Direct His bundle pacing using a steerable lead delivery system was presented as an alternative pacing strategy in a single patient with symptomatic paroxysmal AF undergoing concurrent AVN ablation.
Case Report (n=1)
Direct His bundle pacing may serve as an alternative pacing strategy to avoid the long-term adverse effects of right ventricular apical pacing in patients undergoing AVN ablation for atrial fibrillation.
Atrioventricular nodal (AVN) ablation with concomitant pacemaker implantation is one of the strategies that reduce symptoms in patients with atrial fibrillation (AF). However, the long-term adverse effects of right ventricular (RV) apical pacing have led to the search for alternating sites of pacing. Biventricular pacing produces a significant improvement in functional capacity over RV pacing in patients undergoing AVN ablation. Another alternative site for pacing is direct His bundle to reduce the adverse outcome of RV pacing. Here, we present a case of direct His bundle pacing using steerable lead delivery system in a patient with symptomatic paroxysmal AF with concurrent AVN ablation.
Lakshmanadoss et al. (Fri,) conducted a case report in Symptomatic paroxysmal atrial fibrillation (n=1). Direct His bundle pacing using steerable lead delivery system was evaluated. Direct His bundle pacing using a steerable lead delivery system was presented as an alternative pacing strategy in a single patient with symptomatic paroxysmal AF undergoing concurrent AVN ablation.
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