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. 2023 Apr 15;25(4):1208–1236. doi: 10.1093/europace/euad043

Table 3.

Complications with LBBAP and their incidences

Per-operative complications
ȃSeptal perforation (0.0–14.1%)7,53,63,73,74,87,92,96,98–100
ȃRight bundle branch block (19.9% with 6.3% permanent)63
ȃComplete heart block (9.4% acute with 2.6% permanent)63
ȃIntra-operative lead dislodgment (3.0%)53
ȃAcute coronary syndrome (0.4–0.7%)7,101
ȃCoronary artery fistula (1.4–2.0%)87,92
ȃCoronary vein fistula/injury96,102
ȃSeptal hematoma103
ȃHelix damage/fracture (0.8–5.0%)87,89,95
Post-operative complications
ȃDelayed septal perforation (0.1–0.3%)7,87,104,105
ȃWorsening tricuspid regurgitation (7.3–32.6%)53,6163
ȃLead dislodgment (0.3–1.5%)7,63,96,98,100,104,106,107
ȃRise in threshold by >1 V (0.3–1.8%)7,63,96,98,106
ȃLoss of LBB capture (0.3–11.5%)7,63,96