The Watchman Device: Alternative to the Lifelong Use of Warfarin

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NCH Healthcare System

For more information about the author, click to view their website: NCH

Posted on

Oct 24, 2023

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Florida - Southwest

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The Watchman device offers an alternative to the lifelong use of warfarin for people with atrial fibrillation not caused by a heart valve problem (also known as non-valvular AFib). This permanent heart implant effectively reduces the risk of stroke—without the risk of bleeding that can come with the long-term use of warfarin (the most common blood thinner). What’s more, the Watchman device can eliminate the regular blood tests and food-and-drink restrictions that come with warfarin. (Warfarin is also known as Coumadin®.)

 

How It Works

 

To understand how the Watchman device works, it helps to know more about the connection between atrial fibrillation and stroke.

Atrial fibrillation, or AFib, affects your heart’s ability to pump blood normally. This can cause blood to pool in an area of the heart called the left atrial appendage, or LAA. There, blood cells can stick together and form a clot. When a blood clot escapes from the LAA and travels to another part of the body, it can cut off the blood supply to the brain, causing a stroke.

 

The Procedure

 

The Watchman device is implanted into your heart in a one-time procedure. It’s a permanent device that doesn’t have to be replaced and can’t be seen outside the body.

To implant Watchman device, your doctor makes a small cut in your upper leg and inserts a narrow tube, as done in a standard stent procedure. Your doctor then guides Watchman device into the left atrial appendage (LAA) of your heart. The procedure is done under general anesthesia and takes about an hour. Patients commonly stay in the hospital overnight and leave the next day.

 

After the Procedure

 

Following the procedure, you’ll take warfarin for 45 days or until your LAA is permanently closed off. During this time, heart tissue will grow over the implant to form a barrier against blood clots. Your doctor will monitor this process by taking pictures of your heart to see when you can stop taking warfarin.

Your doctor will then prescribe a medicine called clopidogrel (also known as Plavix) and aspirin for you to take for 6 months. After that, you’ll continue to take aspirin on an ongoing basis. A very small number of patients may need to keep taking blood thinners long term.

 

https://nchmd.org/cardiology/structural-heart/watchman-device/ 

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Urgent Care Centers 40 South Heathwood Drive,, Marco Island, Florida, 34145

Marco Urgent Care is convenient and close to home. Our center is available everyday from 8:00 a.m.-7:30 p.m. to keep you and your family safe and healthy. Our urgent care welcomes walk-in; no appointment is needed.As the first urgent care center on the island, Marco Urgent Care has been serving Marco and surrounding communities for more than 30 years. We can treat minor illnesses, stings, sports injuries, minor injuries or burns, colds, the flu and more. Our center also includes an onsite lab and radiology services.Our center is staffed by board certified emergency medicine physicians, is a member of the Mayo Clinic Care Network, and as a part of NCH, Marco Urgent Care physicians have access to Mayo Clinic experts.When minor bumps, bruises and illnesses affect you or your family, the dedicated staff and physicians at Marco Urgent Care are here for you, close to home.If you have a problem that requires immediate attention please call the NCH Healthcare System switchboard: 239-624-5000. Please note: NCH cannot provide medical advice over the phone. If you are having a medical emergency, call 911 or seek emergency medical help.

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