Left bundle branch pacing: An evolving site for physiological pacing

Mulia, Eka Prasetya Budi; Amadis, Muhammad Rafdi; Julario, Rerdin; Dharmadjati, Budi Baktijasa

doi:10.1002/joa3.12638

Cited by 7 publications

(5 citation statements)

References 45 publications

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“…4 Additionally, leadless pacemakers cannot perform cardiac resynchronization therapy (CRT) or conduction system pacing to promote ventricular synchrony. 14,15 Finally, unlike implantable cardioverter-defibrillators (ICD’s) that also perform transvenous pacing, leadless pacemakers have no cardioverter-defibrillator or anti-tachycardia pacing function.…”

Section: Leadless Pacemaker Overviewmentioning

confidence: 99%

Perioperative Considerations for Modern Leadless Pacemakers

Tanabe,

Gilliland

2024

Semin Cardiothorac Vasc Anesth

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Since their initial approval by the Food and Drug Administration in 2016, leadless pacemakers have become increasingly prevalent. This growth has been driven by an improved adverse effect profile when compared to traditional pacemakers, including lower rates of infection, as well as eliminated risk of pocket hematoma and lead complications. More recently, technology enabling leadless synchronized atrioventricular pacing in patients with atrioventricular block has vastly expanded the indications for these devices. Anesthesiologists will increasingly be relied upon to safely care for patients with leadless pacemakers undergoing non-electrophysiology procedures and surgery. This article provides an overview of the technology, evidence base, current indications, and unique perioperative considerations for leadless pacemakers.

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Section: Leadless Pacemaker Overviewmentioning

confidence: 99%

Perioperative Considerations for Modern Leadless Pacemakers

Tanabe,

Gilliland

2024

Semin Cardiothorac Vasc Anesth

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“…The only difference is the wider target area in the interventricular septum and, therefore, the fewer requirements for lead placement accuracy. 58 Other technical issues differentiate the LBBP implantation procedure from HBP's. In challenging cases, fixing a lead into the His bundle as an anatomical landmark may be helpful.…”

Section: Heart Failure With Narrow Qrs and Pr Prolongationmentioning

confidence: 99%

Conduction System Pacing: How far are we from the “electrical” bypass?

Sdogkos

Iliodromitis²,

Xanthopoulos

et al. 2023

Preprint

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Conduction system pacing is an alternative practice to conventional right ventricular apical pacing. It is a method that maintains physiologic ventricular activation, based on a correct pathophysiological basis, in which the pacing lead bypasses the lesion of the electrical fibers, and the electrical impulse transmits through the intact adjacent conduction system. For this reason, it might reasonably characterized by the term “electrical bypass” compared to the coronary artery bypass in revascularization therapy. In this review reference is made to the sequence of events that conventional right ventricular pacing may cause adverse outcomes. Furthermore, there is a reference to alternative strategies and pacing sites. Interest focuses on the modalities for which there is data from the literature, namely for the Right Ventricular (RV) septal pacing, the His Bunde pacing (HBP), and the Left Bundle Branch pacing (LBBP). A more extensive reference is about the HBP, for which there are the most updating data. We analyze the considerations that limit HBP wide application in three axes, and we also present the data for the implantation and follow-up of these patients. Then, the indications with their most important studies to date are described in detail, not only in their undoubtedly positive findings but also in their weak aspects, because of which, this pacing mode has not yet received a strong recommendation for implementation. Finally, there is a report on LBBP, focusing mainly on its points of differentiation from HBP.

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“…Despite its physiological pacing, the HBP approach presented some drawbacks. Left Bundle Branch Pacing (LBBP) overcome many limitations of HBP [ 4 ]. It is an alternative method to perform a CSP.…”

Section: Introductionmentioning

confidence: 99%

The interventricular conduction delays guide best cardiac resynchronization therapy: A tailored-patient approach to perform a CRT through Conduction System Pacing

Santoro,

Barilli,

Marallo

et al. 2024

Indian Pacing and Electrophysiology Journal

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Left bundle branch pacing: An evolving site for physiological pacing

Cited by 7 publications

References 45 publications

Perioperative Considerations for Modern Leadless Pacemakers

Perioperative Considerations for Modern Leadless Pacemakers

Conduction System Pacing: How far are we from the “electrical” bypass?

The interventricular conduction delays guide best cardiac resynchronization therapy: A tailored-patient approach to perform a CRT through Conduction System Pacing

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