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Case Reports
. 2021 Aug;32(8):2346-2349.
doi: 10.1111/jce.15155. Epub 2021 Jul 16.

Late dislodgement of left bundle branch pacing lead and successful extraction

Shunmuga Sundaram Ponnusamy  1 , Pugazhendhi Vijayaraman  2
Affiliations
Case Reports

Late dislodgement of left bundle branch pacing lead and successful extraction

Shunmuga Sundaram Ponnusamy et al. J Cardiovasc Electrophysiol. 2021 Aug.

Abstract

A 61-years-old male underwent left bundle branch pacing for nonischemic dilated cardiomyopathy with recurrent heart failure. Left bundle branch pacing (LBBP) resulted in reduction in QRS duration along with improvement in left ventricular ejection fraction (LVEF) to 64% during follow-up. Two years after implantation he had recurrence of symptoms along with decline in LVEF to 51%. Late lead dislodgement was diagnosed and re-do LBBP was planned. The lead was extracted en-masse without complication and a new 3830 lead was positioned deep inside the proximal septum to capture the left bundle. Postprocedure echocardiography showed no ventricular septal defect or damage to tricuspid leaflet.

Keywords: late dislodgement; lead extraction; left bundle branch pacing.

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References

REFERENCES

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