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Case Reports
. 2021 May;32(5):1464-1466.
doi: 10.1111/jce.15030. Epub 2021 Apr 14.

Repositioning and extraction of stylet-driven pacing leads with extendable helix used for left bundle branch area pacing

Jean-Benoit le Polain de Waroux  1 , Jean-Yves Wielandts  1 , Kris Gillis  1 , Gabriela Hilfiker  1 , Antonio Sorgente  2 , Lucio Capulzini  2 , Bert Geerts  3 , Sébastien Knecht  1 , Mattias Duytschaever  1   4 , René Tavernier  1
Affiliations
Case Reports

Repositioning and extraction of stylet-driven pacing leads with extendable helix used for left bundle branch area pacing

Jean-Benoit le Polain de Waroux et al. J Cardiovasc Electrophysiol. 2021 May.

Abstract

Conventional stylet-driven leads with extendable helix can be implanted successfully for left bundle branch area pacing (LBBAP) with a low acute complication rate. We report two cases in which lead repositioning after a first unsuccessful attempt to LBBAP was associated with fracture of the helix rotating mechanism and failure to fully extract the pacing lead.

Keywords: His bundle pacing; complication; left bundle area pacing; physiologic pacing.

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References

REFERENCES

    1. De Pooter J, Calle S, Timmermans F, Van Heuverswyn F. Left bundle branch area pacing usingstylet-driven pacing leads with a new delivery sheath: a comparison with lumen-less leads. J Cardiovasc Electrophysiol. 2020:1-10.
    1. Zanon F, Marcantoni L, Pastore G, Baracca E. Left bundle branch pacing by standard stylet-driven lead: preliminary experience of two case reports. Heart Rhythm Case Reports. 2020;6:614-617.
    1. Huang W, Chen X, Su L, Wu S, Xia X, Vijayaraman P. A beginner's guide to permanent left bundle branch pacing. Heart Rhythm. 2019;16:1791-1796.

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