Left Bundle Branch Area Pacing From a Femoral Approach in a Patient Without Superior Access

Bishnu P Dhakal; Stuart B Prenner; Edward R Magargee; Danesh S Modi; Colin Movsowitz; Robert D Schaller

doi:10.1016/j.jaccas.2023.101748

Left Bundle Branch Area Pacing From a Femoral Approach in a Patient Without Superior Access

JACC Case Rep. 2023 Jan 30:9:101748. doi: 10.1016/j.jaccas.2023.101748. eCollection 2023 Mar 1.

Authors

Bishnu P Dhakal¹, Stuart B Prenner², Edward R Magargee³, Danesh S Modi³, Colin Movsowitz³, Robert D Schaller¹

Affiliations

¹ Section of Cardiac Electrophysiology, Cardiovascular Division, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
² Department of Medicine, Cardiovascular Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
³ Cardiology Consultants of Philadelphia, Einstein Medical Center Montgomery, East Norriton, Pennsylvania, USA.

Abstract

Limited venous access and lateral left ventricular scar are impediments to traditional cardiac resynchronization therapy. We present a case where placement of an implantable cardioverter-defibrillator from a femoral approach while using left bundle branch area pacing led to clinical improvement. (Level of Difficulty: Intermediate.).

Keywords: BiV, biventricular; CS, coronary sinus; ICD, implantable cardioverter-defibrillator; LBBAP, left bundle branch area pacing; LV, left ventricular; RV, right ventricle; cardiac resynchronization therapy; femoral device; left bundle branch area pacing; left bundle branch block; venous occlusion.

Publication types

Case Reports