Radiofrequency-assisted removal of an entrapped retractable active-fixation helix during left bundle branch area pacing implantation

HeartRhythm Case Reports 2026 Open access

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Authors: Serkan Çay, Muhammet Raşit Sayın, Ugur Canpolat
DOI: 10.1016/j.hrcr.2026.03.013
Cited by: 2
References: 10

Abstract

Left bundle branch area pacing (LBBAP) has emerged as an effective physiological pacing strategy for patients with heart failure and left bundle branch block by restoring near-normal ventricular activation. As adoption increases, unique procedure-related complications are being recognized, including entrapment of the active fixation helix within the interventricular septum, particularly with stylet-driven leads featuring retractable helices. In this setting, forceful extraction may result in helix fracture, lead unraveling, or septal injury.

Fields of Study & Subjects

Cardiac pacing and defibrillation studies Cardiac Valve Diseases and Treatments Shoulder Injury and Treatment

Publication details

Journal / source
HeartRhythm Case Reports
Publisher
Elsevier BV
Volume
12
Issue
6
Pages
608–612
Publication date
24 March 2026
Language
EN