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Updated: Jul 12, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Combined transcatheter vegetectomy and leadless pacemaker implantation for endocarditis and complete heart block
Parker O'Neill1, Brian Osler2, Joey Junarta1
1Department of Medicine, Thomas Jefferson University Hospital, 1025 Walnut Street, Room 822, Philadelphia, PA 19107, USA.
Abstract:
We describe a case of culture-negative right-sided endocarditis for which simultaneous transcatheter vegetectomy was performed with leadless pacemaker implantation and removal of a temporary externalized pacing system. The patient did not have a recurrence of endocarditis highlighting the safety and efficacy of same-procedure vegetation removal and pacemaker implantation. This report documents a novel approach for the treatment of cardiac implantable electronic device-associated endocarditis in poor surgical candidates who are pacemaker-dependent.
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