Recently, a novel specialized delivery sheath that allows for left bundle branch area pacing (LBBAP) using standard stylet-driven leads (SDLs) with an extendable helix design has been introduced. However, LBBAP using SDLs was found to result in more frequent lead deformation and fracture than LBBAP using lumenless leads, most of which occurred during lead repositioning.
- Tan E.S.J.
- Lee J.Y.
- Boey E.
- et al.
Use of extendable helix leads for conduction system pacing: differences in lead handling and performance lead design impacts conduction system pacing.
J Cardiovasc Electrophysiol. 2022; 33: 1550-1557
2Given this safety concern, we investigated the relationship between implantation technique and lead deformation during the LBBAP procedure using the isolated porcine heart.
- le Polain de Waroux J.B.
- Wielandts J.Y.
- Gillis K.
- et al.
Repositioning and extraction of stylet-driven pacing leads with extendable helix used for left bundle branch area pacing.
J Cardiovasc Electrophysiol. 2021; 32: 1464-1466
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- Use of extendable helix leads for conduction system pacing: differences in lead handling and performance lead design impacts conduction system pacing.J Cardiovasc Electrophysiol. 2022; 33: 1550-1557
- Repositioning and extraction of stylet-driven pacing leads with extendable helix used for left bundle branch area pacing.J Cardiovasc Electrophysiol. 2021; 32: 1464-1466
Published online: February 14, 2023
Publication stageIn Press Journal Pre-Proof
Funding Sources: The authors have no funding sources to disclose.
Disclosures: The authors have no conflicts of interest to disclose.
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