Repositioning and Extraction of Stylet-Driven Pacing Leads with
Extendable Helix used for Left Bundle Branch Area Pacing.
Abstract: Conventional stylet-driven leads with extendable helix can be
implanted successfully for Left Bundle Branch Area Pacing (LBBAP) with a
low acute complication rate. However, removal and repositioning
techniques of these leads haven’t been yet described. We report 2 cases
in which lead repositioning after a first unsuccessful attempt to LBBAP
was associated with fracture of the helix rotating mechanism and failure
to fully extract the pacing lead.