Why the study?
To evaluate the feasibility of permanent His bundle pacing using a standard bipolar lead without a dedicated delivery sheath.
Can permanent His bundle pacing be successfully performed using a standard bipolar lead without a dedicated delivery sheath?
Can permanent His bundle pacing be successfully performed using a standard bipolar lead without a dedicated delivery sheath?
Permanent His bundle pacing can be feasibly performed using a standard bipolar lead and a pre-shaped stylet, potentially offering a simplified alternative to dedicated delivery systems.
Answers are grounded in this paper and cite their sources.
May support simplified His bundle pacing with standard leads; case report leaves open reproducibility and safety.
This case describes the feasibility of permanent His bundle pacing (HBP) with a standard bipolar lead positioned through cephalic access without a dedicated delivery sheath. The use of a stylet pre-shaped on an echocardiographic reference allowed a successful procedure without specific technical difficulties. This "simplified" approach may provide some advantages with respect to the only commercially available system.
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Marinaccio et al. (2019) studied this question.
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