Anesthetic considerations for implantation of the Watchman(R) device for left atrial appendage occlusion: A single center experience

Many patients with chronic atrial fibrillation are treated with anticoagulants to mitigate the risk of embolism. An option for avoiding the risks associated with lifelong anticoagulation is the implantation of left atrial appendage occlusion devices, such as the Watchman(R). The purpose of this article is to describe appropriate anesthesia care for Watchman(R) device implantation, including the use of fluoroscopy and echocardiography. The management of major complications, such as hemopericardium and device embolization, is also discussed. Our approach to the anesthetic management of the patient undergoing Watchman(R) procedure has proven safe and reliable and could be considered at other institutions.