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Dr. Firas El Sabbagh, MD, FHRS
Treatment

Watchman and LAA Closure for AFib

Left atrial appendage closure is a procedure that seals off a small pouch in the heart where AFib clots can form. FCCI's Director of Electrophysiology performs it with the Watchman and Amulet devices.

Why the left atrial appendage matters

When you have AFib, the top chambers of the heart twitch instead of squeezing well. FCCI's patient education explains that this can lead to a stroke due to a blood clot. The left atrial appendage is a small pouch attached to the top left chamber, and it is a common place for those clots to form.

Blood thinners are the usual way to lower that risk. For some people, a different approach makes sense. Left atrial appendage occlusion (LAAO), also called LAA closure, places a small device that seals off the pouch.

Your heart rhythm doctor will talk with you about your stroke risk and whether LAA closure is worth considering.

Think of it as closing a side pocket where trouble tends to collect.

Dr. Firas El Sabbagh portrait

Watchman and Amulet at FCCI

Dr. Firas El Sabbagh, Director of Electrophysiology at FCCI and at HCA Florida Orange Park Hospital, is highly skilled in left atrial appendage occlusion with both the Watchman and Amulet devices.

He is board-certified in cardiac electrophysiology, cardiovascular disease and echocardiography, and is a member of the Heart Rhythm Society. FCCI notes he proctors and mentors junior cardiologists across the country on how to perform new procedures safely.

FCCI also has a history with this therapy. In 2016, Dr. Vaqar Ali became among the first few physicians in the region to implant the WATCHMAN device at Memorial Hospital.

Having a doctor with deep device experience matters for a procedure like this, and so does a team that will follow you afterward.

Ask about his experience at your visit.

Questions to ask about LAA closure

  • Am I a good candidate based on my stroke risk and history?
  • How would this change my blood thinner plan?
  • Watchman or Amulet: which fits me, and why?
  • What does the procedure and recovery involve?
  • What follow-up visits or tests will I need?

Never stop or change a blood thinner on your own. Talk with your doctor first.

To see if LAA closure could be an option for you, call 904.493.3333 and ask for a visit with an FCCI electrophysiologist. Your insurance coverage can be checked when you call.

Emergency? Watchman questions can wait for a visit, but chest pain, fainting, trouble breathing, or stroke signs such as face drooping, arm weakness or slurred speech cannot. Call 911.

Bring your medicine list and any past heart test results to the visit.

Talk with a specialist.

New patients are welcome. Call 904.493.3333, Mon to Fri, 8am to 5pm, or request a visit online.

FAQ

Quick answers

Still unsure? Call 904.493.3333

What is the Watchman?

Watchman is a device used in left atrial appendage closure, a procedure that seals off a pouch in the heart where AFib clots can form.

Who does Watchman at FCCI?

Dr. Firas El Sabbagh, FCCI's Director of Electrophysiology, is highly skilled in LAA occlusion with Watchman and Amulet.

Will I still need blood thinners?

That depends on you. Your doctor will explain your blood thinner plan. Never stop one on your own.

How do I find out if I qualify?

Call 904.493.3333 to schedule a visit with an FCCI electrophysiologist.

Ready when you are.

New patients are welcome. Call 904.493.3333, Monday to Friday, 8am to 5pm, or request an appointment online. If you have chest pain or stroke signs, call 911.