Blood Cot on Watchman Just got back from TEE, which was to follow up on Watchman implant January 31. There is a small clot on the device and the Dr put me back on Xarelto for 30 days, when I will have another TEE to make sure the clot is gone. I had been on Xarelto for 45 days after initial procedure along with 81mg aspirin. He replaced the Xarelto with Plavix for another 6 weeks. I didn’t know Xarelto dissolved clots. I’m wondering why the clot formed in the first place. Of course I never saw the Dr today — he was only in the room while I was “out.” I admit to missing a dose of aspirin once in awhile. https://www.afibbers.org/forum/read.php?9,169667,169667#msg-169667 Mon, 21 Sep 2026 12:00:02 +0000 Phorum 5.2.23 https://www.afibbers.org/forum/read.php?9,169667,169694#msg-169694 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169694#msg-169694
I appreciate the facts from you and Carey about the clot — it was certainly disconcerting but the “hangover” intensified it. I’m quite sure with Xarelto, aspirin and Cardiokinase I will be fine until it dissolves, hopefully by the next TEE. I’m so grateful for all your educated information! Louise]]> Louise AFIBBERS FORUM Sun, 26 May 2019 00:24:33 +0000 https://www.afibbers.org/forum/read.php?9,169667,169693#msg-169693 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169693#msg-169693
If you need any more such procedures I suggest making a strong request for Propofol, it is highly effective and very clean afterward and you tend to be calm and clear not long after you wake up. Provided they don’t also load you up with a bunch of other drugs like Midazolam, Fentanyl and/or a bunch of other Class III Anesthetic drugs after inducing anesthesia with propofol.

The type of clots that only very infrequently form on a less than fully endothelial-ized WATCHMAN is very unlikely to result in an embolic event in any case. Much less so a full blown major stroke. Usually there are no consequence reported, though a few TIA have been noted very occasionally.

Shannon]]> Shannon AFIBBERS FORUM Sun, 26 May 2019 00:14:28 +0000 https://www.afibbers.org/forum/read.php?9,169667,169692#msg-169692 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169692#msg-169692 Louise AFIBBERS FORUM Sat, 25 May 2019 23:26:59 +0000 https://www.afibbers.org/forum/read.php?9,169667,169691#msg-169691 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169691#msg-169691
Nattokinase Antithrombic Agent

More Pub Med information is available here:

Search: Nattokinase Dissolve Blood Clots

This may mean juggling more than you really want to, but at least you have the information.]]> Jim Benton AFIBBERS FORUM Sat, 25 May 2019 23:19:20 +0000 https://www.afibbers.org/forum/read.php?9,169667,169689#msg-169689 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169689#msg-169689 Louise AFIBBERS FORUM Sat, 25 May 2019 21:14:58 +0000 https://www.afibbers.org/forum/read.php?9,169667,169688#msg-169688 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169688#msg-169688 Carey AFIBBERS FORUM Sat, 25 May 2019 21:13:40 +0000 https://www.afibbers.org/forum/read.php?9,169667,169687#msg-169687 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169687#msg-169687 Louise AFIBBERS FORUM Sat, 25 May 2019 18:39:51 +0000 https://www.afibbers.org/forum/read.php?9,169667,169686#msg-169686 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169686#msg-169686
If that's what it was, pretty unlikely it would have effects the next day because it has a very short half-life (3 hours). But according to drugs.com, it can be prolonged in cirrhosis, congestive heart failure, obesity, renal failure, and the elderly. They don't say what they mean by prolonged but if any of those things apply to you it's possible.]]> Carey AFIBBERS FORUM Sat, 25 May 2019 17:56:34 +0000 https://www.afibbers.org/forum/read.php?9,169667,169685#msg-169685 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169685#msg-169685
Is it possible that it is still in my system? The procedure was much less invasive and only took less than 30 minutes; so it couldn’t have been that much of a shock to my body. Not sure why he asked about the last one and then used a different one. Not concerned, just curious.]]> Louise AFIBBERS FORUM Sat, 25 May 2019 17:14:26 +0000 https://www.afibbers.org/forum/read.php?9,169667,169684#msg-169684 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169684#msg-169684
Quote
Brian_og
Naive q here. Went wouldn't they use a clot buster drug to get rid if this?

