"Comparison of Apixaban and left atrial appendage exclusion device (Wat" by Sreeja Konatham

Date Approved

2025

Degree Type

Open Access Thesis

Degree Name

Master of Science (MS)

Department or School

Health Sciences

Committee Member

Michael Switzer, Ph.D.

Committee Member

Shannon Murray, MHS

Abstract

Atrial fibrillation is a cardiac arrhythmia associated with increased risk of stroke and systemic embolism. Apixaban, an oral anticoagulant, and the Watchman, a left atrial appendage closure device, are the currently used therapeutic treatments for the prevention of stroke and systemic embolism in atrial fibrillation patients. However, a direct comparison of these two treatments with respect to safety and effectiveness remains limited. This research evaluates Apixaban and the Watchman device by analysing the clinical trial data and full regulatory approval pathways. Apixaban has been approved through New Drug Application process, and the Watchman device is approved via the premarket approval process. The study highlights the quality and rigorous nature of the New Drug Application and the premarket approval process, indicating the safety and efficacy of Apixaban and the Watchman device. This research emphasizes the need for individualised treatment decisions for atrial fibrillation patients.

Included in

Surgery Commons

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