Left Atrial Appendage Occlusion Device
Wound Care
• The day after your procedure:
§ Remove the bandage at the site and gently clean with soap and water, and pat dry; leave open to air out
§ You may shower
§ Do not apply lotions, powders, ointments, or perfumes
§ Check your groin every day. A small amount of soreness and bruising (black and blue), bump smaller than a nickel is normal
• Do not soak your procedure site in water for 1 week (no baths, swimming, etc.)
Activity
Your procedure was done through the groin, for the next 7 days
• Limit climbing stairs
• No strenuous activity, pushing, pulling, or straining (especially during a bowel movement)
• Do not lift anything more than 10 pounds
• You may resume sexual activity after 48 hours, unless instructed otherwise
Medication
• The plan for your ongoing anti-coagulation will be discussed with your EP physician or NP/PA
• If you have discomfort or soreness, take pain medication as explained at discharge
Diet
• Follow the heart healthy diet recommended by your doctor
• For the next 24 hours:
§ Stay at home and rest. Do not drive or operate machinery
§ Do not drink any alcoholic beverages (beer, wine, or liquor)
§ Do not make important personal or business decisions
• If you smoke, we recommend you quit. It will immediately improve your health. If you would like to let us help you live smoke-free, call the Center for Tobacco Control at (516) 466-1980
Side Effects
Pain
• You may have pain after your procedure at the puncture site
• Take pain medication as directed by your doctor
• Call your doctor if your pain is not getting better within 5 days or if it gets worse
• Prescription pain medication should be taken with food, and can cause constipation; an over-the-counter stool softener may be helpful
Nausea
• Anesthesia can upset your stomach
• Eat bland foods (Jell-O, crackers, toast) and drink ginger ale if you are nauseous
• Drink plenty of fluids, such as water or ginger ale
• If you have nausea or vomiting the day after your surgery or procedure, call your doctor
Bleeding
• You may have a small amount of oozing and bruising from your surgical or procedural site, this is normal
• Excessive bleeding at the site can be dangerous and should prompt immediate medical attention
Infection
• If you have any of the following signs of infection, call your doctor
- § Redness, swelling, fever over 101 degrees, thick yellow/white drainage
Call Your Doctor
• If you have fever, chills, or severe pain, swelling, redness, heat or yellow drainage at the incision site
• If you have bleeding in large amounts or significant new swelling from your puncture site that cannot be controlled or if area becomes very red or hot to touch and painful.
• If you experience lightheadedness; dizziness or a fainting spell
Contact your doctor at the Cardiology Office at North Shore University Hospital at: (516) 562-2300

Follow-Up Appointment Information
You are scheduled for a repeat TEE to determine a plan for your anticoagulation medication 45 days after your procedure

