%0 Journal Article %T Is dedicated implantation tool set really needed for permanent His bundle pacing? %A Daniele Giacopelli %A Domenico Marchese %A Giuseppe Romanato %A Leonardo Marinaccio %A Margherita Resta %A Martina Borgato %J Archive of "Cardiovascular Diagnosis and Therapy". %D 2019 %R 10.21037/cdt.2018.10.18 %X This case describes the feasibility of permanent His bundle pacing (HBP) with a standard bipolar lead positioned through cephalic access without a dedicated delivery sheath. The use of a stylet pre-shaped on an echocardiographic reference allowed a successful procedure without specific technical difficulties. This ˇ°simplifiedˇ± approach may provide some advantages with respect to the only commercially available system %K His bundle pacing (HBP) %K pacemaker %K delivery sheath %K selective His bundle pacing %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382648/