Customized Sheath Modification for Bachmann Bundle Area Pacing With a Stylet-Driven Lead.
Yousaku Okubo, Shogo Miyamoto, Shunsuke Ishida et al.
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Case in brief
Two patients underwent Bachmann bundle area pacing (BBp) using a modified standard ventricular delivery catheter. The catheter was shortened and reshaped through controlled heat molding, allowing stable placement of a stylet-driven lead at the high interatrial septum. This modification resulted in successful BBp with favorable electrical parameters.
Diagnostic / clinical pearl
Customized sheath modification can enhance the stability of lead placement in BBp, particularly when using stylet-driven leads.
Why it matters
This approach may improve the feasibility of BBp with conventional pacing systems, potentially expanding the options for patients requiring this intervention.