Characteristics of paced waveforms and current of injury prior to septal perforation during left bundle branch area pacing

EP Europace 2026 Open access

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Authors: Maciej Dyrbuś, Samuel Stempfel, Valérian Valiton, Heli Tolppanen, Haran Burri
DOI: 10.1093/europace/euag185
Cited by: 1
References: 10

Abstract

We describe paced intracardiac electrogram waveforms during left bundle branch area pacing lead deployment which resulted in complete septal perforation during continuous pacing in 21 patients. Characteristics that may herald perforation are described, helping implanters avoid this adverse event.

Fields of Study & Subjects

Cardiac pacing and defibrillation studies Cardiac electrophysiology and arrhythmias Pain Management and Treatment

Publication details

Journal / source
EP Europace
Publisher
Oxford University Press (OUP)
Volume
28
Issue
7
Publication date
1 July 2026
Language
EN