Key result
ICE plus electroanatomic navigation enables successful zero-fluoroscopy LBBAP.
Case Report (n=1)
No
This case demonstrates the feasibility of performing left-bundle branch area pacing entirely without fluoroscopy by combining intracardiac echocardiography and an electroanatomic navigation system.
May support fluoroscopy-free left bundle branch area pacing in select cases; hypothesis-generating and should not yet alter practice.
An 81-year-old man with second-degree atrioventricular block was admitted to our centre for pacemaker implantation. Electroanatomic mapping and intracardiac echocardiography-guided left-bundle branch area pacing was performed, entirely without fluoroscopy. It is the first report to describe intracardiac echocardiography for guiding sheath movements into the heart. In conclusion, the combined use of intracardiac echocardiography and intracardiac navigation system allows us to perform left-bundle branch pacing without fluoroscopy.
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Molina‐Lerma et al. (2020) conducted a case report in Second-degree atrioventricular block (n=1). Electroanatomic mapping and intracardiac echocardiography-guided left-bundle branch area pacing was evaluated on Successful pacemaker implantation without fluoroscopy. The combined use of intracardiac echocardiography and an intracardiac navigation system allowed for successful left-bundle branch area pacing entirely without fluoroscopy.
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