Ablation v Watchman as a cure for A/Fib and A/Flutter.
I had a pacemaker fitted in Juine last year due to my heartbeat going down to 29 at times. The procedure has been a success, however I am still getting A/Fib and Flutter and my original consultant wanted to do an Ablation. He had a problem in that he wanted to give me anti-coagulents but was not able to until my platelet count could be lifted from a current 30ish to 50+. My Haematologist was not keen to play ball so I reached an enpasse. In order to try to break the empasse I moved my Cardiac treatment to the same hospital as my haemotology, and was amazed to find a totally different thought. One consultant wanted to treat with betablockers (Bisiprolol) which after 5 days had plummeted my platelets to 20. He then sought further advice up the line and the "Watchman" procedure was suggested (plugs a pocket in the heart to prevent clotting) That surgeon said that it was the best option to prevent strokes and that an Ablation would not worl as I had had the A/fib for a year or two. I am 76 and don't particularly want a full anaesthetic as required for the "Watchman".
Has anyone any thoughts on these procedures.