Evidence map›Paper›PMID 41709804›Full record

ArticleJACC. Case reports2026

Intraluminal Lead Entry Into the Left Anterior Descending Coronary Artery With Left Bundle Branch Area Pacing.

Francis J Ha, Jagat Adhikari, Sing Huey Cheng, Adam Brown, Stewart Healy

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Francis J HaVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health, Clayton, Victoria, Australia. Electronic address: Francis.j.ha@gmail.com.
Jagat AdhikariVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health, Clayton, Victoria, Australia.
Sing Huey ChengVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health, Clayton, Victoria, Australia.
Adam BrownVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health, Clayton, Victoria, Australia.
Stewart HealyVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health, Clayton, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft bundle branch area pacing (LBBAP) is increasingly adopted for transvenous pacing. We report intraluminal lead entry into the main left anterior descending (LAD) coronary artery after deployment of an LBBAP lead. CASE SUMMARY: An 83-year old woman with tachy-brady syndrome underwent LBBAP with an Abbott UltiPace 58cm active fixation lead. The procedure was complicated by acute chest pain with associated ST-segment elevation in the anteroseptal leads. An attempt to retract the conduction system pacing lead helix was made; however, it could not be retracted entirely. An invasive coronary angiogram demonstrated TIMI flow grade 0 in the distal LAD coronary artery vessel. After a consensus decision, she was managed conservatively; her angina and ST-segment elevation resolved. She was discharged on day 3 postimplantation with stable lead parameters. DISCUSSION: This case demonstrates the potential risk of intraluminal lead entry into the main LAD coronary artery after deployment of a conduction system pacing lead.

Indexed as

complicationsconduction system pacingcoronary artery

Identifiers

PMID41709804
PMCPMC12932995

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.