How to Implant His Bundle and Left Bundle Pacing Leads: Tips and Pearls
Shunmuga Sundaram Ponnusamy, Pugazhendhi Vijayaraman
Abstract
Cardiac pacing is the treatment of choice for the management of patients with bradycardia. Although right ventricular apical pacing is the standard therapy, it is associated with an increased risk of pacing-induced cardiomyopathy and heart failure. Physiological pacing using His bundle pacing and left bundle branch pacing has recently evolved as the preferred alternative pacing option. Both His bundle pacing and left bundle branch pacing have also demonstrated significant efficacy in correcting left bundle branch block and achieving cardiac resynchronisation therapy. In this article, the authors review the implantation tools and techniques to perform conduction system pacing.
Topics & Concepts
MedicineBundleBradycardiaCardiologyInternal medicineCardiac pacingLeft bundle branch blockCardiac resynchronization therapyVentricular pacingImplantHeart failureBundle branch blockElectrical conduction system of the heartElectrocardiographySurgeryHeart rateEjection fractionMaterials scienceComposite materialBlood pressureCardiac pacing and defibrillation studiesCardiac Arrhythmias and TreatmentsNeurological disorders and treatments