Intraluminal Lead Entry Into the Left Anterior Descending Coronary Artery With Left Bundle Branch Area Pacing
Francis J Ha1, Jagat Adhikari1, Sing Huey Cheng1
1Victorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health, Clayton, Victoria, Australia.
JACC. Case Reports
|February 19, 2026
Summary
Left bundle branch area pacing (LBBAP) carries a risk of lead perforation into the left anterior descending (LAD) coronary artery. This case highlights the potential for intraluminal lead entry during LBBAP procedures.
Area of Science:
- Cardiology
- Electrophysiology
- Interventional Cardiology
Background:
- Left bundle branch area pacing (LBBAP) is an emerging technique for transvenous pacing.
- Complications associated with LBBAP require careful consideration and reporting.
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