Should My Patient Receive a WATCHMAN Device?

Written on behalf of the Sanger Heart and Vascular Education Group

An 80-year-old female patient with known atrial fibrillation (AF) and a CHA2DS2-VASc score of 4 is admitted to the medical intensive care unit with a life-threatening gastrointestinal (GI) bleed. No clear GI source of blood loss is found. You are asked to render an opinion regarding restarting anticoagulation.

Regarding the WATCHMAN (Boston Scientific; Marlborough, MA) device now being used widely in the treatment of patients with AF who may no longer be suitable for long-term anticoagulation, which of the following is true?

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