Any experiences with Watchman Implant for A-Fib?

Posted by Tresjur @tresjur, Oct 5, 2017

I've been living with A-Fib for close to 20 years now. I took warfarin for 14 of those years and then switched to Pradaxa. After being on Pradaxa for 8 months, I started having GI bleeds and over the course of 14 months I had 8 blood transfusions. After ending up with a hemogloblin count of 5 and
an INR of 9, I ended up in ICU. After my release, and lengthy discussions with my cardiologist, we decided that my body could no longer tolerate the
blood thinners. For three years I went without any A-fib treatment and a year ago I started taking a full dose aspirin daily.

Early this summer I saw the TV ads for the Watchman, for people who cannot take blood thinners. It's an jellyfish looking implant that is inserted in the
left atrial appendage of the heart. After implantation, heart tissue will grow over the device and provide blockage of clots that could travel to the brain.
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.

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. My first visit with the electrophysiologist is 2 weeks from today and at the end of October, I will undergo another TEE to determine
if all is working well.

I lived the 3 plus years not being on blood thinners with the though of stroke in the back of my mind. Even though I realize that nothing is 100% guaranteed or successful, I do have some relief now that I am again under treatment.

I'm posting this experience and wondering if anyone else has undergone this procedure and may be further along in their journey. It has been only 22 days
since my implant. I'm doing well so far and have not had a problem with the Eliquis so far.

Regards,
Mary

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

@kidsincollege

<p>I have AFib and STV and have had two heart Ablations. I'm on Solatol and Eliquis. Last month I was hospitalized for low blood pressure due to blood lose. I had to have 4 units of blood transfusion. They never determined what caused me to have the blood lose. My doctor is a cardiac electrophysiologist and has now scheduled me to have a Watchman device implant surgery early next month. She says this is necessary due to my high risk of having a stroke. It may help me to be able to eventually lower or get off the blood thinners. I would appreciate anyone that has had this procedure to give me any input on their experience of the procedure and post surgery. Good health to all! Thank you!</p>

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Trans Esophegal Echocardiogram. Ask your doctor, the 3 means you have to have 3 before off all drugs.

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@kidsincollege

<p>I have AFib and STV and have had two heart Ablations. I'm on Solatol and Eliquis. Last month I was hospitalized for low blood pressure due to blood lose. I had to have 4 units of blood transfusion. They never determined what caused me to have the blood lose. My doctor is a cardiac electrophysiologist and has now scheduled me to have a Watchman device implant surgery early next month. She says this is necessary due to my high risk of having a stroke. It may help me to be able to eventually lower or get off the blood thinners. I would appreciate anyone that has had this procedure to give me any input on their experience of the procedure and post surgery. Good health to all! Thank you!</p>

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Thank you Kathe. I appreciate you information and input you have provided me. So glad you are so happy with your procedure. Wishing you continued good health!

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<p>I have AFib and STV and have had two heart Ablations. I'm on Solatol and Eliquis. Last month I was hospitalized for low blood pressure due to blood lose. I had to have 4 units of blood transfusion. They never determined what caused me to have the blood lose. My doctor is a cardiac electrophysiologist and has now scheduled me to have a Watchman device implant surgery early next month. She says this is necessary due to my high risk of having a stroke. It may help me to be able to eventually lower or get off the blood thinners. I would appreciate anyone that has had this procedure to give me any input on their experience of the procedure and post surgery. Good health to all! Thank you!</p>

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My cardiologist referred me to another cardiologist as I have a-fib and also have a bleeding problem with blood thinners. My specialist recommended a watchman procedure. What do you think?

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Hi @trh5732 and welcome to Connect. I'd like to introduce you to fellow Connect members @kidsincollege @kathe626 and @elizabeth1941 as they have experience with the Watchman procedure and my be able to offer you support.

Back to you @trh5732 are you comfortable sharing your thoughts about the procedure? Did your cardiologist share any concerns about your bleeding problem and this procedure or did they think it would affect it?

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Hi I had the watchman implanted one year ago. I have had no problems since and am glad I no longer need blood thinners , other than a baby aspirin s day. This is a good feeling after suffering a gastro internal bleed and a brain bleed while on blood thinnrr.

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I am waiting for AMPLATZER™ Amulet to get the FDA approval.

I have been in AFib since 2009 even with 3 ablations, numerous cardio versions and numerous drugs. I had 6 day hospital stay after stomach bleed in 2016. I was given 6 units of blood because I was on XARELTO at the time and they could not stop the bleed. I have had at least 2 DVT's both before the stomach bleed. I am on Warfarin since that time 2016 since it can be reversed. My EP implanted a Pacemaker in 2017 which helps with the symptoms but I remain in AFib or flutter almost constantly.

My LAA was not shaped correctly for the Watchman implant (chicken leg/wing) so that means Amulet is my only hope. From what I can find online it is a long way off. Anyone out there have any current info on Amulet.

Thank you

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@rmwundrow

I am waiting for AMPLATZER™ Amulet to get the FDA approval.

I have been in AFib since 2009 even with 3 ablations, numerous cardio versions and numerous drugs. I had 6 day hospital stay after stomach bleed in 2016. I was given 6 units of blood because I was on XARELTO at the time and they could not stop the bleed. I have had at least 2 DVT's both before the stomach bleed. I am on Warfarin since that time 2016 since it can be reversed. My EP implanted a Pacemaker in 2017 which helps with the symptoms but I remain in AFib or flutter almost constantly.

My LAA was not shaped correctly for the Watchman implant (chicken leg/wing) so that means Amulet is my only hope. From what I can find online it is a long way off. Anyone out there have any current info on Amulet.

Thank you

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I also have been on blood thinners, have had a number of cardioversions and had two ablations and have had bleeding problems. I am to have a Watchaman done next month. A cardiologist nurse told me of a procedure whereby a complete ablation is done (like eliminating all heart beats originating from the heart) this can't be reversed however) and going with a pace maker. She fell well short of recommending the procedure. I don't know the actual name of the procedure. Does anyone know anything about it?

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I am in the same situation. I have the watchman but am considering the av node ablation with pacemaker has anyone experienced this?

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I am considering getting the watchman implant. Any reason not to proceed?

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