Conclusion
A combined procedure with LAAC using the WatchmanTMdevices, and another cardiac structural or electrophysiological procedure appears safe and effective. Larger series and prospective and multicentric cohorts are needed to confirm these preliminary results. However, since many patients have a clinical indication for multiple cardiac structural or electrophysiological procedures (TEMVR, atrial flutter ablation, pacemaker implantation), the combined approach may be considered.