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Replies to "@gloaming My point is, given that I tolerate the DOAC, that seems to put the Watchman..."
@gloaming -- Hi there.
I'm on the same page as you regarding. I've had no issues at all while on apixaban for years.
With the several known risks associated with the Watchman -- at the time of placement AND after -- I'm very comfortable with my decison to not go forward with the procedure at this time.
Will keep an eye out for new experiences / reported data, and re-evaluate the situation in the future. BUT yet another factor to consider: As we wait, we're also aging... as are all our "parts." Making us and our parts (heart, veins, arteries, other tissues, etc) more fragile.
So we'll just have to see how things go, and review EVERYTHING involved before getting the procedure. Of course, this should include a consult with my -- down-to-earth and very practical -- EP, which I trust.
All the best!
/LarryG
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@nevets Okay, thanks...I see what you mean. I feel the risks of a Watchman installation are very low, about the same as the risk from any catheter ablation procedure....somewhere between 1-3% risk of an unfavourable outcome, depending on the patient and the protocols and 'readiness' of the team working on you. I honestly think the risk for an uncontrolled bleed on a DOAC runs about the same. The Watchman has a very good record in terms of a durable efficacy. And as with so many procedures and expectations, it once again falls to the skill and experience of the team doing it for you. If it works, if it remains leak-free, you are 'home free.' No DOACs, no repeats, and maybe a touchup ablation or two over the next 10 years if things go well.