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

A man with a beard is holding his hand to his chest.

Follow-Up Appointment Information

You are scheduled for a repeat TEE to determine a plan for your anticoagulation medication 45 days after your procedure