Left Bundle Branch Optimized Implantable Cardioverter Defibrillator (LOT-ICD) implantation in a Patient with Myotonic Dystrophy

Suleyman Cihan Kara; Mert Dogan; Uğur Canpolat

doi:10.58600/eurjther2038

Authors

Suleyman Cihan Kara Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Türkiye https://orcid.org/0009-0003-4868-8246
Mert Dogan Department of Cardiology, Hacettepe University, Faculty of Medicine, Ankara, Türkiye https://orcid.org/0000-0002-2965-058X
Uğur Canpolat Department of Cardiology, Hacettepe University, Faculty of Medicine, Ankara, Türkiye https://orcid.org/0000-0002-4250-1706

DOI:

https://doi.org/10.58600/eurjther2038

Keywords:

Implantable cardioverter defibrillator, left bundle branch pacing

Abstract

Left bundle branch (LBB) optimized implantable cardioverter defibrillator (LOT-ICD) is a recently emerged alternative to the standard biventricular pacing - ICD (BiVp-ICD). The IS-1 connector pin of the ICD lead was closed with a protective cap and the LBB pacing (LBBP) lead was inserted into the ICD generator at the ventricular P/S hole. Herein, we presented a myotonic dystrophy patient who underwent LOT-ICD device implantation because of a high degree of atrioventricular block and heart failure with mid-range ejection fraction. A DDD-ICD (DF-1) was implanted in our patient which has been attached to the atrial lead (RA hole), the LBBP lead (ventricular IS-1 hole), and the ICD lead (ventricular DF-1 hole). The IS-1 pin of the ICD lead was closed accordingly. The LOT-ICD should be considered an option to standard BiVp-ICD associated with lower cost, lower procedure time, and no phrenic nerve capture.

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References

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