Key result
Electroanatomic mapping-guided lead implantation for His bundle or left bundle branch area pacing was successful in all 5 patients with complex anatomy or prior failed implantation.
Why the study?
Results of HBP and LBBAP have been inconsistent, especially in patients with prior failed traditional implantation, complex anatomy, or congenital abnormalities.
Does EAM-guided lead placement allow successful HBP and LBBAP in patients with complex anatomy or prior failed implantation?
Comparison
Three-dimensional EAM-guided HBP or LBBAP
Design
Multicentre case series
Follow-up
Minimum 1-month
Authors
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May aid conduction system pacing after prior failures; leaves open need for prospective validation in larger cohorts.
Case Report (n=5)
Yes
Does EAM-guided lead placement allow successful HBP and LBBAP in patients with complex anatomy or prior failed implantation?
Electroanatomic mapping is a feasible and effective tool to guide physiologic lead placement for HBP and LBBAP in patients with complex anatomy or prior failed implantation.
Baman et al. (2021) conducted a case report in Need for cardiac resynchronization therapy with complex anatomy or prior failed lead implantation (n=5). Electroanatomic mapping (EAM)-guided His bundle pacing (HBP) or left bundle branch area pacing (LBBAP) was evaluated on Successful lead implantation. Electroanatomic mapping-guided lead implantation for His bundle or left bundle branch area pacing was successful in all 5 patients with complex anatomy or prior failed implantation.
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