Key result
Standard ICD leads for LBBAP achieve ~92% safe implantation success with adequate defibrillation.
Why the study?
Is implantation of a standard implantable cardioverter-defibrillator lead for left bundle branch area pacing feasible and safe?
Is implantation of a standard implantable cardioverter-defibrillator lead for left bundle branch area pacing feasible and safe?
This case series demonstrates the initial feasibility and safety of using standard ICD leads for left bundle branch area pacing.
Should not yet change LBBAP lead selection; hypothesis-generating for standard ICD leads and requires prospective validation.
The authors report for the first time to their knowledge, implantation of a standard implantable cardioverter-defibrillator lead for permanent delivery of left bundle branch area pacing. Implantation was successful and safe in 11 of 12 patients, with adequate defibrillation testing, good electrical and electrocardiographic parameters, and uneventful device-related short-term follow-up.
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Imnadze et al. (2024) studied this question. Standard implantable cardioverter-defibrillator leads for left bundle branch area pacing were successfully and safely implanted in 11 of 12 patients, with adequate defibrillation testing.
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