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Unintentional Septal Arterial Entry During Left Bundle Branch Area Pacing

Jacopo Costantino1, Barbara Romani2, Lorenzo Maria Zuccaro2

  • 1Department of Cardiology, Ospedale San Pietro Fatebenefratelli, Rome, Italy; Department of Clinical, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy; Department of Medicine, University of Padova, Padova, Italy.

JACC. Case Reports
|November 29, 2025
PubMed
Summary

Left bundle branch area pacing (LBBAP) can rarely cause vascular staining due to deep septal lead placement. Prompt repositioning and imaging guidance ensure patient safety and optimal pacing outcomes.

Keywords:
leadleft bundle branch area pacingpacemakervascular staining

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