Overview

Shonda Ray, RN, provides an overview of our WATCHMAN treatment.

Learn More

Welcome to a new chapter in AFib care. The left atrial appendage closure, or WATCHMAN implant, is a one-time procedure that may lower your stroke risk without daily blood thinners.

WATCHMAN Procedure at Cape Fear Valley Health

The WATCHMAN device is a small implant that doctors place inside the heart. It’s used to prevent strokes in people with a condition called atrial fibrillation, or AFib.

In AFib, the heart doesn't beat the way it should, which can allow blood clots to form. These clots can cause strokes if they travel to the brain.

The WATCHMAN goes into a part of the heart where these clots often start (the left atrial appendage). It's like a tiny plug that closes off this area, so blood clots can't get through.

The procedure to put in the WATCHMAN is minimally invasive. It's done through a small tube that doctors insert into a vein in the leg. Afterward, many people can gradually stop taking the blood-thinning medicines that are typically used to prevent strokes in AFib patients.

What is Atrial Fibrillation?

Atrial fibrillation occurs when your heart beats in an irregular, often rapid rhythm, which can cause blood to pool and clot. If a clot breaks loose, it can lead to a stroke.

Treating AFib is important to help prevent these dangerous clots and to keep your heart working as it should. Treatment can also relieve symptoms such as fatigue and shortness of breath. Keeping a steady heartbeat can improve your quality of life and reduce your risk of serious heart-related issues.

Typical treatments for AFib include:

  • Medications to control heart rate and rhythm
  • Blood thinners to prevent clots
  • Procedures such as cardiac ablation or pacemaker placement to maintain a normal heartbeat

In some cases, doctors may recommend surgery or an implant like the WATCHMAN to reduce stroke risk.

Am I a Candidate for WATCHMAN?

Your doctor will carefully assess your individual risks and benefits before considering the WATCHMAN implant. Good candidates for a WATCHMAN implant are typically patients with:

  • Atrial fibrillation not related to a heart valve problem
  • An increased risk of stroke
  • A significant reason to avoid long-term use of blood thinners, such as those who have:
    • A history of serious bleeding while on blood thinners
    • A lifestyle, job or condition that increases their risk of bleeding
    • Difficulty maintaining a stable blood level with medications like warfarin
WATCHMAN for Atrial Fibrillation

Our Locations

Cape Fear Valley Heart & Vascular Center
Open
24 Hours / 7 Days

Cape Fear Valley Heart & Vascular Center

1638 Owen Dr
Fayetteville, NC 28304
United States

Get Directions
(910) 615-8260
View All Locations

Our Approach to the WATCHMAN Procedure

Cape Fear Valley Health’s Heart & Vascular Center adopts a patient-centered approach to AFib treatment with the WATCHMAN.

Our experienced cardiologists start with a detailed evaluation, considering your specific AFib type and individual bleeding risks. Then, they work with you to weigh the WATCHMAN's benefits against your unique health needs.

Our specialists are experienced in the WATCHMAN procedure, ensuring high-quality care. From pre-procedure education to postprocedure follow-ups, we guide you at every step.

We prioritize your safety, with a focus on minimizing risks and maximizing the benefits of the procedure.

Benefits of WATCHMAN

The potential benefits of having a left atrial appendage closure (WATCHMAN) procedure include:

  • Stroke risk reduction: WATCHMAN significantly lowers the chance of stroke by sealing off the heart area where blood clots typically form.
  • Freedom from blood thinners: Many patients can stop taking blood thinners shortly after the procedure, avoiding the risks associated with long-term medication use.
  • Minimally invasive: It’s a one-time procedure through a small cut in the leg, generally requiring just an overnight hospital stay.
  • Long-term protection: Once in place, the WATCHMAN offers a lifelong reduction in stroke risk related to nonvalvular AFib.

What to Expect With WATCHMAN

Before the procedure:

Consultation: You’ll have a thorough discussion with your doctor about your suitability for the WATCHMAN implant.

Testing: Expect tests such as a transesophageal echocardiogram (an ultrasound of the heart) to ensure the WATCHMAN is right for you.

Preparation: You’ll receive instructions about fasting and managing your current medications before the procedure.

During the procedure:

Anesthesia: General anesthesia is used, so you'll be asleep and won't feel anything.

Insertion: A small incision is made in your upper leg, and the WATCHMAN is guided into place via a tube.

Monitoring: Your heart and vitals will be continuously monitored throughout the procedure.

After the procedure:

Recovery: You'll likely stay in the hospital overnight to ensure there are no immediate postprocedure issues.

Medications: You’ll be prescribed blood thinners for a short period, followed by other medications such as clopidogrel and aspirin.

Follow-up: You’ll have follow-up visits, including imaging tests, to check that the left atrial appendage is completely sealed off.

Ongoing care: Afterward, you’ll take aspirin long-term and have regular check-ins with your healthcare team.

Why Choose Cape Fear Valley Health for WATCHMAN

  • Holistic support

    From initial consultation to post-procedure follow-up, our comprehensive care includes education on managing AFib without long-term blood thinners.

  • Advanced technology

    Using the latest WATCHMAN FLX model, we provide a fit for a broader range of anatomical sizes.

  • Patient-centric care

    We focus on personalized treatment plans, prioritizing your health needs and comfort throughout the process.

Next Steps