Limited venous access and lateral left ventricular scar are impediments to traditional cardiac resynchronization therapy. We present a case where placement of an implantable cardioverter-defibrillator from a femoral approach while using left bundle branch area pacing led to clinical improvement. (Level of Difficulty: Intermediate.)
Dhakal, Bishnu; Prenner, Stuart; Magargee, Edward; Modi, Danesh; Movsowitz, Colin; and Schaller, Robert, "Left Bundle Branch Area Pacing From a Femoral Approach in a Patient Without Superior Access" (2023). Division of Cardiology Faculty Papers. Paper 115.
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