Watchman The Israeli hospitalsa highly Innovative conducted procedure Watchman , Aimed AT the treatment of atrial fibrillation. The disease is characterized by chaotic atrial contraction of muscle fibers that stimulates blood flow disturbance, blood clots in the heart and as a result, increases the risk of stroke. Also, atrial fibrillation can lead to heart and kidney failure.

The traditional method of treatment of atrial fibrillation (AF) is a drug therapy. Patients prescribed blood-thinning Medications (Coumadin ) to prevent thrombus formation. But in some cases, taking these medications can have serious side effects. At this point in Israel's doctors offer their patients an alternative and safer treatment method - implantation of a special device. The following Watchman Procedures in Patients will most cases the stop taking Their medications.

Treatment of heart in Israel has been one of the best cardio surgeons Ehud Ra'anana .

The need to go through this procedure occurs in patients with atrial fibrillation following cases:

  1. He suffered a stroke.
  2. The patient is suffering from hypertensive disease or diabetes .
  3. The patient is observed violation of the pumping function of the heart (congestive heart failure).

After a medical examination and medical history cardiologist determines and assigns the treatment of atrial fibrillation.

What is the Watchman (caretaker)

This implant is a small device, made of polyethylene and nitinol, resembling a miniature umbrella. It is introduced into the left atrial appendage to prevent blood clots in the bloodstream yield. Implant sizes range from 21 to 33 mm. Is measured "ears", and then with a catheter set Watchman. device filter passes the blood, but it stops the movement of blood clots.

Watchman procedure or warfarin therapy?

For the treatment of atrial fibrillation often prescribed oral coagulants (warfarin or Coumadin). But this method has been a number of significant drawbacks. High risk of bleeding when taking medications is a serious contraindication for some patients. On the other hand, patients receiving warfarin is contraindicated lead full, active lives physically (eg, skiing).

Unlike Watchman procedures in preparation there is still one major drawback - the presence of a narrow therapeutic window, combined variability of responses of patients on Coumadin. To determine an accurate and effective dose for each patient, the doctor must hold monthly blood test to monitor blood levels of the drug. It should also consider the consequences of the interaction of warfarin with many other medicines: antibiotics, salicylates, nonsteroidal anti-inflammatory drugs, beta-blockers, diuretics, antidepressants, agents for the treatment of diabetes, gastric ulcer and duodenal ulcer. Such drug combinations are dangerous for many elderly people needing the reception of several drugs. To all the aforesaid, patients taking warfarin should follow a diet that restricts the use of green leafy vegetables, Brussels sprouts and broccoli.

procedure Watchman

The introduction of the implant can be performed under local or general anesthesia in the cath lab. During Watchman procedure, the patient is under continuous X-ray and ultrasound. Access to the heart via the right femoral vein via catheter device is held in the left atrial appendage.Cardiacuses contrast agents to make sure that the implant is fully closes the opening of the left atrial appendage, and is stable. After the extraction is carried catheter. In the mean time Watchman procedure is about an hour, after which the patient must stay in the hospital overnight. After hospital discharge patients within a week to avoid heavy physical exertion, and after 7 days most of them can return to normal life.

Patients continue to take Coumadin for 6 weeks after the procedure, Watchman. Then they pass a diagnostic study - chrespischevuyu echocardiography. If the device is functioning normally and prevents blood clots promotion - taking medication is stopped.

To learn more about Watchman procedure and choose the best clinic in Israel - contact medical service «Tlv.Hospital». With us you will return to the normal healthy life!