Left bundle branch area pacing after His bundle pacing for cardiac resynchronization in a patient with dextrocardia

Molina-Lerma, Manuel; Tercedor-Sánchez, Luis; Macías-Ruiz, Rosa; Sánchez-Millán, Pablo; Jiménez‐Jáimez, Juan; Álvarez, Miguel

doi:10.1016/j.hrcr.2020.08.012

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…LBBAP in patients with dextrocardia using the lumenless Medtronic SelectSecure 3830 lead has been recently reported. 10 , 11 Our case is the first to report a successful implant of a standard stylet-driven lead with an extendable helix design, the Biotronik Solia S60, in a patient with dextrocardia. LBBAP using a stylet-driven lead was shown to be comparable to the lumenless lead in terms of procedural and fluoroscopic times, success rates, and lead parameters.…”

Section: Discussionmentioning

confidence: 85%

Atrioventricular node ablation and left bundle branch area pacing in a patient with dextrocardia and interruption of the inferior vena cava with azygos continuation

Saouma

Meglio

Guttenplan

2023

HeartRhythm Case Reports

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Section: Discussionmentioning

confidence: 85%

Atrioventricular node ablation and left bundle branch area pacing in a patient with dextrocardia and interruption of the inferior vena cava with azygos continuation

Saouma

Meglio

Guttenplan

2023

HeartRhythm Case Reports

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Left Bundle Area Pacing for Tachycardia-Bradycardia Syndrome in a Patient With Dextrocardia

et al. 2022

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Left bundle branch area pacing in congenital heart disease

et al. 2022

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Aims Left bundle branch area pacing (LBBAP) has been shown to be effective and safe. Limited data are available on LBBAP in the congenital heart disease (CHD) population. This study aims to describe the feasibility and safety of LBBAP in CHD patients compared with non-CHD patients. Methods and results This is a single-centre, non-randomized observational study recruiting consecutive patients with bradycardia indication. Demographic data, ECGs, imaging, and procedural data including lead parameters were recorded. A total of 39 patients were included: CHD group (n = 13) and non-CHD group (n = 26). Congenital heart disease patients were younger (55 ± 14.5 years vs. 73.2 ± 13.1, P < 0.001). Acute success was achieved in all CHD patients and 96% (25/26) of non-CHD patients. No complications were encountered in either group. The procedural time for CHD patients was comparable (96.4 ± 54 vs. 82.1 ± 37.9 min, P = 0.356). Sheath reshaping was required in 7 of 13 CHD patients but only in 1 of 26 non-CHD patients, reflecting the complex and distorted anatomy of the patients in this group. Lead parameters were similar in both groups; R wave (11 ± 7 mV vs. 11.5 ± 7.5, P = 0.881) and pacing threshold (0.6 ± 0.3 V vs. 0.7 ± 0.3, P = 0.392). Baseline QRS duration was longer in the CHD group (150 ± 28.2 vs. 118.6 ± 26.6 ms, P = 0.002). Despite a numerically greater reduction in QRS and a similar left ventricular activation time (65.9 ± 6.2 vs. 67 ± 16.8 ms, P = 0.840), the QRS remained longer in the CHD group (135.5 ± 22.4 vs. 106.9 ± 24.7 ms, P = 0.005). Conclusion Left bundle branch area pacing is feasible and safe in CHD patients as compared to that in non-CHD patients. Procedural and fluoroscopy times did not differ between both groups. Lead parameters were satisfactory and stable over a short-term follow-up.

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Left bundle branch area pacing after His bundle pacing for cardiac resynchronization in a patient with dextrocardia

Cited by 3 publications

References 8 publications

Atrioventricular node ablation and left bundle branch area pacing in a patient with dextrocardia and interruption of the inferior vena cava with azygos continuation

Atrioventricular node ablation and left bundle branch area pacing in a patient with dextrocardia and interruption of the inferior vena cava with azygos continuation

Left Bundle Area Pacing for Tachycardia-Bradycardia Syndrome in a Patient With Dextrocardia

Left bundle branch area pacing in congenital heart disease

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