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Open Access 05-06-2024 | Atrioventricular Block | Case Report

The unexpected complications of the left bundle branch area pacing (LBBAP) maneuver: a case report

Authors: Soyoon Park, Young Choi, Yong-Seog Oh, Sung-Hwan Kim

Published in: International Journal of Arrhythmia | Issue 1/2024

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Abstract

Background

The lead of left bundle branch area pacing (LBBAP) inserted into the muscular septum will make the transvenous lead extraction (TLE) of LBBAP more challenging and because in LBBAP ventricular lead (V lead) should be inserted into the part of the septum, damage to the vessel near the lead could occur. The case reports introduced the complications of LBBAP previously introduced, but not being considered in detail.

Case presentation

The two patients (76-year-old man, 90-year-old man) with a complete atrioventricular block (CAVB) undergoing the LBBAP procedure experienced complications related to the procedure. The complications were abrupt dysfunction of V lead and damage to the septal vein in the process of the procedure, respectively. Fortunately, they were discharged without any other complications.

Conclusions

A deliberate approach for the procedure would be needed as well as successful insertion appropriate for the protocol of LBBAP. And long-term follow-up of complications should be needed.
Literature
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Metadata
Title
The unexpected complications of the left bundle branch area pacing (LBBAP) maneuver: a case report
Authors
Soyoon Park
Young Choi
Yong-Seog Oh
Sung-Hwan Kim
Publication date
05-06-2024
Publisher
BioMed Central
Published in
International Journal of Arrhythmia / Issue 1/2024
Electronic ISSN: 2466-1171
DOI
https://doi.org/10.1186/s42444-024-00113-w

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