Left Atrial Appendage Closure Procedure | Norton Healthcare Louisville, Ky.

Left Atrial Appendage Closure Procedure

A left atrial appendage closure procedure may be an alternative to taking blood thinners if you have atrial fibrillation (A-fib) that wasn’t caused by a heart valve issue. Stroke caused by blood clots breaking free of the left atrial appendage is a serious risk in these cases.

More than 90% of clots that break loose from the heart and go on to cause strokes start in the left atrial appendage. This small pouch of tissue in the wall of the left atrium doesn’t appear to serve any purpose.

If you can’t take blood-thinning medication such as warfarin because of the bleeding risk, you may qualify for a left atrial appendage closure procedure to implant a device to block off your left atrial appendage, which would prevent stroke-causing clots from forming there.

The  Watchman FLX left atrial appendage closure (LAAC) device is an implant that replaces long-term blood thinner use. The Watchman FLX is the next-generation Watchman device and is available in more sizes to fit your unique anatomy.

The Watchman FLX is available in sizes from 20 millimeters (about three-quarters of an inch or the diameter of a penny) to 35 millimeters (almost 1.4 inches) and made from very light and compact materials commonly used in many other medical implants.

Norton Heart & Vascular Institute has been performing Watchman implants since 2016 and has more experience with this treatment than any other hospital system in Louisville or Southern Indiana.

Benefits of a Left Atrial Appendage Closure Procedure

There are many benefits of having a left atrial appendage closure procedure with the Norton Heart & Vascular Institute team. They include:

  • Reduced risk of stroke from blot clots formed in the left atrial appendage
  • Eventual discontinuation of blood thinner, in most cases 45 days after the procedure
  • Minimally invasive, usually with no stitches needed
  • Short (usually overnight) hospital stay

Who Is a Candidate for the Left Atrial Appendage Closure Procedure?

You may be a candidate if you:

  • Have A-fib that is not related to heart valve disease (nonvalvular atrial fibrillation) and are at an increased risk of stroke
  • Have a history of major bleeding while taking blood thinners
  • Have a lifestyle, occupation or condition that puts you at risk for bleeding

How Is the Procedure Performed?

A specially trained cardiologist inserts flexible wires (catheters) into a blood vessel in the groin and guides the Watchman FLX device into the heart. The physician sets the implant over the opening of the left atrial appendage to seal it off. Over time, heart tissue grows over the implant. The procedure takes place in an electrophysiology lab under general anesthesia and usually lasts about an hour.

Norton Heart & Vascular Institute has state-of-the-art electrophysiology labs at Norton Hospital and Norton Audubon Hospital where this procedure is performed.

Heart and Vascular Care for the Whole Person

Norton Heart & Vascular Institute offers patient resources to support you and your family, including free classes for people of all ages seeking to improve cardiovascular health or living with a heart condition.

Cardiac Rehabilitation Program

Our cardiac rehabilitation providers are leaders in developing and applying innovative techniques that can help you recover and resume your life.

Connecting Hearts Support Group

The group provides education and support to individuals after a heart attack, living with a heart condition or at risk for cardiovascular disease.

Heart Health Screenings

Prevention is the best way to manage heart disease, and screenings are available to detect early signs of cardiac and vascular disease and identify risk factors.

Classes and Events

Norton Heart & Vascular Institute offers classes about once a week on a broad range of heart health topics including cooking classes, atrial fibrillation (A-fib) and heart failure education workshops, and more.

Norton Healthcare Heart and Vascular Institute

About Norton Heart & Vascular Institute

Norton Heart & Vascular Institute specialists treat more people for heart and vascular conditions — about 250,000 every year — than any other provider in Louisville and Southern Indiana.

  • Norton Healthcare’s four adult-service hospitals are American College of Cardiology accredited Cycle VI Chest Pain Centers — the highest level of expertise to evaluate, diagnose and treat patients who may be experiencing a heart attack.
  • We have more than 50 board-certified cardiovascular physicians and 35 advanced practice providers. Through training and years of experience, they specialize in areas such as cardiologyinterventional cardiologycardiothoracic surgeryelectrophysiologyadvanced heart failure and vascular surgery.
  • We offer same-day new patient appointments.
  • We have 27 locations in Louisville and Southern Indiana. Telecardiology is offered at more than 30 clinical sites in the region.
  • We have the experience, expertise and easy access you’d expect from the largest cardiovascular care provider in Kentucky.
  • Norton Healthcare is the only health care system in Kentucky to receive the prestigious Mission Lifeline: Regional Trailblazer Award from the American Heart Association for being an innovator in creating a system of care for ST elevation myocardial infarction (STEMI) heart attacks —  the most severe type of heart attack.
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