"Poor man's" left bundle branch area pacing as a bailout strategy: a case series and a practical guide of stylet-driven LBBAP without sheath support.

Abstract

Left bundle branch area pacing (LBBAP) is a physiological pacing method as it yields narrow QRS complexes and minimizes the risk of asynchronous ventricular activation. Due to its numerous advantages, it has gained wide acceptance among electrophysiologists. We explain a simplified technique of LBBAP with a conventional stylet-driven lead without use of sheath support and demonstrate its feasibility in a case series with four patients.