Ideal pacing lead for LBBAP
Comparison of both stylet-driven and lumen-less pacing leads, has
demonstrated similar performance. Yet, the lack of a revolving connector
pin represents in our opinion a limitation with the current implant
technique using lumen-less pacing leads. Beyond some advantages in terms
of steerability and septum penetration, and despite the fragility of the
screwing mechanism[14], we have found the possibility of continuous
pace-mapping during transseptal implantation a major advantage when
using stylet driven pacing leads. In our opinion, future development of
specific leads for LBBAP should allow for continuously monitoring of the
pacing characteristics.