Best method of LAA Closure October 21, 2023 11:13PM |
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Re: Best method of LAA Closure October 21, 2023 11:34PM |
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Re: Best method of LAA Closure October 21, 2023 11:40PM |
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Re: Best method of LAA Closure October 22, 2023 12:21AM |
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Just a note: my cardiologist told me that the newest generation of the Watchman has a coating that is supposed to protect against clots—the Watchman Flex Pro. I don’t think that is is clinically available yet though
Re: Best method of LAA Closure October 22, 2023 01:22AM |
Registered: 4 years ago Posts: 745 |
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cornerbax
Are far less than getting a clot
In general but I'm curious what the
Chance is of getting a clot around
The device?
Re: Best method of LAA Closure October 22, 2023 01:43AM |
Registered: 11 months ago Posts: 183 |
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That is something they monitor closely in the TEEs that are done after implantation. They also have anticoagulation protocols in place for at least the first few months until it endothelializes. Here is Boston scientific’s explanation of the new type of coding: ( not silicone) [www.watchman.com]
Re: Best method of LAA Closure October 22, 2023 02:02AM |
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cornerbax
I am confused as to why every
article and video specifically states the Watchman or other LAA closure methods are for "NON" VALVULAR AFIB?
[www.tctmd.com]Quote
The use of apixaban (Eliquis; Bristol-Myers Squibb) over rivaroxaban (Xarelto; Bayer/Janssen) in patients with atrial fibrillation (AF) and valvular heart disease is associated with better clinical outcomes and improved safety, according to a new observational study.
Re: Best method of LAA Closure October 22, 2023 02:11AM |
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Re: Best method of LAA Closure October 22, 2023 02:19AM |
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Re: Best method of LAA Closure October 22, 2023 02:24AM |
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As I understand it, it isn’t that they AREN’T for valvular Afib, just that they can’t approve it unless there are trials and no one has done trials yet. I doubt if they have any suspicions that there would be a problem for valvular Afib patients.
Re: Best method of LAA Closure October 22, 2023 03:17AM |
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Re: Best method of LAA Closure October 22, 2023 03:40AM |
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cornerbax
Are you planning on getting an upgrade
To the new and safer FLX Watchman
When it's available?
Re: Best method of LAA Closure October 22, 2023 05:57AM |
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Re: Best method of LAA Closure October 22, 2023 03:33PM |
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Re: Best method of LAA Closure October 22, 2023 03:52PM |
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susan.d
I’m getting a colonoscopy in a week and that was my GI’s first concern-“you need to stop Eliquis for 2 days
Re: Best method of LAA Closure October 22, 2023 05:15PM |
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Re: Best method of LAA Closure October 22, 2023 05:16PM |
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Quote
endothelialized
If the device is "endothelialized" why would low dose aspirin be needed?Quote
Just so you know, one difference is that with Watchman, low dose aspirin will be required for life to help prevent clots from forming on the Watchman Device itself. Low dose aspirin would not be required with Atriclip.
Re: Best method of LAA Closure October 22, 2023 05:47PM |
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mjamesone
Just so you know, one difference is that with Watchman, low dose aspirin will be required for life to help prevent clots from forming on the Watchman Device itself. Low dose aspirin would not be required with Atriclip.
Jim
Re: Best method of LAA Closure October 22, 2023 06:05PM |
Admin Registered: 6 years ago Posts: 5,384 |
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mjamesone
Just so you know, one difference is that with Watchman, low dose aspirin will be required for life to help prevent clots from forming on the Watchman Device itself.
Re: Best method of LAA Closure October 22, 2023 06:41PM |
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Re: Best method of LAA Closure October 22, 2023 08:18PM |
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susan.d
Some say…
“Apixaban (Eliquis) was the safest, followed by edoxaban (Savaysa), dabigatran (Pradaxa), warfarin (Coumadin) and then rivaroxaban (Xarelto); the Watchman device ranked last. The Watchman device has been advertised heavily, both to the public, in medical journals, and at medical conferences.Jul 4, 2019”
[www.inquirer.com] › health
Re: Best method of LAA Closure October 22, 2023 09:02PM |
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Re: Best method of LAA Closure October 23, 2023 12:54AM |
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Re: Best method of LAA Closure October 23, 2023 05:34AM |
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Re: Best method of LAA Closure October 23, 2023 03:30PM |
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Re: Best method of LAA Closure October 23, 2023 04:59PM |
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cornerbax
with this known,
wouldn't it be best for most people to take Eliquis for life vs. having a Watchman implanted?
Re: Best method of LAA Closure October 23, 2023 05:58PM |
Registered: 11 months ago Posts: 183 |
Quote
for instance, you have had your LAA isolated as was necessary to stop my arrhythmias, you cannot stop your anticoagulant safely for even a day. Isolating the LAA reduces the circulation there and increases the likelihood of clots forming
Re: Best method of LAA Closure October 23, 2023 06:22PM |
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cornerbax
With that said, would an AtriClip from the OUTSIDE still restrict that circulation and increase the chance of clots in the
LAA as you stated with the Watchman?
Re: Best method of LAA Closure October 23, 2023 08:02PM |
Registered: 4 years ago Posts: 745 |
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cornerbax
So closing/isolating the LAA "REDUCES" circulation and "INCREASES" chances of Clots Forming? If that
is the case, wouldn't it be better to NOT close off/isolate the LAA to begin with?
Re: Best method of LAA Closure October 23, 2023 08:17PM |
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Re: Best method of LAA Closure October 24, 2023 01:05PM |
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Re: Best method of LAA Closure October 24, 2023 05:05PM |
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cornerbax
In my case, if my LAA is completely closed with the AtriClip or Suturing, and my ChadsVasc score is either
0 or 1, would it be fine to discontinue Eliquis at some point? I would think with a complete closure of the LAA
and a 0 or 1 ChadsVasc score I could?
Re: Best method of LAA Closure October 24, 2023 05:49PM |
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mjamesone
With a score of O or 1, you would generally not need to take a thinner, even without any type of LAA Closure, or
am I missing something here?
Re: Best method of LAA Closure October 24, 2023 05:52PM |
Registered: 11 months ago Posts: 183 |
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With a score of O or 1, you would generally not need to take a thinner, even without any type of LAA Closure, or
am I missing something here?
Re: Best method of LAA Closure October 24, 2023 06:06PM |
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Re: Best method of LAA Closure October 24, 2023 06:13PM |
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Re: Best method of LAA Closure October 24, 2023 06:43PM |
Registered: 11 months ago Posts: 183 |
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Makes sense to take thinners if you're in persistent. However, once in normal rhythm,