Extraction of stylet-driven pacing lead for left bundle branch area pacing

Area of Science:

• Cardiology
• Electrophysiology
• Medical Device Technology

Background:

• Left bundle branch area pacing (LBBAP) is an emerging technique for cardiac pacing.
• Pacing lead extraction can be challenging, especially after prolonged implantation periods.
• Ensuring safe and effective lead removal is crucial for patient outcomes.

Purpose of the Study:

• To report a successful extraction of a stylet-driven pacing lead from the LBBAP site.
• To describe the methodology used for lead extraction.
• To highlight the feasibility of lead removal after 10 months of implantation.

Main Methods:

• A case study detailing the extraction of a pacing lead.
• Utilized a standard stylet for the extraction procedure.
• Employed gentle counterclockwise rotations of the lead body during extraction.

Main Results:

• Successful extraction of the stylet-driven pacing lead from the LBBAP.
• The procedure was completed without any reported complications.
• Extraction occurred 10 months after the initial implantation.

Conclusions:

• Stylet-driven pacing leads implanted in the LBBAP can be safely extracted.
• Standard extraction techniques, including gentle rotation, are effective.
• This case demonstrates the feasibility of LBBAP lead removal even after a significant indwelling time.