Why the study?
Left Bundle Branch Pacing (LBBP) offers physiologic ventricular activation and better electrical parameters than His bundle pacing, but its feasibility and technical outcomes in daily clinical practice require evaluation.
Population
132 patients with standard indication for pacing including AV block, SND, AF, HF, and lead revision
Comparison
LBBP as first choice or after unsatisfactory His bundle pacing
Design
Single-centre cohort study
Follow-up
1 month in-clinic followed by remote monitoring
Key result
Left bundle branch pacing was successfully implanted in 97.7% of patients with standard pacing indications, demonstrating favorable electrical parameters and a 2.2% lead dislodgement rate.
Authors
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LBBP implantation appears feasible in standard indications; leaves open need for randomized outcome trials versus conventional pacing.
Cohort (n=132)
No
Left bundle branch pacing is a highly feasible and safe technique in routine clinical practice, achieving physiological ventricular activation with significant QRS narrowing and low complication rates.
Marcantoni et al. (2021) conducted a cohort in Standard indication for pacing (n=132). Left Bundle Branch Pacing (LBBP) was evaluated on Successful implantation in the left bundle. Left bundle branch pacing was successfully implanted in 97.7% of patients with standard pacing indications, demonstrating favorable electrical parameters and a 2.2% lead dislodgement rate.