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May 1, 2025Journal of Innovations in Cardiac Rhythm ManagementOpen Access

Right-sided Cardiac Resynchronization Therapy via Left Bundle Branch Area Pacing in a Patient with Persistent Left Superior Vena Cava

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Why the study?

Left-sided CRT implantation in patients with persistent left superior vena cava (PLSVC) is challenging or impossible, and right-sided implantation is tricky because delivery sheaths are designed for left-sided approaches.

Is right-sided CRT implantation via LBBAP feasible in a patient with persistent left superior vena cava?

Design

Case report

Authors

CMCan MenemencioğluUCUğur Canpolat

Discussion

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Member takes

Overview

Suggests right-sided LBBAP-CRT option in PLSVC; leaves open safety and reproducibility in larger series.

Structured PICO

Is right-sided CRT implantation via LBBAP feasible in a patient with persistent left superior vena cava?

P
Population
A patient with persistent left superior vena cava (PLSVC) requiring cardiac resynchronization therapy (n=1)
I
Intervention
Right-sided cardiac resynchronization therapy (CRT) implantation via left bundle branch area pacing (LBBAP)
O
Outcome
Procedural success of right-sided CRT implantation via LBBAP

Right-sided CRT via LBBAP is a feasible alternative for patients with persistent left superior vena cava where left-sided implantation is challenging.

Cite This Study

Menemencioğlu et al. (2025) studied this question.

synapsesocial.com/papers/69ffcaf87e61d2a3f0c22e8dhttps://doi.org/10.19102/icrm.2025.16054
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