{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T02:49:55Z","timestamp":1793155795895,"version":"4.5.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T00:00:00Z","timestamp":1695859200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"GeCOR"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Left bundle branch area pacing (LBBAP) is most often delivered using lumenless leads (LLLs), but may also be performed using stylet-driven leads (SDLs). There are limited reports on the comparison of these tools, mainly limited to reports describing initial operator experience or without detailed procedural data. Our aim was to perform an in-depth comparison of SDLs and LLLs for LBBAP at implantation and follow-up in a larger cohort of patients with experience that extends beyond that of the initial learning curve.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>A total of 306 consecutive patients (age 77 \u00b1 11 years, 183 males) undergoing LBBAP implantation at a single centre were prospectively included. The population was split into two groups of 153 patients based on the initial use of an SDL (from 4 manufacturers) or an LLL. After having discounted the initial learning curve of 50 patients, there was no difference in the success rate between the initial use of lead type (96.0% with SDL vs. 94.3% with LLL, P = 0.56). There were no significant differences in success between lead models. Electrocardiogram and electrical parameters were comparable between the groups. Post-operative macro-dislodgement occurred in 4.3% of patients (essentially within the first day following implantation) and presumed micro-dislodgement with loss of conduction system capture or rise in threshold (occurring mostly during the first month) was observed in 4.7% of patients, without differences between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Left bundle branch area pacing may be safely and effectively performed using either LLLs or SDLs, which provides implanters with alternatives for delivering this therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euad295","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T08:24:47Z","timestamp":1695716687000},"source":"Crossref","is-referenced-by-count":56,"title":["Procedural outcome and follow-up of stylet-driven leads compared with lumenless leads for left bundle branch area pacing"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0195-3792","authenticated-orcid":false,"given":"Aarthiga","family":"Sritharan","sequence":"first","affiliation":[{"name":"Cardiac Pacing Unit, Department of Cardiology, University Hospital of Geneva , Rue Gabrielle-Perret-Gentil 4, CH-1211 Gen\u00e8ve , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2086-3690","authenticated-orcid":false,"given":"Nikola","family":"Kozhuharov","sequence":"additional","affiliation":[{"name":"Cardiac Pacing Unit, Department of Cardiology, University Hospital of Geneva , Rue Gabrielle-Perret-Gentil 4, CH-1211 Gen\u00e8ve , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Masson","sequence":"additional","affiliation":[{"name":"Cardiac Pacing Unit, Department of Cardiology, University Hospital of Geneva , Rue Gabrielle-Perret-Gentil 4, CH-1211 Gen\u00e8ve , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0824-0506","authenticated-orcid":false,"given":"Elise","family":"Bakelants","sequence":"additional","affiliation":[{"name":"Cardiac Pacing Unit, Department of Cardiology, University Hospital of Geneva , Rue Gabrielle-Perret-Gentil 4, CH-1211 Gen\u00e8ve , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4118-2915","authenticated-orcid":false,"given":"Val\u00e9rian","family":"Valiton","sequence":"additional","affiliation":[{"name":"Cardiac Pacing Unit, Department of Cardiology, University Hospital of Geneva , Rue Gabrielle-Perret-Gentil 4, CH-1211 Gen\u00e8ve , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4393-5338","authenticated-orcid":false,"given":"Haran","family":"Burri","sequence":"additional","affiliation":[{"name":"Cardiac Pacing Unit, Department of Cardiology, University Hospital of Geneva , Rue Gabrielle-Perret-Gentil 4, CH-1211 Gen\u00e8ve , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,9,28]]},"reference":[{"key":"2023101012342452200_euad295-B1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1093\/europace\/euab232","article-title":"2021 ESC guidelines on cardiac pacing and cardiac resynchronization therapy","volume":"24","author":"Glikson","year":"2022","journal-title":"Europace"},{"key":"2023101012342452200_euad295-B2","doi-asserted-by":"crossref","first-page":"4161","DOI":"10.1093\/eurheartj\/ehac445","article-title":"Left bundle branch area