For individuals living with non-valvular atrial fibrillation (AFib), the risk of stroke is a significant concern. Blood thinners are often prescribed to reduce this risk, but not everyone can tolerate long-term anticoagulant therapy.
In recent years, the WATCHMAN device has emerged as a safe and effective alternative — offering stroke protection without the lifelong need for blood thinners. But what does recovery look like after the procedure? Here’s what patients can expect before, during, and after receiving the WATCHMAN implant.
What is a WATCHMAN Device?
The WATCHMAN device is a small, parachute-shaped implant placed into the left atrial appendage (LAA) of the heart — the area where blood clots are most likely to form in AFib patients. The goal of the device is to permanently seal off this section of the heart, preventing clots from entering the bloodstream and causing a stroke.
Implanting the device is a minimally invasive procedure performed under general anesthesia. A catheter is inserted through a vein in the groin and guided to the heart, where the device is deployed. The entire process usually takes under an hour, and most patients stay in the hospital overnight for monitoring.
The First 48 Hours: Initial Recovery
After the procedure, patients are moved to a recovery room to rest and allow the anesthesia to wear off. Most are able to return home the following day. During this initial period, it’s normal to feel groggy or experience mild discomfort at the catheter insertion site in the groin.
Doctors generally advise patients to take it easy for the first 48 hours. Light activity such as walking is encouraged, but strenuous activity, heavy lifting, and bending should be avoided for about a week. Soreness and minor bruising around the access site are common but usually subside within a few days.
Medication and Follow-Up Care
Post-procedure, patients are prescribed a combination of blood thinners and aspirin to prevent clots from forming on the newly placed device. These medications are typically taken for 45 days, until the heart tissue grows over the implant and fully seals off the LAA.
At that point, most patients can stop using stronger anticoagulants like warfarin or direct oral anticoagulants (DOACs), continuing on aspirin alone.
Follow-up visits include imaging tests, such as a transesophageal echocardiogram (TEE), to ensure the device is positioned correctly and healing is progressing as expected. These appointments are crucial for long-term success and safety.
Life After the WATCHMAN Implant
One of the biggest benefits of the WATCHMAN device is the freedom it offers — no more daily blood tests, dietary restrictions, or bleeding risks associated with blood thinners. Most patients report a high quality of life after recovery and are able to return to their regular routines within a few weeks.
Of course, living heart-healthy remains essential. A balanced diet, regular physical activity, and ongoing communication with a cardiologist help ensure the best possible outcomes long term.
Summing Up
The WATCHMAN device isn’t for everyone, but it can be a life-changing option for those who are not ideal candidates for blood thinners. If you or a loved one has AFib and is concerned about stroke risk or bleeding complications from medication, it’s worth discussing this option with a specialist.
At Memorial Cardiology Associates, patients receive expert guidance and personalized care every step of the way — from initial consultation to post-procedure follow-up. To learn more about the WATCHMAN procedure or to schedule an appointment, call us today.