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PATIENT EDUCATION · WATCHMAN PROCEDURE PREPARATION

Watchman procedure preparation

What to expect before, during, and after your Watchman implant.

Section 3 of 6 · Procedure day

← Watchman procedure preparation: the short explanation
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All 6 sections, including text and pictures · 12 pages

SECTION 3

What happens on procedure day?

Checking in

Your team reviews your medicines, allergies, and health history. A nurse places an IV, and monitors track your heart rhythm, blood pressure, and oxygen level.

Keeping you comfortable

Your doctor will tell you whether the procedure will use general anesthesia or sedation. Your team monitors you throughout the procedure.

Placing the Watchman

Your doctor guides a catheter through a vein in the groin, into the heart, and across the wall between the upper chambers to reach the left atrial appendage.

Heart imaging guides placement. The Watchman expands inside the appendage, and your doctor checks its position, stability, and seal before releasing it. The implant stays in your heart, and the catheter is removed.

A delivery catheter enters from below through the inferior vena cava, crosses from the right atrium through the atrial septum into the left atrium, and places the Watchman at the opening of the left atrial appendage.
The catheter travels through the IVC into the right atrium, crosses the atrial septum, and delivers the Watchman at the opening of the LAA. The catheter is removed after the implant is released. Conceptual illustration.
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Closing the groin access site

Your doctor uses a vascular closure device to close the access site. Your nurses check the area for bleeding or swelling.

Recovery

You rest while your team monitors your heart rhythm, vital signs, and groin site. Your nurse tells you when you can sit up, walk, eat, and drink.

Many patients go home the same day; others stay overnight. Before discharge, your team reviews your medicines, groin care, activity restrictions, and follow-up plan.

Sources & further readingWatchman: The implant procedureBoston Scientific: Recovery and follow-upWatchman discharge instructions

Updated October 2026. Educational information; your own care plan may differ. Medical illustrations are simplified examples for teaching.