Early Experience of Left Bundle Branch Pacing with Lumenless Lead in a Single Center: A Case Series

Gunawan, Evan Jim; Johan, Johan; Munawar, Dian Andina; Munawar, Dian Larasati; Hartono, Beny; Munawar, Muhammad

Journal SINTA 1

Early Experience of Left Bundle Branch Pacing with Lumenless Lead in a Single Center: A Case Series

ACTA MEDICA INDONESIANA · Vol. 56 No. 2 (2024)

ISSN: 2338-2732, 0125-9326
Published: 2024-07-16
Publisher: The Indonesian Society of Internal Medicine
Language: eng

Abstract

Left bundle branch pacing (LBBP) has been subject to increasing interest over the last few years due to its capacity for physiological conduction and its advantages compared to His bundle pacing. His bundle pacing has certain limitations, such as a small pacing area for the His bundle, a high threshold that leads to battery depletion, a low R-wave amplitude that may result in atrial or His oversensing, and ventricular signal undersensing. In this case series, four patients (two female and two male) aged 62.2 ± 8.4 years old with symptomatic sick sinus disease and no scar tissue in the interventricular septum underwent LBBP. All LBBPs were done with standard LBBP using a lumenless SelectSecure 3830 lead (Medtronic®, Minneapolis, USA) with a fixed helix. The lead parameters showed a good R-wave amplitudes (13 ± 7.4 mV) and a low threshold (0.77 ± 0.17 V @ 0.4 ms). All patients were discharged on the next day. During follow-up period of 13.3 ± 12.9 months, all patients were well and no complications were noted. In conclusion, LBBP may be as an alternative of novel conduction pacing techniques and can be done relatively easy and safe, even with limited experience center.

Keywords

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17 authors · 42 co-authorship links

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State University of Semarang
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Co-author	Organisation	Joint articles
Muhammad Fadil	Affiliation unknown	3
Fadhil Pratama Apriansyah	Affiliation unknown	3
Darwin Indra	Affiliation unknown	3
Noerlina Noerlina	Affiliation unknown	1
Yuliana Yoswara	Affiliation unknown	1
Fergyanto E Gunawan	Affiliation unknown	1
Rano Kartono Rahim	Affiliation unknown	1
Mohammad Hamsal	Affiliation unknown	1
Bunyamin Bunyamin	State University of Semarang	1
Sintha Wahjusaputri	Affiliation unknown	1
Tashia Indah Nastiti	Affiliation unknown	1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, first harvested 8 Nov 2026, last seen 8 Nov 2026.

Original metadata (oai_dc)

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	<dc:title xml:lang="en-US">Early Experience of Left Bundle Branch Pacing with Lumenless Lead in a Single Center: A Case Series</dc:title>
	<dc:creator>Gunawan, Evan Jim</dc:creator>
	<dc:creator>Johan, Johan</dc:creator>
	<dc:creator>Munawar, Dian Andina</dc:creator>
	<dc:creator>Munawar, Dian Larasati</dc:creator>
	<dc:creator>Hartono, Beny</dc:creator>
	<dc:creator>Munawar, Muhammad</dc:creator>
	<dc:subject xml:lang="en-US">Left bundle pacing</dc:subject>
	<dc:subject xml:lang="en-US">sick sinus syndrome</dc:subject>
	<dc:subject xml:lang="en-US">pacemaker</dc:subject>
	<dc:subject xml:lang="en-US">Cardiology</dc:subject>
	<dc:description xml:lang="en-US">Left bundle branch pacing (LBBP) has been subject to increasing interest over the last few years due to its capacity for physiological conduction and its advantages compared to His bundle pacing. His bundle pacing has certain limitations, such as a small pacing area for the His bundle, a high threshold that leads to battery depletion, a low R-wave amplitude that may result in atrial or His oversensing, and ventricular signal undersensing. In this case series, four patients (two female and two male) aged 62.2 ± 8.4 years old with symptomatic sick sinus disease and no scar tissue in the interventricular septum underwent LBBP. All LBBPs were done with standard LBBP using a lumenless SelectSecure 3830 lead (Medtronic®, Minneapolis, USA) with a fixed helix. The lead parameters showed a good R-wave amplitudes (13 ± 7.4 mV) and a low threshold  (0.77 ± 0.17 V @ 0.4 ms). All patients were discharged on the next day. During follow-up period of 13.3 ± 12.9 months, all patients were well and no complications were noted. In conclusion, LBBP may be as an alternative of novel conduction pacing techniques and can be done relatively easy and safe, even with limited experience center. </dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2024-07-16</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/2449</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 56 No. 2 (2024): Acta Medica Indonesiana; 227</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/2449/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2024 Evan Jim Gunawan, Johan Senihardja, Dian Andina Munawar, Beny Hartono, Muhammad Munawar, Dian Larasati Munawar</dc:rights>
</oai_dc:dc>