Combined transcatheter vegetectomy and leadless pacemaker implantation for endocarditis and complete heart block
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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
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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