Barbieh
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Barbieh, March 6,  2018  4:37pm EST

watchman LAA procedure pros and cons

I’ve had Chronic AFib for a couple of years, was recently admitted to hospital and diagnosed with congestive heart failure. Went to a new doctor for second opinion on how to get AFib under control. He wants me to have the  Watchman LAA procedure performed in order to get me off of Xarelto. I previously had a severe stomach bleed that almost caused my death. After the Watchman procedure he plans on shocking my heart to get my heart into a good rhythm, out of constant AFib. Has anyone here had the Watchman procedure done and was it successful?
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  • Goddess
    Goddess, March 6,  2018  10:29pm EST
    Barbieh-I had the Watchman procedure done last November because I also had a very bad bleed from taking a blood thinner that landed me in the hospital last April with a hemoglobin of 4.2. After 2 transfusions my numbers were not coming up so the doctor came in to inform me that they were moving me to the ICU because they were afraid I was going to crash. Seriously??  A very scary time for me. My cardiologist told me about Watchman and then I got a second opinion and the second cardiologist told me the same thing. After much research, etc., I decided to go for it. There is a good video on YouTube that shows the whole procedure. Take the time and watch it. Went in for a TEE first to make sure that there were no clots in or around my heart and was scheduled the following week for insertion of the device. Procedure went smoothly. Afterwards the manufacturer recommends that you take a blood thinner and a baby aspirin for 45 days. I went on Coumadin during this time because I cannot take any of the newer drugs (I was taking Eliquis when I had the major bleed). I managed the Coumadin and the baby aspirin. Had to have another TEE to make sure that I was healing properly and I was so then I was switched over to a full aspirin and put on Plavix until I reached the 6 months mark. Here is where I had issues. Between the plavix and full aspirin my hemoglobin started to drop. Called the surgical team and was told to discuss with my cardiologist what he wanted to do. The manufacturer has protocols in place but each patient is different. I can only tolerate a baby aspirin so that is the only thing I’m taking currently. My hemoglobin is very slowly coming back up (with the help of iron infusions once a month) and is again stable even though it is not back in the standard range. At the 6 month mark, I meet with the surgical team for a checkup and in November (the year mark) I go in for another TEE to check out healing and to make sure there is no leakages. It isnt just having the device put in and you’re done. There is a lot of follow up (my cardiologist is seeing me once a month too) which is a good thing!  Work closely with your cardiologist, ask a ton of questions and do some research on your own.  That’s what I did.
  • Jeanamo
    Jeanamo, March 7,  2018  11:31am EST
    Goddess...thanks for your post about having the Watchman procedure.  I hope you will respond to another post in this forum by CaroleDiane who has also experienced a bleeding problem while taking Eliquis.  Her EP is recommending an ablation....but it would be helpful for her to know about the Watchman procedure as well as a possible option and your first hand experience would be valuable.  I hope that you will continue to do well and that the Watchman has worked well for you...now and for the future.  Thanks for posting and continue to let us hear from you.Wishing you the best.Jean (My A-Fib Experience Community Leader)
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