作者
Todd Teigeler, Jeffrey Kolominsky, Chau Vo, Richard K Shepard, Gautham Kalahasty, Jordana Kron, Jose F Huizar, Karoly Kaszala, Alex Y Tan, Jayanthi N Koneru, Kenneth A Ellenbogen, Santosh K Padala
发表日期
2021/5/1
期刊
Heart rhythm
卷号
18
期号
5
页码范围
743-749
出版商
Elsevier
简介
Background
The short-term safety, feasibility, and performance of His-bundle pacing (HBP) leads have been reported; however, their longer-term performance beyond 1 year remains unclear.
Objective
The purpose of this study was to examine the intermediate-term performance and safety of HBP.
Methods
All HBP lead implants at Virginia Commonwealth University between January 2014 and January 2019 were analyzed. HBP was performed using a Medtronic SelectSecure 3830-69 cm pacing lead.
Results
Of 295 attempts, successful HBP implantation (selective or nonselective) was seen in 274 cases (93%). Mean follow-up duration was 22.8 ± 19.5 months (median 19.5; interquartile range 11–33). Mean age was 69 ± 15 years; 58% were males; and ejection fraction <50% was noted in 30%. Indications for pacemaker included sick sinus syndrome in 41%, atrioventricular block in 36%, cardiac resynchronization …
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