Mechanisms of damage related to ICD and pacemaker lead interaction

Pokharel, Parash; Mahajan, Ankit; Himes, Adam; Lowell, Meg; Budde, Richard; Vijayaraman, Pugazhendhi

doi:10.1016/j.hroo.2023.11.009

Heart Rhythm O2

2023

DOI: 10.1016/j.hroo.2023.11.009

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Mechanisms of damage related to ICD and pacemaker lead interaction

Parash Pokharel,

Ankit Mahajan,

Adam Himes

et al.

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2024

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Cited by 3 publications

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Left bundle branch pacing lead for sensing ventricular arrhythmias in implantable cardioverter-defibrillator: A pilot study (LBBP-ICD study)

Ponnusamy,

Ramalingam,

Mariappan

et al. 2024

Heart Rhythm

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Left bundle branch pacing lead for sensing ventricular arrhythmias in implantable cardioverter-defibrillator: A pilot study (LBBP-ICD study)

Ponnusamy,

Ramalingam,

Mariappan

et al. 2024

Heart Rhythm

View full text Add to dashboard Cite

Feasibility, safety, and short-term follow-up of defibrillator lead at left bundle branch area pacing location: A pilot study

Ponnusamy,

Ganesan,

Vijayaraman

2024

Heart Rhythm

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Is Conduction System Pacing a Valuable Alternative to Biventricular Pacing for Cardiac Resynchronization Therapy?

Castagno,

Zanon,

Pastore

et al. 2024

JCDD

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Cardiac resynchronization therapy (CRT) significantly improves clinical outcomes in patients with ventricular systolic dysfunction and dyssynchrony. Biventricular pacing (BVP) has a class IA recommendation for patients with symptomatic heart failure with reduced ejection fraction (HFrEF) and left bundle branch block (LBBB). However, approximately 30% of patients have a poor therapeutic response and do not achieve real clinical benefit. Pre-implant imaging, together with tailored programming and dedicated device algorithms, have been proposed as possible tools to improve success rate but have shown inconsistent results. Over the last few years, conduction system pacing (CSP) is becoming a real and attractive alternative to standard BVP as it can restore narrow QRS in patients with bundle branch block (BBB) by stimulating and recruiting the cardiac conduction system, thus ensuring true resynchronization. It includes His bundle pacing (HBP) and left bundle branch area pacing (LBBAP). Preliminary data coming from small single-center experiences are very promising and have laid the basis for currently ongoing randomized controlled trials comparing CSP with BVP. The purpose of this review is to delve into the emerging role of CSP as an alternative method of achieving CRT. After framing CSP in a historical perspective, the pathophysiological rationale and available clinical evidence will be examined, and crucial technical aspects will be discussed. Finally, evidence gaps and future perspectives on CSP as a technique of choice to deliver CRT will be summarized.

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Mechanisms of damage related to ICD and pacemaker lead interaction

Cited by 3 publications

References 5 publications

Left bundle branch pacing lead for sensing ventricular arrhythmias in implantable cardioverter-defibrillator: A pilot study (LBBP-ICD study)

Left bundle branch pacing lead for sensing ventricular arrhythmias in implantable cardioverter-defibrillator: A pilot study (LBBP-ICD study)

Feasibility, safety, and short-term follow-up of defibrillator lead at left bundle branch area pacing location: A pilot study

Is Conduction System Pacing a Valuable Alternative to Biventricular Pacing for Cardiac Resynchronization Therapy?

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