March 12, 2016Pacing and Clinical Electrophysiology

Combined Left Atrial Appendage Closure and Pacemaker Implant through a Single Right Femoral Vein Access

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Atrial fibrillation (n=1). Intervention: Combined LAA closure and permanent pacemaker implant (TPS) through a single right femoral vein access. Primary outcome: Feasibility of combined procedure.

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Key result

Single-access combined LAA closure and leadless pacemaker implantation proves feasible in initial report.

Why the study?

Patients with AF and high bleeding and thromboembolic risks who also require a single-chamber permanent pacemaker may benefit from combined LAA closure and pacemaker implantation through a single access, but feasibility data are limited.

Is combined LAA closure and transcatheter pacing system implant feasible through a single right femoral vein access in patients with AF?

Study Design

Type

Case Report (n=1)

Structured PICO

Is combined LAA closure and transcatheter pacing system implant feasible through a single right femoral vein access in patients with AF?

Population

A single case report of a patient with atrial fibrillation undergoing combined LAA closure and permanent pacemaker implant.

Intervention

Combined Left Atrial Appendage (LAA) closure and miniaturized wireless transcatheter pacing system (TPS) implant through a single right femoral vein access

Outcome

Feasibility of combined LAA closure and permanent pacemaker implant through a single femoral venous access

Combined LAA closure and leadless pacemaker implantation can be feasibly performed via a single right femoral vein access.

Implication

Hypothesis-generating for single-access combined LAA closure and pacing in AF; prospective studies required before adoption.

Abstract

Left atrial appendage (LAA) closure is indicated in patients with atrial fibrillation (AF) and high bleeding as well as thromboembolic risks. A subgroup of these patients may also present an indication for a single-chamber permanent pacemaker due to symptomatic low-rate AF or when "ablate and pace" strategy is indicated for rate control. A miniaturized wireless transcatheter pacing system (TPS) is now available as a single-chamber permanent pacemaker. This case presents how combined LAA closure and permanent pacemaker implant, by means of TPS, is feasible through a single femoral venous access.

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Cite This Study

Regoli et al. (2016) conducted a case report in Atrial fibrillation (n=1). Combined LAA closure and permanent pacemaker implant (TPS) through a single right femoral vein access was evaluated on Feasibility of combined procedure. Combined left atrial appendage closure and permanent pacemaker implant using a transcatheter pacing system is feasible through a single femoral venous access.

synapsesocial.com/papers/6ab8d74c9e7205945ec465f4 https://doi.org/10.1111/pace.12849