Key result
Stylet-driven LBBAP reaches a learning curve plateau for procedure and fluoroscopy times by ~25 cases.
Why the study?
Although the feasibility of stylet-driven pacing leads for left bundle branch area pacing has been established, the learning curve using these leads needed evaluation.
Does operator experience improve fluoroscopy and procedure times for left bundle branch area pacing using stylet-driven leads?
Population
265 patients undergoing LBBAP or RVP performed by operators without previous LBBAP experience
Comparison
LBBAP using stylet-driven pacing leads vs RVP
Design
Single-center observational study
Authors
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May inform training expectations for stylet-driven LBBAP after ~25 cases; hypothesis-generating for outcome validation.
Observational (n=265)
No
Does operator experience improve fluoroscopy and procedure times for left bundle branch area pacing using stylet-driven leads?
For operators experienced in standard pacemaker implantation, the learning curve for left bundle branch area pacing using stylet-driven leads plateaus after approximately 24-25 cases.
Yu et al. (2023) conducted an observational in Patients requiring pacemaker implantation (n=265). Left bundle branch area pacing (LBBAP) using stylet-driven pacing lead vs. Right ventricular pacing (RVP) was evaluated on Learning curve evaluated by fluoroscopy and procedure times. Left bundle branch area pacing using stylet-driven leads achieved a learning curve plateau for fluoroscopy and procedure times by the 24th to 25th case.
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