Key result
LBBP achieves ~100% procedural success with no major complications in pediatric patients.
Why the study?
Left bundle branch area pacing (LBBAP) offers physiological pacing with potential advantages over right ventricular pacing in children, but data on LBBAP in pediatric populations are scarce.
Is left bundle branch area pacing (LBBAP) feasible and safe in a pediatric population?
Observational (n=6)
No
Is left bundle branch area pacing (LBBAP) feasible and safe in a pediatric population?
Answers are grounded in this paper and cite their sources.
This case series demonstrates that left bundle branch area pacing is feasible and safe in children, including those under 5 years of age, serving as a promising physiological alternative to conventional right ventricular pacing.
Background: Left bundle branch area pacing (LBBAP) offers physiological pacing with potential advantages over right ventricular (RV) pacing, particularly in children. However, data on LBBAP in pediatric populations are scarce. Objective: This study aimed to assess the feasibility and safety of LBBAP in children by reporting 6 cases done successfully. Methods: Six children (four males, two females), aged 2 to 16 years, underwent LBBAP between December 2022 and January 2024 at the American Univeristy of Beirut Medical Center (AUBMC). The implantation procedure followed established techniques. Baseline characteristics, echocardiographic measurements, and pacing parameters were recorded. Results: All six cases fulfilled the criteria for LBBAP. Successful LBBAP was achieved in all cases. Median weight is 20.5 kg, with three patients under 5 years old. Baseline left ventricular ejection fraction (LVEF) was normal in 4 cases, with two exhibiting 52%. The interventricular septal thickness averaged 4.5 mm. No major complications were encountered during follow-up. Conclusion: Left bundle branch area pacing might be a promising alternative to conventional RV pacing, offering potential advantages over traditional pacing methods. Further research is needed to fully elucidate its efficacy and long-term benefits in pediatric populations.
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Francis et al. (2024) conducted an observational in Pediatric cardiac pacing indication (n=6). Left bundle branch area pacing (LBBAP) was evaluated on Feasibility and safety of left bundle branch area pacing (procedural success and major complications). Left bundle branch area pacing achieved 100% procedural success (6/6) with no major complications in a pediatric cohort aged 2 to 16 years.
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