2017
DOI: 10.1016/j.cjca.2017.09.013
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A Novel Pacing Strategy With Low and Stable Output: Pacing the Left Bundle Branch Immediately Beyond the Conduction Block

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Cited by 605 publications
(585 citation statements)
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References 4 publications
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“…In fact, since biventricular pacing was the previous such pacing revolution, it is notable that after a decade of experience major RCTs were reporting success rates (83% in PAVE and 82% in RD‐CHF) similar to the HBP success rates in this study. Importantly, HBP leads and delivery equipment can also be used for conventional atrial or ventricular pacing and even distal conduction system pacing where the left bundle itself is directly stimulated, offering flexibility when HBP capture cannot be achieved …”
Section: Discussionsupporting
confidence: 79%
“…In fact, since biventricular pacing was the previous such pacing revolution, it is notable that after a decade of experience major RCTs were reporting success rates (83% in PAVE and 82% in RD‐CHF) similar to the HBP success rates in this study. Importantly, HBP leads and delivery equipment can also be used for conventional atrial or ventricular pacing and even distal conduction system pacing where the left bundle itself is directly stimulated, offering flexibility when HBP capture cannot be achieved …”
Section: Discussionsupporting
confidence: 79%
“…Compared with previous studies in which high pacing output was needed to correct LBBB,4 6 16 17 we found in 21.4% studied patients that HBP at the capture threshold could correct LBBB with a low pacing threshold, likely because the pacing site is near or beyond the region of block, as we reported previously 22. This finding is important for reducing the risk of exit block due to progression of distal conduction system disease and allowed us to use low pacing outputs to restore His–Purkinje conduction.…”
Section: Discussioncontrasting
confidence: 55%
“…However HBP in these patients may be associated with high pacing thresholds to capture the distal His bundle and/or correct LBBB. Recently several groups have shown the feasibility of left bundle branch area pacing (LBBP) in patients with atrioventricular block and/or LBBB . In this report, we present the utility of 3D mapping technique to achieve LBBP.…”
Section: Introductionmentioning
confidence: 96%