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• W4377015513 abstract "Left bundle branch area pacing (LBBAP) is increasingly being used. Few cases have been reported using a fixed helix, stylet driven lead (Fineline II Sterox EZ, Boston Scientific). Moreover, given the lead’s design, in which the pacing electrode is not located in the screw but rather at the base of the screw, concerns about a higher risk of inadvertent perforation exist. To describe the procedural characteristics of LBBAP using a fixed helix stylet driven lead. Consecutive patients undergoing LBBAP using the Fineline II lead were included. The last consecutive patients undergoing LBBAP with different leads were used as control in a 2:1 ratio. Before implant, the lead tip was inserted 30 seconds in saline to dissolve the polyethylene glycol helix cover. LBBAP lead was inserted using a commercially available sheath (SSPC2 or SSPC3, Boston Scientific) and inserted using the standard technique. After left bundle branch capture was obtained, the stylet was fully inserted into the lead and the lead was pushed to determine inadvertent septal perforation. The first primary endpoint was procedural success. The second primary endpoint was procedure related complications, including septal perforation. Secondary endpoints included procedural time and fluoroscopy time. Between October 2022 and November 2022, a total of 54 patients (mean age 70.6±11 years, 29.6% female) underwent LBBAP. In 18 patients the Fineline II lead was used. There were no significant differences in baseline characteristics. Procedural success was achieved in 96% of patients, with no differences between groups. There were no procedure related complications, including no cases of septal perforation. Patients in the Fineline II group had a trend towards shorter post procedural QRS duration (113.1±18.9 vs. 125.3±20.6, p = 0.05). No significant differences in fluoroscopy time or procedural time were found. Procedural success can be achieved in a high percentage of patients using the Fineline II Sterox Ez, without any cases of inadvertent septal perforation. Current concerns regarding the theoretical risks associated with this lead are unjustified. Interestingly, a trend towards shorter QRS duration (possibly related to the location of the pacing electrode closer to the midseptum) was observed when using Fineline II leads." @default.
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• W4377015513 date "2023-05-01" @default.
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• W4377015513 title "PO-02-029 USE OF AN ACTIVE FIXATION, STYLET DRIVEN LEAD DURING LEFT BUNDLE BRANCH AREA PACING" @default.
• W4377015513 doi "https://doi.org/10.1016/j.hrthm.2023.03.835" @default.
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