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- Title
Coronary artery complications after left bundle branch area pacing: An increasingly reported issue in the era of physiologic pacing.
- Authors
Ferrari, Andrés Di Leoni; Klafke, Luís Henrique; Soccol, Ricardo; Abelin, Aníbal Pereira; Piantá, Ricardo Medeiros; Caramori, Paulo Ricardo Avancini; Chemello, Diego
- Abstract
Coronary artery lesions related to pacemaker implantation are rare complications. With the increasing adoption of the technique of permanent transseptal pacing of the left bundle branch area pacing (LBBAP), an increase in the incidence of these complications may be expected. We report two cases of coronary lesions after permanent transeptal pacing of the LBBAP: the first with a small coronary artery fistula, and the second with an extrinsic coronary compression. Both complications occurred with stylet‐driven pacing leads with extendable helix. In the first case, since the shunt volume was small and no major complications were reported, the patient was treated conservatively with good outcome. The second case required lead repositioning due to acute decompensated heart failure.
- Subjects
HYPERTENSION; HOSPITAL emergency services; CARDIAC pacing; TREATMENT effectiveness; HEART block; DYSPNEA; MUSCLE weakness; ELECTROCARDIOGRAPHY; CORONARY arteries; CARDIAC pacemakers; BRADYCARDIA; HIS bundle; HEART conduction system; HEART failure; VENTRICULAR septum
- Publication
Pacing & Clinical Electrophysiology, 2024, Vol 47, Issue 1, p101
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/pace.14710