The Lead Episode 125: A Discussion of Permanent Left Bundle Branch Area DF-4 Defibrillator Lead Implantation Feasibility, Procedural Caveats, Safety, and Follow-Up, LIVE at HRX-A Discussion of Permanent Left Bundle Branch Area DF-4 Defibrillator Lead Implantation Feasibility, Procedural Caveats, Safety, and Follow-Up, LIVE at HRX (Speaker Information)

A Discussion of Permanent Left Bundle Branch Area DF-4 Defibrillator Lead Implantation Feasibility, Procedural Caveats, Safety, and Follow-Up, LIVE at HRX (Speaker Information)

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Pdf Summary

This discussion centers on the feasibility, procedural considerations, safety, and follow-up outcomes of permanent left bundle branch area (LBB area) DF-4 defibrillator lead implantation. The conversation is based on a published article by Ghosh et al. in the Journal of Cardiovascular Electrophysiology. The session is hosted by Dr. Michael S. Lloyd from Emory University, with contributions from Drs. Miguel A. Leal (Emory University) and Jason T. Jacobson (Westchester Medical Center), all Fellows of the Heart Rhythm Society (FHRS).<br /><br />The panel reviews key procedural caveats related to implanting DF-4 defibrillator leads in the left bundle branch area—a site increasingly considered for conduction system pacing and defibrillation due to its physiological benefits. They discuss technical feasibility aspects, perioperative safety data, and follow-up findings that support this technique’s clinical viability.<br /><br />Discussions include potential challenges such as lead stability and sensing parameters, as well as strategies to mitigate risks, ensuring procedural success and patient safety. Emphasis is placed on long-term monitoring and managing complications associated with these implants.<br /><br />The contributors disclose relationships with device manufacturers: Dr. Jacobson has ties with Atlas 5D, Zoll Medical, Vektor Medical, Abbott Medical, and CardioFocus, while Dr. Leal consults and teaches for Medtronic, Arga Medtech, Circa Scientific, and serves on advisory boards for Boston Scientific. Dr. Lloyd’s disclosures are not specified.<br /><br />Overall, the session delivers an expert evaluation of permanent LBB area DF-4 defibrillator lead implantation, highlighting its promise and practical considerations in contemporary cardiac electrophysiology practice.

Keywords

left bundle branch area

DF-4 defibrillator lead

permanent implantation

cardiac electrophysiology

conduction system pacing

defibrillation

lead stability

perioperative safety

long-term follow-up

Heart Rhythm Society