Customized Sheath Modification for Bachmann Bundle Area Pacing With a Stylet‐Driven Lead

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Autores principales: Yousaku Okubo, Shogo Miyamoto, Shunsuke Ishida, Junji Maeda, Naoki Ishibashi, Sho Okamura, Takehito Tokuyama, Noboru Oda, Yukiko Nakano
Formato: Artículo Open Access
Publicado: Wiley 2026
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author Yousaku Okubo
Shogo Miyamoto
Shunsuke Ishida
Junji Maeda
Naoki Ishibashi
Sho Okamura
Takehito Tokuyama
Noboru Oda
Yukiko Nakano
author_facet Yousaku Okubo
Shogo Miyamoto
Shunsuke Ishida
Junji Maeda
Naoki Ishibashi
Sho Okamura
Takehito Tokuyama
Noboru Oda
Yukiko Nakano
Yousaku Okubo
Shogo Miyamoto
Shunsuke Ishida
Junji Maeda
Naoki Ishibashi
Sho Okamura
Takehito Tokuyama
Noboru Oda
Yukiko Nakano
collection Wiley Open Access
contents Customized Sheath Modification for Bachmann Bundle Area Pacing With a Stylet‐Driven Lead Yousaku Okubo Shogo Miyamoto Shunsuke Ishida Junji Maeda Naoki Ishibashi Sho Okamura Takehito Tokuyama Noboru Oda Yukiko Nakano Pacing and Clinical Electrophysiology ABSTRACT Bachmann bundle area pacing (BBp) has primarily been performed using lumenless leads delivered through dedicated atrial sheaths. With stylet‐driven leads, stable positioning at the superior interatrial septum can be technically challenging. We report two patients in whom the distal portion of a standard ventricular delivery catheter was shortened and reshaped using controlled heat molding with a heat gun. The customized sheath enabled stable placement of a stylet‐driven lead at the high interatrial septum, resulting in successful BBp with favorable electrical parameters. Customized sheath modification may facilitate BBp using conventional pacing systems. Clinical Trial Registration : This study was not registered in a clinical trial registration, as it represents a retrospective case series and dose not meet the criteria for a prospective interventional clinical trial. 10.1111/pace.70263 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/pace.70263
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institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2026
publisher Wiley
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spellingShingle Customized Sheath Modification for Bachmann Bundle Area Pacing With a Stylet‐Driven Lead
Yousaku Okubo
Shogo Miyamoto
Shunsuke Ishida
Junji Maeda
Naoki Ishibashi
Sho Okamura
Takehito Tokuyama
Noboru Oda
Yukiko Nakano
Pacing and Clinical Electrophysiology
Customized Sheath Modification for Bachmann Bundle Area Pacing With a Stylet‐Driven Lead Yousaku Okubo Shogo Miyamoto Shunsuke Ishida Junji Maeda Naoki Ishibashi Sho Okamura Takehito Tokuyama Noboru Oda Yukiko Nakano Pacing and Clinical Electrophysiology ABSTRACT Bachmann bundle area pacing (BBp) has primarily been performed using lumenless leads delivered through dedicated atrial sheaths. With stylet‐driven leads, stable positioning at the superior interatrial septum can be technically challenging. We report two patients in whom the distal portion of a standard ventricular delivery catheter was shortened and reshaped using controlled heat molding with a heat gun. The customized sheath enabled stable placement of a stylet‐driven lead at the high interatrial septum, resulting in successful BBp with favorable electrical parameters. Customized sheath modification may facilitate BBp using conventional pacing systems. Clinical Trial Registration : This study was not registered in a clinical trial registration, as it represents a retrospective case series and dose not meet the criteria for a prospective interventional clinical trial. 10.1111/pace.70263 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Customized Sheath Modification for Bachmann Bundle Area Pacing With a Stylet‐Driven Lead
topic Pacing and Clinical Electrophysiology
url https://onlinelibrary.wiley.com/doi/10.1111/pace.70263