Implant of a left atrial appendage occluder device (Watchman) and leadless pacing system (Micra) through the same venous access in a single sitting

• Published in: BMJ case reports Vol. 2018; p. bcr-2017-222471
• Main Authors: Johar, Sofian, Luqman, Nazar
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 16-02-2018; BMJ Publishing Group
• Series: Case Report
• Subjects: Aged; Anticoagulants; Atrial Appendage - surgery; Atrial Fibrillation - surgery; Blood clots; Cardiac arrhythmia; Case reports; Catheters; Embolisms; Female; Femoral Artery; Heart; Humans; Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation); Pacemaker, Artificial; Patients; Prosthesis Implantation - methods; Septal Occluder Device; Stroke; Thromboembolism; Thrombosis; Transplants & implants; Treatment Outcome; Veins & arteries; Venous access; Venous Thromboembolism - prevention & control; interventional cardiology; pacing and electrophysiology
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr-2017-222471

A left atrial appendage occluder device (Watchman) and leadless pacemaker (Micra) was implanted from a single right femoral vein access in a 73-year-old female patient with persistent atrial fibrillation and symptomatic tachy-brady syndrome and unable to take oral anticoagulants. Standard methods of implantation were followed for both procedures. The Watchman device was implanted first followed by dilatation of the same venous access site in order to implant Micra transcatheter pacing system. The patient tolerated the procedures well and there were no complications. At the end of 1 month, both the devices were found to be working well.