Key result
Case reports transvenous extraction of a 14-year-old lumenless His bundle pacing lead.
Why the study?
Data are lacking on transvenous lead extraction of very old His bundle pacing leads, with concerns regarding conduction system injury and the lack of a lumen for locking stylets.
Case Report (n=1)
This case report demonstrates the feasibility of transvenous lead extraction for a very old, lumenless His bundle pacing lead.
Answers are grounded in this paper and cite their sources.
May guide extraction decisions for aged His bundle leads; leaves open need for safety data in larger cohorts.
Permanent His bundle pacing (HBP) has rapidly been adapted into clinical practice in recent years as a physiologic pacing. The 3830 (Medtronic Inc, MN, USA) pacing lead commonly used for HBP is lumenless, and there are limited reports available on extraction of this lead. No data exists on transvenous lead extraction (TLE) of very old HBP lead. Concerns remain about injury to the conduction system during extraction and the lack of lumen for placing a locking stylet for TLE when powered sheaths are required. We reported a unique case of TLE of very old HBP lead (14 years and 3 months) and other two leads, such as passive atrial and passive right ventricular apex backup.
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Migliore et al. (2021) conducted a case report in His bundle pacing lead extraction (n=1). Transvenous lead extraction was evaluated. Transvenous lead extraction of a 14-year-old lumenless His bundle pacing lead, alongside passive atrial and right ventricular leads, was reported in a unique case.
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