Septal scar as a barrier to left bundle branch area pacing.
Nadine AliAhran D ArnoldAlejandra A MiyazawaDaniel KeeneNicholas S PetersPrapa KanagaratnamNorman QureshiFu Siong NgNick W F LintonDavid C LefroyDarrel P FrancisPhang Boon LimPeter KellmanMark A TannerAmal MuthumalaMatthew Shun-ShinZachary I WhinnettGraham D ColePublished in: Pacing and clinical electrophysiology : PACE (2023)
The presence of septal scar appears to make it more challenging to deploy a lead to the left ventricular septum via the transeptal route. Additional implant tools or alternative approaches may be required in patients with extensive septal scar.