pacing outcomes: the multicentre European MELOS study","volume":"43","author":"Jastrzebski","year":"2022","journal-title":"Eur Heart J"},{"key":"2023101012342452200_euad295-B3","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.1093\/europace\/euad043","article-title":"EHRA clinical consensus statement on conduction system pacing implantation: endorsed by the Asia Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS), and Latin American Heart Rhythm Society (LAHRS)","volume":"25","author":"Burri","year":"2023","journal-title":"Europace"},{"key":"2023101012342452200_euad295-B4","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1093\/europace\/euac201","article-title":"Conduction system pacing in everyday clinical practice: EHRA physician survey","volume":"25","author":"Kircanski","year":"2023","journal-title":"Europace"},{"key":"2023101012342452200_euad295-B5","doi-asserted-by":"crossref","first-page":"euad019","DOI":"10.1093\/europace\/euad019","article-title":"Conduction system pacing, a European survey: insights from clinical practice","volume":"25","author":"Keene","year":"2023","journal-title":"Europace"},{"key":"2023101012342452200_euad295-B6","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1111\/jce.14851","article-title":"Left bundle branch area pacing using stylet-driven pacing leads with a new delivery sheath: a comparison with lumen-less leads","volume":"32","author":"De Pooter","year":"2021","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2023101012342452200_euad295-B7","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.1111\/jce.15528","article-title":"Use of extendable helix leads for conduction system pacing: differences in lead handling and performance lead design impacts conduction system pacing","volume":"33","author":"Tan","year":"2022","journal-title":"J Cardiovasc 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Endorsed by the Asia-Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS) and Latin-American Heart Rhythm Society (LAHRS)","volume":"25","author":"Burri","year":"2023","journal-title":"Europace"},{"key":"2023101012342452200_euad295-B10","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/j.hrthm.2022.01.018","article-title":"Electrophysiological characteristics of septal perforation during left bundle branch pacing","volume":"19","author":"Ponnusamy","year":"2022","journal-title":"Heart Rhythm"},{"key":"2023101012342452200_euad295-B11","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1093\/europace\/euab164","article-title":"The V6-V1 interpeak interval: a novel criterion for the diagnosis of left bundle branch capture","volume":"24","author":"Jastrz\u0119bski","year":"2022","journal-title":"Europace"},{"key":"2023101012342452200_euad295-B12","author":"Medtronic"},{"key":"2023101012342452200_euad295-B13","first-page":"156","article-title":"Deep septal deployment of a thin, lumenless pacing lead: a translational cadaver simulation study","volume":"22","author":"Jastrzebski","year":"2020","journal-title":"Europace"},{"key":"2023101012342452200_euad295-B14","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/j.jacep.2022.10.006","article-title":"Loss of capture during long term follow-up after left-bundle-branch-pacing","volume":"9","author":"Ponnusamy","year":"2023","journal-title":"JACC Clin Electrophysiol"},{"key":"2023101012342452200_euad295-B15","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1016\/j.jacep.2022.12.022","article-title":"Comparison of pacing performance and clinical outcomes between left bundle branch and His bundle pacing","volume":"9","author":"Tan","year":"2023","journal-title":"JACC Clin Electrophysiol"}],"container-title":["Europace"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/europace\/advance-article-pdf\/doi\/10.1093\/europace\/euad295\/51784803\/euad295.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/europace\/article-pdf\/25\/10\/euad295\/51976075\/euad295.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/europace\/article-pdf\/25\/10\/euad295\/51976075\/euad295.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T08:35:27Z","timestamp":1696926927000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/europace\/article\/doi\/10.1093\/europace\/euad295\/7284486"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,28]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10,5]]}},"URL":"https:\/\/doi.org\/10.1093\/europace\/euad295","relation":{},"ISSN":["1099-5129","1532-2092"],"issn-type":[{"value":"1099-5129","type":"print"},{"value":"1532-2092","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,10]]},"published":{"date-parts":[[2023,9,28]]},"article-number":"euad295"}}