WATCHMAN LAA CLOSURE DEVICE & DELIVERY SYSTEM
Report
- Report Number
- 2124215-2025-32716
- Event Type
- Death
- Date Received
- May 21, 2025
- Date of Event
- March 28, 2025
- Report Date
- May 21, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- NGV
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
B3 EVENT DATE: ESTIMATED AS 03/28/2025 AS THE ONLINE PUBLISHED DATE FOR THE ARTICLE IS NOTED AS MARCH 28, 2025, CITATION: HIGGINS, A, ZIMMERMAN, S, WANG, Y. ET AL. LONG-TERM OUTCOMES FOLLOWING LEFT ATRIAL APPENDAGE OCCLUSION IN MEDICARE BENEFICIARIES: OUTCOMES FROM THE NATIONAL CARDIOVASCULAR DATA REGISTRY. JACC. 2025 APR, 85 (12_SUPPLEMENT) 869. HTTPS://DOI.ORG/10.1016/S0735-1097(25)01353-1.
REPORTED VIA LITERATURE ARTICLE IT WAS REPORTED DEATH(S) OCCURRED. THE NATIONAL CARDIOVASCULAR DATA REGISTRY LEFT ATRIAL APPENDAGE OCCLUSION (LAAO) REGISTRY DATA WAS USED FOR INPATIENT MEDICARE CLAIMS DATA USING DETERMINISTIC MATCHING AND ESTABLISHED A COHORT OF PATIENTS >/=65 YEARS OF AGE WHO UNDERWENT LAAO BETWEEN JANUARY 2016 AND DECEMBER 2019. EVENT FREE SURVIVAL WAS CALCULATED USING THE KAPLAN-MEIER METHOD FOR DEATH AND THE CUMULATIVE INCIDENCE FUNCTION, ACCOUNTING FOR COMPETING RISK OF DEATH, FOR STROKE. RESULTS: A TOTAL OF 34,975 PATIENTS WITH AN AVERAGE AGE 77.5 YEARS (SD 6.5) AND 41.8% FEMALE WERE INCLUDED. THE AVERAGE CHA(2) DS(2)-VASC SCORE WAS 4.7 (SD 1.4). MEDIAN FOLLOW-UP WAS 2.8 YEARS (IQR 2.2-3.7 YEARS). THE INCIDENCE OF ANY STROKE AND ISCHEMIC STROKE WERE 1.80 (95% CI 1.66-94) AND 1.47 (95% CI 1.35-1.59) PER 100 PERSON-YEAR, RESPECTIVELY. THE FIVE-YEAR RATES OF ANY STROKE AND ISCHEMIC STROKE WERE 5.70% (95% CI 5.37-6.05) AND 5.03% (95% CI 4.71-5.36%), RESPECTIVELY. THE INCIDENCE OF DEATH WAS 10.37 (10.05-10.68) PER 100 PERSON-YEARS AND THE FIVE-YEAR MORTALITY RATE WAS 44.34% (95% CI 43.45-45.23%). CONCLUSION: LONG-TERM ISCHEMIC STROKE RATES IN A LARGE NATIONALLY REPRESENTATIVE COHORT OF MEDICARE PATIENTS FOLLOWING WATCHMAN LAAO WERE LOW DESPITE A HIGH EMBOLIC RISK. CITATION: HIGGINS, A, ZIMMERMAN, S, WANG, Y. ET AL. LONG-TERM OUTCOMES FOLLOWING LEFT ATRIAL APPENDAGE OCCLUSION IN MEDICARE BENEFICIARIES: OUTCOMES FROM THE NATIONAL CARDIOVASCULAR DATA REGISTRY. JACC. 2025 APR, 85 (12_SUPPLEMENT) 869. HTTPS://DOI.ORG/10.1016/S0735-1097(25)01353-1
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 885792 | WATCHMAN LAA CLOSURE DEVICE & DELIVERY SYSTEM | SYSTEM, APPENDAGE CLOSURE, LEFT ATRIAL | NGV | BOSTON SCIENTIFIC CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Death |