Case Report: Extraction of a stylet-driven lead for left bundle branch area pacing >2 years after implantation.

ABSTRACT: Left bundle branch pacing has recently emerged as a significant alternative to right ventricular pacing. The rate of implanted stylet-driven septal leads is expected to increase substantially in the coming years, along with the need to manage long-term complications. Experience in extracting these leads is currently very limited; however, the number of complex extractions is anticipated to increase in the future. We report a complex case involving the extraction of a long-dwelling Solia lead used for left bundle branch pacing in a 21-year-old man. The lead was extracted through the implant vein 27 months after implantation, using a methodology that involved a locking stylet and compression coil. The new lead insertion was challenging due to venous occlusion but after successful venoplasty,

SUBMITTER: Romic IG 

PROVIDER: S-EPMC11381278 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature