Rationale for and use of the lumenless 3830 pacing lead

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. A systematic literature search was conducted, and the authors add their twenty-year experience with this lead design. 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. Lumenless leads have the potential to improve the durability of endocardial pacing and facilitate conduction system pacing.

Automated summary

Most currently available pacing and defibrillation leads use a stylet-based design. This design offers advantages in terms of implantation but increases lead diameter and the risk of conductor failure. The authors conducted a systematic literature search and shared their 20-year experience with this lead design. They reviewed the global experience with lumenless leads and discussed methods for placement and system modification. Lumenless leads have the potential to improve the durability of endocardial pacing and facilitate conduction system pacing.