October 18, 2019Journal of Cardiovascular Electrophysiology
Left bundle branch pacing utilizing three dimensional mapping
Key result
Left bundle branch area pacing utilizing three-dimensional mapping was successfully performed in all 3 patients, facilitating easy assessment of lead depth.
Why the study?
While left bundle branch area pacing is feasible by advancing the lead deep into the interventricular septum, the utility of three-dimensional mapping to achieve this technique needed to be described.
Does three-dimensional mapping facilitate successful left bundle branch area pacing and lead depth assessment in patients requiring pacing?
Population
3 patients undergoing pacing procedures
Comparison
Left bundle branch pacing utilizing 3D mapping
Design
Case series
Authors
Discussion
Loading...
Member takes
Implication
3D mapping may aid LBBP lead placement; hypothesis-generating for procedural optimization, prospective validation needed.
Study Design
Type
Case Report (n=3)
Structured PICO
Does three-dimensional mapping facilitate successful left bundle branch area pacing and lead depth assessment in patients requiring pacing?
P
Population
3 patients with conduction abnormalities (LBBB, AV block) or severe left ventricular hypertrophy undergoing left bundle branch area pacing.
I
Intervention
Left bundle branch area pacing (LBBP) utilizing three-dimensional (3D) mapping (Ensite Precision)
O
Outcome
Procedural success of LBBP and assessment of lead depthsurrogate
Three-dimensional mapping is a feasible tool to guide left bundle branch area pacing and assess lead depth, potentially reducing the learning curve for implanters.
Cite This Study
Vijayaraman et al. (2019) conducted a case report in Conduction abnormalities (LBBB, AV block) (n=3). Left bundle branch area pacing (LBBP) utilizing three-dimensional (3D) mapping was evaluated on Procedural success. Left bundle branch area pacing utilizing three-dimensional mapping was successfully performed in all 3 patients, facilitating easy assessment of lead depth.