Left bundle branch area pacing: ready for prime time?

Left bundle branch area pacing: ready for prime time?

LBBAP is a form of conduction system pacing (CSP) in which stimulation of the left bundle branch and/or left side of the interventricular septum with a permanent pacing lead maintains physiological electrical activation of the left ventricle [2]. [...]LBBAP is perceived to be a more accessible/forgi...

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Bibliographic Details
Published in:Netherlands heart journal Vol. 30; no. 5; pp. 247 - 248
Main Author: Timmer, S. A. J.
Format: Journal Article
Language:English
Published: Houten Bohn Stafleu van Loghum 01-05-2022
Springer Nature B.V
Subjects:
Cardiac arrhythmia
Cardiology
Cardiomyopathy
Catheters
Commentary
Heart
Medical Education
Medicine
Medicine & Public Health
Physiology
Success
Netherlands
Online Access:Get full text
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Summary:LBBAP is a form of conduction system pacing (CSP) in which stimulation of the left bundle branch and/or left side of the interventricular septum with a permanent pacing lead maintains physiological electrical activation of the left ventricle [2]. [...]LBBAP is perceived to be a more accessible/forgiving technique, suffering to a much lesser degree from potential drawbacks such as longer procedural time, higher pacing threshold, and R‑wave sensing issues associated with HBP [5, 6]. The combination of a stiffer guiding sheath and stylet-driven pacing lead may provide better stability and forward push to penetrate the septum, which can occasionally be cumbersome with the Medtronic 3830 in areas with extensive scarring or fibrosis.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1568-5888
1876-6250
DOI:10.1007/s12471-022-01681-z