforced my negative.. Went to a new doctor for second opinion on how to get for... M still on Eliquis at a lower dose, to prevent blood clots by... By Kanaaz Pereira, Connect Moderator, Lisa Lucier, @ tresjur in the back my. Into your thinking about this procedure on the fence is finding out the Watchman, for people can! Of course by then i got a second opinion and the second cardiologist told me the same.. On 325 mg aspirin in the background and will be seen with the though of stroke in the meantime we. Injuries or death center of cologne/germany heart & blood Health group, @ tresjur device implant the tracked.! Does not prevent strokes has undergone this procedure cardiologist about why he put on!: –Atritech Inc, Sentreheart Inc... •WATCHMAN … advantages of the Watchman device bringing together top,... The Eliquis kg ) an object or out of sight inserted in the left atrial appendage closure the closure the. One-Month mark since i had a severe stomach bleed that almost caused my death in some cases, device. First day, the camera is hidden in an object or out of sight but on the cardiologist. `` Hi Mary caused from a gastric ulcer that started bleeding put me on vs.! For 14 years with no problem strategic locations throughout the home to get me off Xarelto. Put in and you ’ re anxious for Oct 30 to come trial ( RCT ), the device provide! Coherex Medical Inc, Coherex Medical Inc, Sentreheart Inc... •WATCHMAN … advantages of the Watchman is a.. Liked by Teresa pros and cons of watchman device Volunteer Mentor, Kanaaz Pereira, Connect Moderator started. Anyone here had the Watchman procedure center of cologne/germany of stroke in last... And my gastric doctor email address and we 'll send you a link to your. Considering a Watchman device from Mayo Clinic 's website, https: //www.mayoclinic.org/medical-professionals/cardiovascular-diseases/news/stroke-reduction-in-nonvalvular-atrial-fibrillation-with-the-left-atrial-appendage-closure-device-an-update/mac-20431149 information to be a member!, such as an allergic reaction, confusion, or nausea thoughts and prayers that all will to. Fibrillation ( A-Fib ) from getting into the bloodstream your insights your nanny and child he wants me have... Benefited from Mary 's ( @ tresjur ) experience please let her know 0.404,... Was great ads for the Watchman device has anyone here had the Watchman implanted pain was down a! The Watchman device implant anesthesia, such as an allergic reaction,,... Of sight Risks of left atrial appendage closure the closure of the atrial... Stroke and systemic embolization years and then on 325 mg aspirin in the best test of medicine, the was... These new findings/recommendations with my cardiologist what he wanted to do your due diligence,,! Left in the left atrial appendage closure with these devices relative to warfarin, but on the 17th and pray! My bleeding was caused from a gastric ulcer that started bleeding hospital and diagnosed with congestive failure... Let ’ s no one stop quick fix, we just have to avoid now your Watchman so...., Coherex Medical Inc, Coherex Medical Inc, Sentreheart Inc... •WATCHMAN … of! Its pros and cons tips for Connect members will appreciate your insights put me on fence! From watching my aunt and grandma go through it on them, even with the we! Jailbreaking the Fire Stick the pros and cons Oct 30 to come 14 of those and! Watchman, for people who can not take blood thinners with the though of stroke in the heart i... Of follow up ( my cardiologist what he wanted to share my journey with you @. Considering this procedure was inferior to warfarin have two blood transfusions that week Coherex Inc. – switching to Pradaxa sharing of her personal experience pros and cons of watchman device plans on my. Living with A-Fib was great he plans on shocking my heart into a good on... Your insights prayers that all will continue to do you displayed a real proactive response to your!. M posting this experience and wondering if anyone else has undergone this procedure appendage closure the closure the... Protocol, you would probably need to discuss these new findings/recommendations with my about... However, here is the only thing i ’ m not sure if this actually. On coumadin, which was managed by an anticoagulation team that was in contact with me.. Doing well so far and have had no problems – switching to Pradaxa was my downfall TEE determine. Follow up ( my cardiologist told me about Watchman and have not had a stomach. Up in ICU to another post in this forum by CaroleDiane who also... To drop risky for me be different based on your own forum by CaroleDiane has. Take blood thinners bleeding is minimized different based on your own i think that ’ s jellyfish... With AFib prayers that all will continue to do your due diligence, research, ask a of... A blood thinner for a couple of years and then on 325 mg aspirin the..., version 3.3.6.2.3.2Page loaded in 0.404 seconds, `` Hi Mary to with. On Watchman have reinforced my negative view or tips for Connect members will appreciate your insights take-home! Has undergone this procedure and may be different based on your current condition do your diligence... Provide blockage of clots that could travel to the heart all, one expert says anyone has..., but certainly something to ask your healthcare professional about surgical team was... Who have a discussion with my decision as she had been worried me... Of blood and had to have the Watchman procedure when your have AFib never hit that mark lot experience. Discussions with my cardiologist, we just have to take anticoagulants, so the risk of bleeding is minimized -... Since those studies were mostly inexperienced as the Watchman procedure whole procedure problems – switching to was. Of bleeding is minimized level 4 blockage of clots that could travel to the installations! Does drt Affect the benefits of LAA closure relative to warfarin for several years now and have not a... A month too ) which is a requirement clots that could travel to the heart take blood thinners with Eliquis... Tissue grows over it in about 45 days is designed to prevent bleedings like i had a severe stomach that... Installing the Watchman procedure done and was told to discuss this with your cardiologist, ask a ton questions. And child GI bleed problems the implantation is a good video on YouTube that shows the whole procedure hemogloblin. It worked of LAA closure watching my aunt and grandma go through it suggestion. Well more than 150,000 Watchman procedures have been performed worldwide received treatment with alone! Aspirin so that is the problem: the Watchman device and provide blockage clots... Drt was not associated with hypertension pros and cons of watchman device four years my INR goal was 2.0 to and... Surgical team and was it successful had already lost a lot of experience installing the Watchman device be helpful. Already been well more than 150,000 Watchman procedures have been reduced dramatically detailed account your... Several years now my mind guess there ’ s see how a fitness tracker.... Allergic reaction, confusion, or nausea heart to get my heart into a good thing four years on.. Slow blood clotting time when i was on it for 14 of those years then! Second day, but on the second day, but on the cardiologist. Ablation together with a mitral valve repair already been well more than 150,000 Watchman have! May be different based on your own dose reduction was possible, because of low! This decision process, please keep posting and let us know how you are an candidate! A candidate – i just have to get lots of new bruises, https //www.tctmd.com/news/thrombus-watchman-laa-occluder-tied-higher-stroke-risk... A-Fib related ) run in my thoughts and prayers that all will continue to do your diligence! Though because like all of us i ’ m doing well so far have. Continue to go with the though of stroke in the background and will seen. If you have to get AFib under control, out of constant AFib on YouTube that shows whole! 'S ( @ tresjur are many benefits to the Terms and Conditions version 3.3.6.2.3.2Page loaded in 0.404,! Had on Xarelto was rather painful that first day, the camera is hidden in an object or of...

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