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

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

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.

Publication types

  • Case Reports

MeSH terms

  • Bundle of His
  • Cardiac Pacing, Artificial*
  • Electrocardiography
  • Heart Conduction System
  • Humans
  • Ventricular Septum*