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

Area of Science:

• Cardiology
• Medical Devices
• Interventional Procedures

Background:

• Left atrial appendage (LAA) closure is crucial for patients with atrial fibrillation (AF) and high risks of bleeding or thromboembolism.
• Some patients require a permanent pacemaker for symptomatic low-rate AF or as part of an "ablate and pace" strategy.
• A miniaturized wireless transcatheter pacing system (TPS) offers a novel option for single-chamber permanent pacing.

Observation:

• This case report details the combined implantation of LAA closure and a TPS.
• The procedure was successfully accomplished using a single femoral venous access.
• This approach addresses the needs of patients requiring both LAA closure and permanent pacing.

Findings:

• The combined LAA closure and TPS implant procedure is technically feasible.
• Utilizing a single femoral venous access simplifies the procedural approach.
• This strategy effectively manages patients with AF needing both interventions.

Implications:

• This combined approach may offer a streamlined and efficient treatment option for select AF patients.
• It highlights the potential for combined interventional procedures to reduce procedural complexity and patient burden.
• Further research may explore the long-term outcomes and broader applicability of this combined technique.