Boston Scientific’s Watchman Gets Revised Label

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FDA has expanded the approved labeling for Boston Scientific’s Watchman FLX Left Atrial Appendage Closure Device to include a 45-day dual anti-platelet therapy (DAPT) option as an alternative to the previous 45-day oral anticoagulation (OAC) plus aspirin for post-procedural treatment of patients with non-valvular atrial fibrillation. “This revised labeling provides physicians more flexibility to exercise their clinical judgment based on individual patient characteristics to determine the most appropriate post-procedural antithrombotic medication regimen,” the company says.

The revised label was supported by clinical evidence that included analyses spanning approximately 8,300 patients from the Left Atrial Appendage Occlusion (LAAO) Registry, which is part of the American College of Cardiology Foundation’s National Cardiovascular Data Registry, according to Boston Scientific. Additionally, real-world data submitted on the device included results of an analysis of more than 17,000 patients from LAAO Registry that “demonstrated no significant difference in rates of major adverse events at 45 days post implant, whether patients were discharged from the hospital on DAPT, a direct OAC and aspirin, or warfarin and aspirin,” it says.

On the safety side, the company submitted data it says shows low rates of adverse events and peri-device leaks through 45 days post implant.

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