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Data on the management of Micra transcatheter pacing system (TPS) at the time of an upgrade or during battery depletion is limited. We sought to evaluate the management patterns of patients implanted with a Micra TPS during long-term follow-up. We retrospectively identified patients who underwent Micra implantation from April 2014 to November 2019. We identified patients who underwent extraction (n = 11) or had an abandoned Micra (n = 12). We identified 302 patients who received a Micra during the period of the study. Mean age was 72.7