Key result
Venous complications during left bundle branch area pacing may be related to contrast injection maneuvers and could potentially be mitigated by following a stepwise approach.
Highlights the risk of venous complications during LBBAP contrast injection and recommends a stepwise approach to septography to minimize these events.
Permanent transseptal left bundle branch area pacing (LBBAP) is a promising technique developed to avoid the detrimental effects of pacing-induced dyssynchrony with right ventricular (RV) pacing, by offering more physiologic activation of the heart. Lesions to tributary veins of the coronary sinus have been increasingly reported, mostly associated with venous fistula or venous septal system infringement. Despite being mostly benign, venous complications may be related to the maneuver of contrast injection through the sheath and failure to follow simple but essential steps.
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Ferrari et al. (2023) studied Left bundle branch area pacing (LBBAP) complications. Stepwise approach to septography contrast injection was evaluated. Venous complications during left bundle branch area pacing may be related to contrast injection maneuvers and could potentially be mitigated by following a stepwise approach.
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