Is dedicated implantation tool set really needed for permanent His bundle pacing?

Marinaccio, Leonardo; Giacopelli, Daniele; Romanato, Giuseppe; Borgato, Martina; Resta, Margherita; Marchese, Domenico

doi:10.21037/cdt.2018.10.18

Cited by 3 publications

(6 citation statements)

References 4 publications

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“…All HBP implantations were performed without the use of an electrophysiology catheter (EP) inserted through the femoral vein. Instead, the HB was localized directly with the pacing lead, using anatomical landmarks and intracardiac signals visible on the pacing system analyzer (PSA) as shown in Figure 1, and then the presence of HBP was confirmed by pacemapping directly from the lead, as already described in literature 9,10 …”

Section: Methodsmentioning

confidence: 97%

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Permanent his bundle pacing: Description and comparison of four implantation techniques

Bontempi,

Fundaliotis,

Moretti

et al. 2023

Pacing Clinical Electrophis

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Introduction: Permanent His bundle pacing (HBP) is the most physiological pacing modality, and new implantation systems are now available. The aim of the present study was to describe and compare four different techniques to perform HBP. Methods and results:We included all consecutive patients who underwent a HBP attempt in our initial experience between June 2020 and May 2022. The success and characteristics of the procedure were compared among four implantation techniques:the Biotronik Selectra 3D sheath with Solia S60 lead (Selectra 3D), the Boston Scientific Site Selective Pacing Catheter with Ingevity lead (SSPC), the Abbott steerable stylet locator with Tendril lead (Locator), and the use of a standard stylet manually preshaped with a conventional pacing lead (Curved stylet). Ninety-eight patients (median age 79 years [interquartile range, 73-83], 83% men) were identified. The Selectra 3D technique was used in 43 procedures, SSPC in 26, Locator in 18 and Curved stylet in 11. The groups had similar clinical characteristics. Overall, procedural success was achieved in 91 patients (93%) with similar proportions among groups (p = .986). Fluoroscopy and procedural times were 6.0 (4.4-8.5) and 60 (45-75) min, respectively, without significant differences (p = .333 and p = .790). The rate of selective capture, the pacing threshold, and the paced QRS duration were also comparable. There was one pre-discharge HBP lead dislodgment (1%) that required implant revision. Conclusion:In our experience, four techniques for HBP achieved comparable results in terms of safety and effectiveness. The availability of different systems may lead to widespread use of physiological pacing.

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Section: Methodsmentioning

confidence: 97%

“…It is possible to use conventional active fixation leads with manually curved stylets to bring the lead to the HB region, without the additional support of a dedicated outer guide sheath 9,10 . With this technique, a conventional bipolar active fixation lead was first advanced in the right atrium.…”

Section: Methodsmentioning

confidence: 99%

Permanent his bundle pacing: Description and comparison of four implantation techniques

Bontempi,

Fundaliotis,

Moretti

et al. 2023

Pacing Clinical Electrophis

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“…3,4 The main limitations of HBP included technical and anatomical difficulties associated with the availability of a limited number of tools specific for HBP implantations. 5 Enlarged right atrium (RA) and ventricle have been described among the most difficult scenarios for achieving successful permanent HBP. 6 In 2020, a new system consisting of a standard stylet-driven lead (Solia S, Biotronik SE & Co. KG, Berlin, Germany) delivered through a specific introducer (Selectra 3D, Biotronik SE & Co. KG) was launched on the market.…”

Section: Introductionmentioning

confidence: 99%

“…His bundle pacing (HBP) has been suggested as a more physiological approach and numerous studies have reported good success rates and benefits in patients with AV nodal block, infranodal AV block, and bundle branch block 3,4 . The main limitations of HBP included technical and anatomical difficulties associated with the availability of a limited number of tools specific for HBP implantations 5 . Enlarged right atrium (RA) and ventricle have been described among the most difficult scenarios for achieving successful permanent HBP 6 …”

Section: Introductionmentioning

confidence: 99%

Echo‐guided choice of the appropriate primary curve width of a new delivery sheath for His bundle pacing

Marinaccio

Giacopelli

Patrassi

et al. 2021

Pacing Clinical Electrophis

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“…There are limited prior reports on stylet-directed His bundle implantation outside of Deshmukh's original series 1 and case reports. 6,7 As the field awaits the development of additional tools, there may be another option already sitting at the ready.…”

mentioning

confidence: 99%

Stylet-directed His bundle lead placement: Early days of an emerging contender

Bender

Ajijola

2019

Heart Rhythm

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Is dedicated implantation tool set really needed for permanent His bundle pacing?

Cited by 3 publications

References 4 publications

Permanent his bundle pacing: Description and comparison of four implantation techniques

Permanent his bundle pacing: Description and comparison of four implantation techniques

Echo‐guided choice of the appropriate primary curve width of a new delivery sheath for His bundle pacing

Stylet-directed His bundle lead placement: Early days of an emerging contender

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