Abstract:
Introduction
Most currently available pacing and defibrillation leads utilize a
stylet-based design that facilitates implantation. This has advantages,
but also increases the lead diameter and adds the potential for metal
fatigued-based conductor failure.
Methods
A systematic literature search was conducted, and the authors add their
twenty-year experience with this lead design.
Results
The global experience with lumenless leads was reviewed both for
“standard” positioning and with conduction system pacing. Methods for
both placement and system modification are reviewed.
Conclusions
Lumenless leads have the potential to improve the durability of
endocardial pacing and facilitate conduction system pacing.