{"id":17748,"date":"2025-07-08T11:17:11","date_gmt":"2025-07-08T11:17:11","guid":{"rendered":"https:\/\/test-southcoast-health-multi.southcoast-health.org\/services\/cardio-heart-vascular\/the-watchman\/"},"modified":"2025-07-08T11:17:11","modified_gmt":"2025-07-08T11:17:11","slug":"the-watchman","status":"publish","type":"services","link":"https:\/\/www.southcoast.org\/pt\/services\/cardio-heart-vascular\/the-watchman\/","title":{"rendered":"WATCHMAN\u2122"},"content":{"rendered":"

WATCHMAN: Um implante \u00fanico que ajuda a reduzir o risco de AVC na fibrilha\u00e7\u00e3o auricular<\/strong><\/h2>\n\n\n\n

Como \u00e9 que a fibrilha\u00e7\u00e3o auricular aumenta o risco de AVC?<\/strong><\/h3>\n\n\n\n

A pessoa m\u00e9dia com fibrilha\u00e7\u00e3o auricular (tamb\u00e9m designada por fibrilha\u00e7\u00e3o auricular ou FA) \u00e9 cinco vezes maior probabilidade de sofrer um AVC<\/a> do que uma pessoa com um batimento card\u00edaco regular. Isto deve-se ao facto de a fibrilha\u00e7\u00e3o auricular poder diminuir a capacidade de bombeamento do cora\u00e7\u00e3o. Por conseguinte, o sangue n\u00e3o \u00e9 bombeado para fora do cora\u00e7\u00e3o normalmente, o que facilita a ader\u00eancia das c\u00e9lulas sangu\u00edneas e a forma\u00e7\u00e3o de co\u00e1gulos numa \u00e1rea do cora\u00e7\u00e3o chamada ap\u00eandice auricular esquerdo (AAE). Quando um co\u00e1gulo de sangue escapa do AAE e se desloca para outra parte do corpo, pode cortar o fornecimento de sangue ao c\u00e9rebro, causando um AVC. <\/p>\n\n\n

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\"\"<\/figure><\/div>\n\n\n

Nas pessoas com fibrilha\u00e7\u00e3o auricular n\u00e3o causada por problemas nas v\u00e1lvulas card\u00edacas (o tipo mais comum de fibrilha\u00e7\u00e3o auricular), mais de 90% dos co\u00e1gulos causadores de AVC provenientes do cora\u00e7\u00e3o formam-se no AAE.  <\/p>\n\n\n\n

Saiba mais sobre a fibrilha\u00e7\u00e3o auricular e o risco de AVC.<\/u><\/a><\/p>\n\n\n\n

Reduzir o risco de AVC na fibrilha\u00e7\u00e3o auricular<\/strong><\/h3>\n\n\n\n

Os anticoagulantes s\u00e3o uma forma eficaz de reduzir o risco de AVC em pessoas com fibrilha\u00e7\u00e3o auricular n\u00e3o causada por problemas nas v\u00e1lvulas card\u00edacas. Os anticoagulantes comuns incluem a varfarina (tamb\u00e9m conhecida como Coumadin\u00ae), Eliquis\u00ae, Pradaxa\u00ae, Xarelto\u00ae e Savaysa\u00ae.<\/p>\n\n\n\n

No entanto, algumas pessoas precisam de uma alternativa aos anticoagulantes porque estes podem aumentar o risco de hemorragia. Algumas hemorragias s\u00e3o ligeiras e facilmente tratadas, como um corte que demora mais tempo do que o normal a parar de sangrar. Noutros casos, a hemorragia pode ser fatal, como quando uma hemorragia no c\u00e9rebro provoca um AVC. <\/p>\n\n\n\n

Se tiver um historial de hemorragias ou um estilo de vida, ocupa\u00e7\u00e3o ou condi\u00e7\u00e3o que o coloque em risco de hemorragia, o seu m\u00e9dico pode considerar uma alternativa aos anticoagulantes, como o implante WATCHMAN ou WATCHMAN FLX\u2122.<\/p>\n\n\n\n

Uma alternativa aos anticoagulantes<\/strong><\/h3>\n\n\n\n

O WATCHMAN \u00e9 um procedimento \u00fanico e minimamente invasivo para pessoas com fibrilha\u00e7\u00e3o auricular n\u00e3o causada por um problema de v\u00e1lvula card\u00edaca (tamb\u00e9m conhecida como fibrilha\u00e7\u00e3o auricular n\u00e3o valvular) que necessitam de uma alternativa aos anticoagulantes. Tem o tamanho aproximado de uma moeda e \u00e9 fabricado com materiais muito leves e compactos, habitualmente utilizados em muitos outros implantes m\u00e9dicos. <\/p>\n\n\n\n

Na Southcoast Health, centenas de doentes deixaram os anticoagulantes para tr\u00e1s com o WATCHMAN.<\/p>\n\n\n\n

