Arrhythmias & electrophysiology

Procedural outcome and follow-up of stylet-driven leads compared with lumenless leads for left bundle branch area pacing

EuropacePublished Prospective cohort study

Authors' conclusion

Left bundle branch area pacing may be safely and effectively performed using either LLLs or SDLs, which provides implanters with alternatives for delivering this therapy.

Study context

Population
Consecutive patients undergoing left bundle branch area pacing (LBBAP) implantationage 77 ± 11 years, 183 males
Participants
306 patients
Exposure
Stylet-driven leads vs lumenless leads for LBBAP
Outcome
LBBAP implantation success rate by initial lead type
Methodological detailssingle-centre, consecutive patients
  • Single-centre
  • Consecutive patients

Main finding

As reported in the abstract

Success rate

P = 0.56

Observational data: associations, not effects.

Further findings

Success by lead model

No significant differences in success between lead models

ECG and electrical parameters

Comparable between the groups

Safety

Post-operative macro-dislodgement · essentially within the first day

Overall macro-dislodgement, no differences between groups
4.3%

Presumed micro-dislodgement (loss of conduction system capture or rise in threshold) · mostly during the first month

Overall micro-dislodgement, no differences between groups
4.7%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Procedural outcome and follow-up of stylet-driven leads compared with lumenless leads for left bundle branch area pacing. Europace. Published 28 September 2023. doi:10.1093/europace/euad295

Composed by AI from the published abstract and checked against it. How Briefs are made →

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