Left Bundle Branch Area Pacing From a Femoral Approach in a Patient Without Superior Access

Abstract

Limited venous access and lateral left ventricular scar are impediments to traditional cardiac resynchronization therapy. We present a case where placement of an implantable cardioverter-defibrillator from a femoral approach while using left bundle branch area pacing led to clinical improvement. (Level of Difficulty: Intermediate.)

Keywords

• cardiac resynchronization therapy
• femoral device
• left bundle branch area pacing
• left bundle branch block
• venous occlusion