Coronary artery complications after left bundle branch area pacing: An increasingly reported issue in the era of physiologic pacing.

Autor: Ferrari ADL; Hospital São Lucas, Pontifícia Universidade Católica do Rio grande do Sul (PUCRS), Porto Alegre, Brazil., Klafke LH; Hospital São Lucas, Pontifícia Universidade Católica do Rio grande do Sul (PUCRS), Porto Alegre, Brazil., Soccol R; Hospital São Lucas, Pontifícia Universidade Católica do Rio grande do Sul (PUCRS), Porto Alegre, Brazil., Abelin AP; Instituto do Coração de Santa Maria (ICOR), Santa Maria, Brazil., Piantá RM; Hospital São Lucas, Pontifícia Universidade Católica do Rio grande do Sul (PUCRS), Porto Alegre, Brazil., Caramori PRA; Hospital São Lucas, Pontifícia Universidade Católica do Rio grande do Sul (PUCRS), Porto Alegre, Brazil., Chemello D; Instituto do Coração de Santa Maria (ICOR), Santa Maria, Brazil.; Postgraduate Program in Gerontology, Universidade Federal de Santa Maria (UFSM), Santa Maria, Brazil.
Jazyk: angličtina
Zdroj: Pacing and clinical electrophysiology : PACE [Pacing Clin Electrophysiol] 2024 Jan; Vol. 47 (1), pp. 101-105. Date of Electronic Publication: 2023 May 09.
DOI: 10.1111/pace.14710
Abstrakt: Coronary artery lesions related to pacemaker implantation are rare complications. With the increasing adoption of the technique of permanent transseptal pacing of the left bundle branch area pacing (LBBAP), an increase in the incidence of these complications may be expected. We report two cases of coronary lesions after permanent transeptal pacing of the LBBAP: the first with a small coronary artery fistula, and the second with an extrinsic coronary compression. Both complications occurred with stylet-driven pacing leads with extendable helix. In the first case, since the shunt volume was small and no major complications were reported, the patient was treated conservatively with good outcome. The second case required lead repositioning due to acute decompensated heart failure.
(© 2023 Wiley Periodicals LLC.)
Databáze: MEDLINE
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