作者
Santosh K Padala, Vivak M Master, Maria Terricabras, Andrea Chiocchini, Aatish Garg, Jordana Kron, Richard Shepard, Gautham Kalahasty, Zahara Azizi, Bernice Tsang, Yaariv Khaykin, Alfredo Pantano, Jayanthi N Koneru, Kenneth A Ellenbogen, Atul Verma
发表日期
2020/12/1
期刊
Clinical Electrophysiology
卷号
6
期号
14
页码范围
1773-1782
出版商
American College of Cardiology Foundation
简介
Objectives
This study sought to evaluate the safety and feasibility of conduction system pacing by performing left bundle branch area pacing (LBBAP).
Background
There are limited data from single centers showing that LBBAP may circumvent the technical and electrophysiological challenges encountered with His bundle pacing.
Methods
Patients referred for pacemaker implantation at 2 centers between February 1, 2019, and March 31, 2020, were considered for LBBAP. LBBAP was performed by implanting a lumen-less, exposed helix lead approximately 2 cm distal to the His bundle and deep into the septum using a specialized delivery sheath. Implant success rates, complications, and electrophysiological parameters were assessed.
Results
LBBAP was successful in 305 of 341 patients (89%). Mean age was 72 ± 12 years; 45% were women; and 39% had QRS duration (QRSd) >130 ms, 22% right bundle …
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SK Padala, VM Master, M Terricabras, A Chiocchini… - Clinical Electrophysiology, 2020
