Abstract
Left bundle branch pacing with lumenless leads usually requires disconnecting pacing cables during rotation, creating an electrical blind spot during septal advancement. We describe the "sliding-contact" technique, a zero-cost modification enabling continuous real-time monitoring. Retracting the rubber shroud of a standard sterile alligator pacing clip reduces jaw tension, allowing unrestricted lead pin rotation while preserving electrical continuity. In 42 consecutive cases, LBBAP was successfully performed without complications. Beat-to-beat feedback on QRS morphology, impedance, and injury current was maintained throughout rotation, improving procedural precision and safety without specialized equipment.
Recommended Citation
Marinaccio, Leonardo
(2026)
"CONTINUOUS PACING DURING LBBAP WITH A LUMENLESS LEAD: A SIMPLIFIED, ZERO-COST SLIDING-CONTACT TECHNIQUE,"
Journal of the Saudi Heart Association: Vol. 38
:
Iss.
4
, Article 2.
Available at: https://doi.org/10.37616/2212-5043.1535
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