Como funciona o WATCHMAN e o WATCHMAN FLX<\/strong><\/h3>\n\n\n\n

Normalmente, quando o cora\u00e7\u00e3o se contrai, ele espreme o sangue do \u00e1trio esquerdo e do AAE para o ventr\u00edculo esquerdo. Nos doentes com FA, a contra\u00e7\u00e3o da aur\u00edcula esquerda n\u00e3o \u00e9 eficaz e o sangue acumula-se no AAE - onde pode formar co\u00e1gulos. O co\u00e1gulo pode deslocar-se e chegar ao c\u00e9rebro, causando um AVC.<\/p>\n\n\n\n

O implante WATCHMAN encaixa diretamente no seu AAE. Foi concebido para o fechar permanentemente e impedir a sa\u00edda dos co\u00e1gulos sangu\u00edneos.<\/p>\n\n\n

\n
\"\"<\/figure><\/div>\n\n\n

Na Southcoast Health, a equipa cardiovascular realiza o procedimento WATCHMAN em Fall River, MA, para os nossos doentes com FA. O procedimento \u00e9 realizado por Dr. Ramin Davoudi<\/a>, Dr. Adam Saltzman<\/a>e Dr. Nitesh Sood<\/a>. Sob orienta\u00e7\u00e3o ecocardiogr\u00e1fica 3D avan\u00e7ada, o procedimento \u00e9 efectuado por Dr. Christopher Abadi<\/a>, Dr. Albert Lin<\/a>e Dr. Robert Vazquez<\/a>.<\/p>\n\n\n\n

A Southcoast Health est\u00e1 sempre \u00e0 procura de formas de tornar os tratamentos eficazes ainda melhores. O WATCHMAN n\u00e3o \u00e9 exce\u00e7\u00e3o. Agora, oferecemos o WATCHMAN FLX - um avan\u00e7o que permite que o implante se adapte a um maior n\u00famero de pacientes, dando a mais pessoas do que nunca uma alternativa segura e eficaz aos anticoagulantes, caso precisem de um. <\/p>\n\n\n\n

Como \u00e9 que o WATCHMAN \u00e9 implantado?<\/strong><\/h3>\n\n\n\n

O WATCHMAN \u00e9 implantado no cora\u00e7\u00e3o atrav\u00e9s de um procedimento \u00fanico e minimamente invasivo. Para implantar o WATCHMAN, o m\u00e9dico faz um pequeno corte na parte superior da perna e insere um tubo estreito, tal como acontece num procedimento de stent padr\u00e3o. Em seguida, o m\u00e9dico guia o WATCHMAN at\u00e9 ao AAE do cora\u00e7\u00e3o. O procedimento \u00e9 efectuado sob anestesia geral e demora cerca de uma hora. Os doentes ficam normalmente no hospital durante a noite e saem no dia seguinte. <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Ap\u00f3s o procedimento<\/strong><\/h3>\n\n\n\n

Ap\u00f3s o procedimento WATCHMAN, o seu m\u00e9dico prescrever-lhe-\u00e1 medica\u00e7\u00e3o para diluir o sangue durante 45 dias ou at\u00e9 o seu AAE estar permanentemente fechado. Durante este per\u00edodo, o tecido card\u00edaco crescer\u00e1 sobre o implante para formar uma barreira contra os co\u00e1gulos sangu\u00edneos. O seu m\u00e9dico monitorizar\u00e1 este processo tirando fotografias do seu cora\u00e7\u00e3o para ver quando pode deixar de tomar os anticoagulantes.<\/p>\n\n\n\n

Num ensaio cl\u00ednico, 96% das pessoas conseguiram deixar de tomar anticoagulantes apenas 45 dias ap\u00f3s o procedimento WATCHMAN.<\/p>\n\n\n\n

O WATCHMAN \u00e9 adequado para si?<\/strong><\/h3>\n\n\n\n

Se tiver um historial de hemorragias ou um estilo de vida, profiss\u00e3o ou condi\u00e7\u00e3o que o coloque em risco de hemorragias, o WATCHMAN pode ser o ideal para si. Contacte o seu\u00a0m\u00e9dico de cuidados prim\u00e1rios<\/a>\u00a0ou o nosso\u00a0cardiovascular<\/a>\u00a0equipa para saber mais.\u00a0<\/p>\n\n\n\n

A Southcoast Health fornece o procedimento WATCHMAN em Fall River, MA, em, Hospital Memorial de Charlton<\/a>.<\/a><\/em> <\/em><\/a><\/p>","protected":false},"excerpt":{"rendered":"

WATCHMAN: A One-Time Implant that Helps Reduce AFib Stroke Risk How Does AFib Increase Stroke Risk? The average person with atrial fibrillation (also called AFib or AF) is five times more […]<\/p>","protected":false},"parent":17743,"menu_order":0,"template":"","specialty":[],"class_list":["post-17748","services","type-services","status-publish","hentry"],"acf":[],"yoast_head":"\nAtrial Fibrillation Treatment MA | Watchman Heart Procedure | Southcoast Health<\/title>\n<meta name=\"description\" content=\"Reduce your risk of stroke with the Watchman device. 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