Volume 36, Issue 4 pp. 905-908
CASE REPORT

A Case of Intraoperative Changes in the Nonselective Left Bundle Branch Pacing Morphology: Is Lead Dislodgment the Cause?

Naoki Matsumoto

Naoki Matsumoto

Department of Cardiology, Osaka City General Hospital, Osaka, Japan

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Kenji Shimeno

Corresponding Author

Kenji Shimeno

Department of Cardiology, Osaka City General Hospital, Osaka, Japan

Correspondence: Kenji Shimeno ([email protected])

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Masanori Matsuo

Masanori Matsuo

Department of Cardiology, Osaka City General Hospital, Osaka, Japan

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Yukio Abe

Yukio Abe

Department of Cardiology, Osaka City General Hospital, Osaka, Japan

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Daiju Fukuda

Daiju Fukuda

Department of Cardiovascular Medicine, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan

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First published: 27 February 2025

ABSTRACT

Introduction

The QRS morphology in left bundle branch area pacing (LBBAP) is utilized to assess procedural success and to confirm left bundle branch (LBB) capture.

Methods and Results

We present a case in which the QRS morphology of the left bundle branch pacing (LBBP) changed during the procedure despite the maintenance of LBB capture throughout.

Conclusion

This case highlights the necessity for operators to be aware of this pitfall and raises potential questions regarding the determination of LBB capture.

Conflicts of Interest

The authors declare no conflicts of interest.

Data Availability Statement

The data underlying the results are available in this article.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.