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JOURNAL ARTICLE
REVIEW
The WATCHMAN Left Atrial Appendage Closure Device: Technical Considerations and Procedural Approach.
Interventional Cardiology Clinics 2018 April
Randomized clinical trials have demonstrated that left atrial appendage (LAA) closure with the WATCHMAN device provides stroke prevention in nonvalvular atrial fibrillation while significantly reducing morality and major bleeding. Technical and procedural considerations are paramount for the therapeutic success. Maximizing procedural safety is critical. Optimal LAA sealing is required. Improvements in procedural technique and operator training have resulted in a marked reduction in adverse procedural events, which should increase the absolute long-term clinical benefit. This article outlines the key aspects of patient workup and procedural technique for the best possible outcome.
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