Left bundle branch pacing after His bundle lead dysfunction due to physical activity in a pediatric patient Article Swipe
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· 2023
· Open Access
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· DOI: https://doi.org/10.1016/j.hrcr.2023.07.011
· OA: W4385155058
Key Teaching Points•His bundle pacing may not be suitable in all pediatric patients, as lead micro-dislodgement may occur in children who engage in physically vigorous activities.•Safe extraction of His bundle pacing leads is achievable; a mechanical rotating dilator sheath may be needed even in leads with a relatively short dwelling time.•Left bundle branch pacing may address the challenges of elevated thresholds and lead stability associated with His bundle pacing, enabling patients to maintain their active lifestyle. •His bundle pacing may not be suitable in all pediatric patients, as lead micro-dislodgement may occur in children who engage in physically vigorous activities.•Safe extraction of His bundle pacing leads is achievable; a mechanical rotating dilator sheath may be needed even in leads with a relatively short dwelling time.•Left bundle branch pacing may address the challenges of elevated thresholds and lead stability associated with His bundle pacing, enabling patients to maintain their active lifestyle.