No. The drug you're thinking of is called tissue plasminogen activator (tPA), and it's used only in the first three hours after a stroke. It comes with a big risk of causing bleeding in the brain, it's only administered IV, and it's ridiculously expensive. It would be far too risky to use in a situation like this where there's no immediate danger.]]> Carey AFIBBERS FORUM Sat, 25 May 2019 14:54:29 +0000 https://www.afibbers.org/forum/read.php?9,169667,169682#msg-169682 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169682#msg-169682 Louise AFIBBERS FORUM Sat, 25 May 2019 13:05:26 +0000 https://www.afibbers.org/forum/read.php?9,169667,169681#msg-169681 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169681#msg-169681
I know that must be anxiety inducing, but I've read that in time and as long as you religiously follow your regimen, all should resolve in your favor.

I agree with a daily alarm on a phone every 12 hours. I also purchased and carry a small, watertight container for my key ring that holds a dose of every med I take. It's saved me on more than one occasion.]]> AB Page AFIBBERS FORUM Sat, 25 May 2019 12:56:40 +0000 https://www.afibbers.org/forum/read.php?9,169667,169680#msg-169680 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169680#msg-169680 Louise AFIBBERS FORUM Sat, 25 May 2019 12:39:08 +0000 https://www.afibbers.org/forum/read.php?9,169667,169677#msg-169677 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169677#msg-169677 Brian_og AFIBBERS FORUM Sat, 25 May 2019 06:49:49 +0000 https://www.afibbers.org/forum/read.php?9,169667,169674#msg-169674 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169674#msg-169674
In general, it wouldn't be good, but the odds of it breaking free are low. So just be religious about the drugs and you'll probably come out of this just fine. :-)]]> Carey AFIBBERS FORUM Sat, 25 May 2019 00:22:11 +0000 https://www.afibbers.org/forum/read.php?9,169667,169672#msg-169672 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169672#msg-169672 Louise AFIBBERS FORUM Fri, 24 May 2019 23:45:24 +0000 https://www.afibbers.org/forum/read.php?9,169667,169668#msg-169668 Re: Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169668#msg-169668
Clots tend to form on any artificial substance that's exposed to blood flow, especially metal. That's because platelets tend to stick to foreign objects, which is why you're given aspirin and an anticoagulant for the first 45 days. Aspirin disables platelets. Plavix is also an anti-platelet drug. What should happen during those 45 days is your own tissue grows over the Watchman, covering it, and therefore protecting it from direct contact with blood flow. This is a process known as endothelialization. However, in rare cases the endothelialization isn't complete by 45 days and some of the Watchman is still exposed. That's apparently what happened in your case. So the strategy now is to prevent the clot from enlarging while your body dissolves it and hopefully the endothelialization becomes complete so this doesn't happen again.

Don't miss doses of anything from here on out. Not even one. Get a pill minder that lets you know when a dose is due, or do what I do and set an alarm on your phone to go off when things are due.]]> Carey AFIBBERS FORUM Fri, 24 May 2019 22:22:13 +0000 https://www.afibbers.org/forum/read.php?9,169667,169667#msg-169667 Blood Cot on Watchman https://www.afibbers.org/forum/read.php?9,169667,169667#msg-169667
I didn’t know Xarelto dissolved clots. I’m wondering why the clot formed in the first place. Of course I never saw the Dr today — he was only in the room while I was “out.” I admit to missing a dose of aspirin once in awhile.]]> Louise AFIBBERS FORUM Fri, 24 May 2019 21:22:02 +0000