Key result
Placement of an implantable cardioverter-defibrillator from a femoral approach using left bundle branch area pacing led to clinical improvement in a patient without superior access.
Why the study?
Limited venous access and lateral left ventricular scar present impediments to traditional cardiac resynchronization therapy.
Does placement of an implantable cardioverter-defibrillator from a femoral approach using left bundle branch area pacing improve clinical status in a patient without superior access?
Does placement of an implantable cardioverter-defibrillator from a femoral approach using left bundle branch area pacing improve clinical status in a patient without superior access?
Femoral approach for ICD placement with left bundle branch area pacing may be a viable alternative for patients lacking superior venous access.
Hypothesis-generating for femoral ICD with LBBAP when superior access is unavailable; larger studies required before clinical consideration.
Limited venous access and lateral left ventricular scar are impediments to traditional cardiac resynchronization therapy. We present a case where placement of an implantable cardioverter-defibrillator from a femoral approach while using left bundle branch area pacing led to clinical improvement. (Level of Difficulty: Intermediate.)
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Dhakal et al. (2023) studied this question. Placement of an implantable cardioverter-defibrillator from a femoral approach using left bundle branch area pacing led to clinical improvement in a patient without superior access.
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