Volume 14, Issue 12, Pages (December 2017)

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Volume 14, Issue 12, Pages 1801-1806 (December 2017) To retrieve, or not to retrieve: System revisions with the Micra transcatheter pacemaker Eric Grubman, MD, FHRS, Philippe Ritter, MD, Christopher R. Ellis, MD, FHRS, Michael Giocondo, MD, Ralph Augostini, MD, FHRS, Petr Neuzil, MD, Bipin Ravindran, MD, Anshul M. Patel, MD, FHRS, Pamela Omdahl, MBA, Karen Pieper, BS, Kurt Stromberg, MS, J. Harrison Hudnall, BS, Dwight Reynolds, MD, FHRS Heart Rhythm Volume 14, Issue 12, Pages 1801-1806 (December 2017) DOI: 10.1016/j.hrthm.2017.07.015 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Micra retrieval using a delivery catheter and snare. A: Micra delivery system cup being advanced toward the proximal end of the delivery system. B: The snare has captured the proximal retrieval feature, and the snare sheath has been advanced to close the loop around the neck of the retrieval feature. C: Recapture cone is extended past the end of the device cup. D: Recapture cone is axially aligned and mated with the proximal end of the device to allow centering of the device to pull inside the cup. Heart Rhythm 2017 14, 1801-1806DOI: (10.1016/j.hrthm.2017.07.015) Copyright © 2017 The Authors Terms and Conditions

Figure 2 System revision rate for Micra vs transvenous control cohort. Subdistributional HR derived from data through 24 months postimplant for each cohort by comparing the cumulative incidence (rate) of system revision using the Fine-Gray competing risk model in the presence of competing risk of death for any reason. The inset shows the same data on an enlarged y-axis. For the 1:1 propensity-matched subset, the HR was 0.27 (95% CI 0.14–0.54; P < .001). CI = confidence interval; HR = hazard ratio. Heart Rhythm 2017 14, 1801-1806DOI: (10.1016/j.hrthm.2017.07.015) Copyright © 2017 The Authors Terms and Conditions