{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:27:55Z","timestamp":1790738875809,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T00:00:00Z","timestamp":1672358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Left bundle branch area pacing (LBBP) has emerged as an alternative method for conduction system pacing. While initial experience with delivery systems for stylet\u2010driven and lumenless lead implantation for LBBP has been described, data comparing outcomes of stylet\u2010driven versus lumenless lead implantation for LBBP are limited. In this study, we compare success rates and outcomes of LBBP with stylet\u2010driven versus lumenless lead delivery systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010three consecutive patients (mean age 74.1\u2009\u00b1\u200911.2 years; 56 [68%] male) undergoing attempted LBBP at a single institution were identified. Cases were grouped by lead delivery systems used: stylet\u2010driven (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200953) or lumenless (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930). Baseline characteristics and procedural findings were recorded and compared between the cohorts. Intermediate\u00a0term follow\u2010up data on ventricular lead parameters were also compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline characteristics were similar between groups. Successful LBBP was achieved in 77% of patients, with similar success rates between groups (76% in stylet\u2010driven, 80% in lumenless,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.79), and rates of adjudicated LBB capture and other paced QRS parameters were also similar. Compared with the lumenless group, the stylet\u2010driven group had significantly shorter procedure times (90\u2009\u00b1\u20094 vs. 112\u2009\u00b1\u200931\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004) and fluoroscopy times (10\u2009\u00b1\u20095 vs. 15\u2009\u00b1\u20096\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). Ventricular lead parameters at follow\u2010up were similar, and rates of procedural complications and need for lead revision were low in both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Delivery systems for stylet\u2010driven and for lumenless leads for LBBP have comparable acute success rates. Long\u2010term follow\u2010up of lead performance following use of the various delivery systems is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.15789","type":"journal-article","created":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T04:05:15Z","timestamp":1672027515000},"page":"710-717","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Initial experience with stylet\u2010driven versus lumenless lead delivery systems for left bundle branch area pacing"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5290-9089","authenticated-orcid":false,"given":"Eric D.","family":"Braunstein","sequence":"first","affiliation":[{"name":"Division of Cardiology, Weill Cornell Medicine NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth D.","family":"Kagan","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Weill Cornell Medicine NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9124-0952","authenticated-orcid":false,"given":"David S.","family":"Olshan","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Weill Cornell Medicine NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1095-6626","authenticated-orcid":false,"given":"James K.","family":"Gabriels","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Weill Cornell Medicine NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7158-8305","authenticated-orcid":false,"given":"George","family":"Thomas","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Weill Cornell Medicine NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3461-505X","authenticated-orcid":false,"given":"James E.","family":"Ip","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Weill Cornell Medicine NewYork\u2010Presbyterian Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3401-8933","authenticated-orcid":false,"given":"Steven M.","family":"Markowitz","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Weill Cornell Medicine NewYork\u2010Presbyterian Hospital  New York New York 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