Oral Anticoagulation vs. Watchman in Non-Valvular Atrial Fibrillation

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Patients often ask why they need to be on an anticoagulant after ablation – or – if they can have a Watchman device at the same time as an ablation. Dr. Saliba and Dr. Wazni discuss the answers to these questions. The OPTION trial is looking at the safety and effectiveness of the Watchman device (left atrial appendage closure) vs. oral anticoagulant medications in patients with non-valvular atrial fibrillation.

Patients who have had an ablation or who are going to have an ablation will be randomized to WATCHMAN device vs. oral anticoagulation. Patients are followed for three years, looking at outcomes of stroke, mortality, cardiovascular events and risk of bleeding. Interested patients should talk with their doctor or contact the Atrial Fibrillation Stroke Prevention Center.

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Good presentation but the science and use of the Watchman device has advanced a great deal since then. I recently had one implanted and after 45 days I had an echocardiogram to confirm that all was good with respect to the device. I now stop taking Xarelto, an anticoagulant, and for the next six months taking plavix. After that I will not have to take a powerful anticoagulant or plavix anymore. Zero discomfort or pain from the implant or follow up procedure whatsoever.

michaelcorenzwit

Thank you...very informative. Reinforces my opinion that you are the best in complex heart care. My visit last week gave me hope that I haven't had in over a year. Afib and blood clot has changed my life and I want it

jan.shifferd

I'm really mad that my doctor would not do the Watchman at the same time he did the ablation. Overlake Medical Center, Bellevue, WA.

bethb

Do we have an update since this study was begun?

kimberleyhosmer

Give blood, that will naturally thin your blood abs reduce your impact

gusolive

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