title: Combined Left Atrial Appendage Closure and Pacemaker Implant through a Single Right Femoral Vein Access.
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.
authors.affiliation: Cardiology Department, Fondazione Cardiocentro Ticino, Lugano, Switzerland.
authors.forename: François
authors.initials: F
authors.lastname: Regoli
authors.affiliation: Cardiology Department, Fondazione Cardiocentro Ticino, Lugano, Switzerland.
authors.forename: Tiziano
authors.initials: T
authors.lastname: Moccetti
authors.affiliation: Cardiology Department, Fondazione Cardiocentro Ticino, Lugano, Switzerland.
authors.forename: Elena
authors.initials: E
authors.lastname: Pasotti
authors.affiliation: Cardiology Department, Fondazione Cardiocentro Ticino, Lugano, Switzerland.
authors.forename: Angelo
authors.initials: A
authors.lastname: Auricchio
authors.affiliation: Cardiology Department, Fondazione Cardiocentro Ticino, Lugano, Switzerland.
authors.forename: Marco
authors.initials: M
authors.lastname: Moccetti
mesh_terms: D000368:Aged; D020517:Atrial Appendage / Q000601:surgery*; D001281:Atrial Fibrillation / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods; D003131:Combined Modality Therapy / Q000295:instrumentation / Q000379:methods; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D019919:Prosthesis Implantation / Q000379:methods*; D016896:Treatment Outcome; D065506:Vascular Closure Devices; D059015:Wireless Technology / Q000295:instrumentation
keywords: left atrial appendage closure; wireless cardiac pacing; wireless intracardiac transcatheter pacing system