Case report: Three-dimensional printing as an educational tool for optimal lead positioning to left bundle branch...

Area of Science:

• Cardiovascular Interventions
• Medical Device Technology
• Cardiac Electrophysiology

Background:

• Left bundle branch pacing (LBBP) is increasingly utilized for physiological cardiac pacing.
• Successful LBBP requires precise lead tip orientation, perpendicular to the interventricular septum (IVS).
• Lead placement challenges can lead to LBBP procedural failure.

Observation:

• Three-dimensional (3D) printing offers a novel approach for simulating cardiovascular interventions.
• A patient-specific 3D heart model was generated from a case with successful LBBP.
• The 3D model accurately depicted the lead tip positioned perpendicularly to the IVS.

Findings:

• The 3D printed heart model successfully demonstrated the optimal lead tip orientation for LBBP.
• This visualization confirmed the perpendicular relationship between the lead tip and the IVS in a successful case.
• The model serves as a valuable tool for understanding critical lead placement parameters.

Implications:

• 3D printing technology can enhance the understanding of optimal lead placement in LBBP.
• This approach has the potential to significantly shorten the learning curve for early-career operators.
• Utilizing 3D models may improve procedural success rates and patient outcomes for LBBP.