Lumenless leads have the potential to improve the durability of endocardial pacing and facilitate conduction system pacing compared to traditional stylet-based designs.
Lumenless pacing leads, such as the 3830, may offer improved durability and facilitate conduction system pacing compared to traditional stylet-based designs.
Most currently available pacing and defibrillation leads utilize a stylet-based design that facilitates implantation. This has advantages, but also increases the lead diameter and adds the potential for metal fatigued-based conductor failure. A systematic literature search was conducted, and the authors add their twenty-year experience with this lead design. The global experience with lumenless leads was reviewed both for "standard" positioning and with conduction system pacing. Methods for both placement and system modification are reviewed. Lumenless leads have the potential to improve the durability of endocardial pacing and facilitate conduction system pacing.
Richardson et al. (Sun,) conducted a review in Pacing and defibrillation. Lumenless 3830 pacing lead vs. Stylet-based leads was evaluated. Lumenless leads have the potential to improve the durability of endocardial pacing and facilitate conduction system pacing compared to traditional stylet-based designs.