My preferred approach to left bundle branch area pacing: Stylet-driven leads.

Abstract

Left bundle branch area pacing (LBBAP) is emerging as an attractive pacing modality as it offers more physiologic pacing compared to standard right ventricular apical pacing and is associated with excellent pacing characteristics compared to His bundle pacing (HBP) 1-5. Left ventricular septal pacing (LVSP) via a transseptal route was first reported by Mafi rad in 2017 using a custom made pacing lead, a modification of the lumenless Select Secure model 3830 (Medtronic Inc), but with a prolonged helix of 4 mm1.