Why the study?
Does operator experience (>10 implants) improve procedural metrics and outcomes in Left Bundle Branch Area Pacing (LBBAP) lead implantation?
Population
Patients undergoing Left Bundle Branch Area Pacing (LBBAP) lead implantation
Comparison
LBBAP lead implantation by operators after their… vs LBBAP lead implantation during the operators'…
Design
Cohort
Key result
Left bundle branch area pacing procedural success (LVAT ≤ 80 ms) was significantly lower for inexperienced operators (≤10 cases) compared to experienced operators (56.9% vs 72.4%, P = .04).
Authors
Loading...
May warrant proctoring for initial LBBAP cases; leaves open optimal training thresholds.
Cohort (n=288)
No
Does operator experience (>10 implants) improve procedural metrics and outcomes in Left Bundle Branch Area Pacing (LBBAP) lead implantation?
Absolute Event Rate: 56.9% vs 72.4%
p-value: p=0.04
The learning curve for LBBAP lead implantation suggests that procedural proficiency, including reduced fluoroscopy and improved LVAT, is achieved after approximately 10 cases.
Clark et al. (2025) conducted a cohort in Patients undergoing pacemaker implantation requiring left bundle branch area pacing (n=288). LBBAP implantation by inexperienced operators (≤10 prior cases) vs. LBBAP implantation by experienced operators (>10 prior cases) was evaluated on Procedural success defined as left ventricular activation time (LVAT) ≤ 80 ms (p=0.04). Left bundle branch area pacing procedural success (LVAT ≤ 80 ms) was significantly lower for inexperienced operators (≤10 cases) compared to experienced operators (56.9% vs 72.4%, P = .04).