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.