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Updated: May 16, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
Left Bundle Branch Area Pacing with a Defibrillator Lead in a Patient with Recurrent Ventricular Tachycardia and
Arindam Pande1, Dilip Kumar1, Rabin Chakraborty2
1Manipal EM Bypass Hospital, Kolkata, India.
Abstract:
Left bundle branch area (LBBA) pacing is an innovative approach for permanent cardiac pacing. Combining LBBA pacing with an implantable cardioverter-defibrillator (ICD) system can reduce the number of leads required in patients who need both therapies, thereby lowering hardware burden, reducing costs, and potentially improving safety. In this case report, we describe the successful implantation of an ICD lead for LBBA pacing. To our knowledge, this represents the first documented instance of achieving LBBA pacing with an ICD lead positioned using a manually shaped stylet.
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