The TEE will show any gaps around the implant. Your healthcare pr... Tue, 18 Feb, 2020 at 4:05 AM. It will also show any blood clots that may have formed because of the implant. METHODS: One thousand twenty patients with a WATCHMAN implant procedure were prospectively followed in 47 centers. The theory behind the Watchman Device is most A-Fib clots originate in the Left Atrial Appendage (LAA). An irregular heartbeat can result in slower blood flow in the heart, which can cause blood clots to form. The Watchman is designed to prevent LAA-based thromboembolic events, but does not electrically isolate the LAA. Until we obtain more short-term data on decreasing procedural complications and long-term data on efficacy, it would be reasonable to be cautious in patient and physician selection for the WATCHMAN.8 There are concerns about the learning curve of implantation; serious complications (pericardial effusion, stroke, device embolization) were observed in nearly 8% of the initial PROTECT-AF patients, dropping to 3.7% for the patients enrolled in the continued access protocol, and to 2% for the PREVAIL trial. The WATCHMAN (Boston Scientific, Marlborough MA) left atrial appendage (LAA) occlusion device has recently been approved for reimbursement by the Centers for Medicare & Medicaid (CMS). The future of the Watchman procedure; The Watchman Device. In fact, all that is needed to insert the implant is a small incision in the leg. How To Prevent Symptoms. With all medical procedures there are risks associated with the implant procedure and the use of the device. Roughly the size of a quarter, the WATCHMAN device is a type of AFib treatment that is performed to reduce the risk of strokes. Watchman Device Risks. The procedure lasts on average about one hour and patients usually spend the next 24 hours in the hospital. The Watchman is inserted during an outpatient procedure through a catheter in your groin that is then fed up into your heart. Left Atrial Appendage Closure for Stroke Prevention in AF: The Quest for the Holy Grail. Dr. Dilip Mathew is board certified in Cardiology & Cardiac Electrophysiology and has been serving patients in Sarasota and surrounding cities including Port Charlotte, Venice, Tampa and Sun City Center for over a decade. Your heart may be punctured during the procedure. AFib & Risk of Stroke. Venice, Florida 34292 You will probably stay in the hospital for a day after having your new pacemaker is implanted. METHODS: One thousand twenty patients with a WATCHMAN implant procedure were prospectively followed in 47 centers. When Julie Braaten started experiencing unusual fatigue, she assumed it was simply part of aging. Conducted under general anesthesia, the minimally invasive procedure doesn’t typically involve a hospital stay of more than a day. Lip GY, Frison L, Halperin JL, Lane DA. Despite many other contenders, and even an approved general tissue closure device utilized to close the LAA, this is the first specific LAA occlusion device approved by the CMS. Mahajan R, Brooks AG, Sullivan T, et al. The WATCHMAN Implant is not recommended in patients whose atrial fibrillation is due to significant heart valve disease. Your heart may be punctured during the procedure. Follow the instructions of your healthcare team to prepare for this procedure. 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