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.

My Watchman was inserted on Nov 22. I've had no issues whatsoever. I can't take thinners. I had a thinner-induced stroke in 2020, so thinners are out for me. I've had chronic Afib since 2002. I have enough confidence now to feel that clot risk has fallen to acceptable levels via the Watchman.

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The Watchman has been recommended to me. I had a GI bleed last year with hemoglobin of 6 and I required a blood transfusion. The goal is to get off blood thinners like you say.
My concern is having to take aspirin after the implant. I always thought aspirin was a blood thinner and have stayed away from it for years. However, the last Electrophysiologist I saw told me that it is safer than Eliquis so if I have another GI bleeding episode, I will probably go ahead with the procedure. Any thoughts on this?

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I had The Amulet implanted on February 13 and am looking forward to no blood thinners in my future. Eliquis is an allergen for me. The dose was reduced last year to no avail and I had 15 side effects before this procedure affecting my skin, my eyes and my GI system. My EP cardiologist worked on The Watchman when it was introduced and was able to find the proper device for me. The Amulet was a better fit for my anatomy. Until it is confirmed that the device is healed, I am taking Plavix and aspirin. I have chronic AFib, thanks to a PCP who gave me an overdose of pure T4.

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I had a Watchman installed Jan 2023. At the time my instructions were an TEE in 3 months and another one in a year. Following the Tee, I no longer needed warfarin but they recommended a daily baby aspirin. I did not tolerate aspirin and stopped it per my cardiologist.
I moved across the country Oct ‘23. The yearly followup it’s not part of the protocol here.
I’ve been happy with that procedure. However, as I’ve noted elsewhere, we solved one problem but another cropped up! It’s a continuous fight, but don’t give up.

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@JustinMcClanahan

Hello @koleke,

I combined your discussion with an existing discussion titled, "Any experiences with Watchman Implant for A-Fib?" - https://connect.mayoclinic.org/discussion/watchman-implant-for-a-fib/ so you could meet the many members who were inquiring about the same thing as yourself like @fiddlinchuck and @greta63.

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Hello, Koleke,
As Justin indicated I have a Watchman Device implant as of December 2021. Leading up to that. I was diagnosed with paroxysmal (sp?) a fib and has been in Eloquis for about 1 year or so. There is a qualifying matrix that your dr. Needs to go through to ensure that you meet the requisite criteria for the Watchman device. I cannot recall the name of the screening test by your dr., but your score determines your eligibility. There are transesophogeal echocardiograms (TEE’s) that must be performed before during and after the Watchman implant procedure, and the TEE’s are a procedure in themselves, requiring a lighter form of anesthesia. The actual Watchman implant procedure went well for me, but did require an overnight in the hospital afterwards. I found animations online showing how they do it, whic was helpful to me, but also somewhat cringeworthy. Overall, I am very happy with the outcome. The presenc3 of the devic3 is invisible to me and there ar3 no sensations. I am very glad to be off of the anticoagulant meds, though I am now directed to take a 325 mg aspirin daily. Knowing what I know today, I would do it again. I hope that my experience is helpful to you. I wish you the very best.

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@koleke

Does anyone out there have experience with the Watchman device that is implanted in your heart to help prevent stroke from Afib? My cardiologist insists that I either take Eliquis or have the Watchman. I am a 70 year old, active female that has had a successful ablation and no Afib episodes for 2 years since the surgery. I discontinued the Eliquis because my primary care doctor said they just insist that you take it to "cover their butts". But now the heart doctor is disagreeing. I'm so confused about what to do.

Jump to this post

Hello @koleke,

I combined your discussion with an existing discussion titled, "Any experiences with Watchman Implant for A-Fib?" - https://connect.mayoclinic.org/discussion/watchman-implant-for-a-fib/ so you could meet the many members who were inquiring about the same thing as yourself like @fiddlinchuck and @greta63.

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@koleke

I didn't have an issue except easy bruising and worrying about bleeding internally or if I got a cut or in an accident. At 80+ I don't think I'd worry about it...

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Right. So far, dad hasn’t had any bleeding issues. He’s had dental work without bleeding problem, but he does bruise easily. I can see your concern, though.

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@koleke

Does anyone out there have experience with the Watchman device that is implanted in your heart to help prevent stroke from Afib? My cardiologist insists that I either take Eliquis or have the Watchman. I am a 70 year old, active female that has had a successful ablation and no Afib episodes for 2 years since the surgery. I discontinued the Eliquis because my primary care doctor said they just insist that you take it to "cover their butts". But now the heart doctor is disagreeing. I'm so confused about what to do.

Jump to this post

I didn't have an issue except easy bruising and worrying about bleeding internally or if I got a cut or in an accident. At 80+ I don't think I'd worry about it...

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@koleke

Does anyone out there have experience with the Watchman device that is implanted in your heart to help prevent stroke from Afib? My cardiologist insists that I either take Eliquis or have the Watchman. I am a 70 year old, active female that has had a successful ablation and no Afib episodes for 2 years since the surgery. I discontinued the Eliquis because my primary care doctor said they just insist that you take it to "cover their butts". But now the heart doctor is disagreeing. I'm so confused about what to do.

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Did you have an issue with Eliquis? My dad (age 86) takes it and has for several years since cardioversion successfully treated afib. We wonder if it is causing leg weakness. I don’t have information about the Watchman. Hope others will chime in,

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Does anyone out there have experience with the Watchman device that is implanted in your heart to help prevent stroke from Afib? My cardiologist insists that I either take Eliquis or have the Watchman. I am a 70 year old, active female that has had a successful ablation and no Afib episodes for 2 years since the surgery. I discontinued the Eliquis because my primary care doctor said they just insist that you take it to "cover their butts". But now the heart doctor is disagreeing. I'm so confused about what to do.

REPLY
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