Do stylet-driven leads provide different clinical outcomes or lead performance compared to lumenless leads for conduction system pacing?
Current evidence suggests comparable performance between stylet-driven and lumenless leads for conduction system pacing, with selection depending on operator experience.
Stylet-driven leads have been recently introduced for conduction system pacing, while most of the previous experience has been obtained with lumenless leads. Design and structural characteristics of both lead types are significantly different, resulting in different implant techniques and independent learning curves. Lead performance appears to be comparable, whereas data on direct comparison of clinical outcomes are scarce. Currently, there are no specific clinical scenarios favouring the use of one lead type over another and the decision should rely on the individual experience of the implanter.
Cano et al. (Fri,) studied this question.