Watchman device

Posted by phoenix1647 @phoenix1647, Jan 1, 2021

I was to have a watchman device implanted on Dec 22.2020. The procedure was a failure in that out of 3 devices, none would seal off the opening. Very disappointed in this. Surgeon said the rep from the makers told him they are coming out with newer devices that will be more flexable sometime in Feb, Mar, Apr timeframe. I am on the list to get one of those. The procedure itself was full of surprises for me. Please make sure you know what is going to happen in your procedure.

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@phoenix1647

From my research, the LAA serves no useful purpose. Why is it there? I have no clue. I often wondered why they can't just sew it closed but have never seen anything on that subject. I am thinking duct tape won't work here….

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LARIAT Device
The Procedure
The second catheter-based procedure uses a device called LARIAT to place a loop stitch around the base of the left atrial appendage, permanently sealing it off from the rest of the heart and blocking stroke-causing blood clots from entering the brain. Johns Hopkins is currently the only center in the mid-Atlantic region offering LARIAT as an option. Patients who have had prior cardiac surgery are not candidates for this procedure. A CT scan will need to be performed to make certain that the left atrial appendage is not too large or has an unusual location that precludes placement of this device.

What are the risks?
The use of the suture delivery device does not require the use of immediate use of blood thinners. As with any invasive procedure, there are risks to placement of this type of device. Your doctor can go over these risks in detail.

What happens after the procedure?
You will have a follow-up appointment 45 days after the procedure.

Once the left atrial appendage is blocked, you will be followed on a routine basis by your referring physician.

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@phoenix1647

From my research, the LAA serves no useful purpose. Why is it there? I have no clue. I often wondered why they can't just sew it closed but have never seen anything on that subject. I am thinking duct tape won't work here….

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@hopalongnm3

Thank you. We often go blindly trusting to a new doctor.

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Hi @hopalongnm3, I wanted to take this opportunity to welcome you to Mayo Clinic Connect. I see that @phoenix1647 responded to you as well. May I ask, @hopalongnm3, d you have the watchman device as well?
Would you be willing to share your experience with the group?

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I would but my procedure is tomorrow, Wednesday the 6th

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@odaleberg

I would but my procedure is tomorrow, Wednesday the 6th

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I wish you success and a smooth recovery. May I suggest whoever goes with you to bring some jello or maybe pudding cups for the recovery room? Perhaps some snacks for the room too. It's a long time between meals in the room. You will do fine.

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I finally got access to my medical records from the failed procedure. Seems they tried to use the NON-FLEX devices. I will be talking to cardiology on Jan 27 to see about trying the newer Watchman FLX. I also talked to a Watchman rep who informed me she knew of NO newer models coming out anytime soon but they are always trying to improve their produces.

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UPDATE: I talked to the EP department today. My surgeon has only done a few of the Watchman Flex's and wants to do a few more before he tackles me. Seems like the hole in my LAA is odd shaped. He wants to get a little more experience before he does mine. So…it could be April or May (or later) before I can get my Watchman done. I guess I should be happy the surgeon doesn't want to go into my situation blind. I will post more as soon as I get more info.

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WOW!!! I just got my bill for my failed Watchman procedure. So far, the bill is $177,361.52 and there could be more to come in. And to think I need to do this all over again…..So grateful I have good insurance. My co-pay as of right now is $0.00

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@phoenix1647

WOW!!! I just got my bill for my failed Watchman procedure. So far, the bill is $177,361.52 and there could be more to come in. And to think I need to do this all over again…..So grateful I have good insurance. My co-pay as of right now is $0.00

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I just started to approach this device with the cardio doc who is a EP, and will see what it brings? I am wanting to get off the blood thinners, so I can take other types of meds as well. thanks and hope you get through this, feel better soon.

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