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we appreciate your interest in considering the watchman device for the treatment of atrial fibrillation in patients that arent able to take anti coagulants if you qualify for this procedure this is a procedure that is done within the hospital you will undergo general anesthetic we will then seek to get access in the right femoral vein take a catheter up into the venous system and go up just past the heart at which point we will get our equipment ready in our attempt to get into the left side of the heart the appendage which is the area of our concern and the area we want to obliterate is on the left side of the heart and so well need to cross over into the left side of the heart we do this with whats called a trans septal catheter the catheter will help us locate a spot where the tissue is relatively thin between the right and left part of the heart will then cross the septum with a needle and then pass our catheter into the left side of the heart at this point we push the catheter