Conduction System Pacing Versus Conventional Cardiac Resynchronization Therapy in Congenital Heart Disease

Moore, Jeremy P.; Groot, Natasja M.S. de; O’Connor, Matthew; Cortez, Daniel; Su, Jonathan K.; Burrows, Austin; Shannon, Kevin; O’Leary, Edward T.; Shah, Maully J.; Khairy, Paul; Atallah, Joseph; Wong, Tom; Lloyd, Michael S.; Taverne, Yannick J.H.J.; Dubin, Anne M.; Nielsen, Jens Cosedis; Evertz, Reinder; Czosek, Richard J.; Madhavan, Malini; Chang, Philip M.; Aydın, Alper; Cano, Óscar

doi:10.1016/j.jacep.2022.10.012

Cited by 12 publications

(23 citation statements)

References 20 publications

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“…They demonstrated similar change in LVEF and complication rates, with a greater reduction in QRS duration with CSP (delta QRS duration 32 ± 29 ms vs 14 ± 25 ms; p = 0.03). (Moore et al, 2022). It is likely that the near future will bring further advances in our understanding of the role of CSP in CRT for pediatric and CHD.…”

Section: Csp For Cardiac Resynchronization Therapymentioning

confidence: 99%

“…Overall, in a recent multicenter study of CSP in CHD, 14 out of the 17 HSP were performed using the Medtronic C315H catheter, with only one utilizing the steerable C304H sheath. (Moore et al, 2022). Again, Boston Scientific (such as SSP3 sheath) and Biotronik (Selectra 3D) also produce appropriate sheaths, but these have been less widely employed in the pediatric and CHD cohorts.…”

Section: Equipment and Implantmentioning

confidence: 99%

“…In a multicenter study including 17 CHD patients with HBP, 16 (94%) were performed using 3D mapping for guidance. (Moore et al, 2022). The application of electroanatomic mapping (EAM) techniques for HBP has been well described for both adults (Sharma et al, 2019) and pediatrics (Bury and Cortez, 2021).…”

Section: Identification Of Pacing Sitementioning

confidence: 99%

“…Frontiers in Physiology frontiersin.org (Vijayaraman et al, 2018b). Moore et al (2022) multicenter study of CSP in CHD included 17 HSP patients, and there was average rise in HSP threshold from 0.8 ± 0.4V (at 0.5 ± 0.1 ms) to 1.6 ± 0.2V (at 0.5 ± 0.2 ms) at 1 year. Gordon et al (2022) (23 HSP patients) identified a rise in ventricular capture threshold from average 0.7 ± 0.3V @0.4 ms at implant to 1.3 ± 0.5V @ 0.4 ms at median follow-up 610days (p <0.001).…”

Section: Role Of the Backup Rv Leadmentioning

confidence: 99%

“…Again, there were no significant complications, but a rise of the ventricular pacing threshold to >2 V was documented in 3 (18%) patients. (Moore et al, 2022).…”

Section: Adult Congenital Heart Disease Experiencementioning

confidence: 99%

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Conduction system pacing in pediatric and congenital heart disease

et al. 2023

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Conduction system pacing (CSP) has evolved rapidly to become the pacing method of choice for many adults with structurally normal hearts. Studies in this population have repeatedly demonstrated superior hemodynamics and outcomes compared to conventional pacing with the recruitment of the native conduction system. Children and patients with congenital heart disease (CHD) are also likely to benefit from CSP but were excluded from original trials. However, very recent studies have begun to demonstrate the feasibility and efficacy of CSP in these patients, with growing evidence that some outcomes may be superior in comparison to conventional pacing techniques. Concerns regarding the technical challenges and long-term lead parameters of His Bundle Pacing (HBP) have been overcome to many extents with the development of Left Bundle Branch Area Pacing (LBBAP), and both techniques are likely to play an important role in pediatric and CHD pacing in the future. This review aims to assimilate the latest developments in CSP and its application in children and CHD patients.

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Section: Csp For Cardiac Resynchronization Therapymentioning

confidence: 99%

Section: Equipment and Implantmentioning

confidence: 99%

Section: Identification Of Pacing Sitementioning

confidence: 99%

Section: Role Of the Backup Rv Leadmentioning

confidence: 99%

“…Again, there were no significant complications, but a rise of the ventricular pacing threshold to >2 V was documented in 3 (18%) patients. (Moore et al, 2022).…”

Section: Adult Congenital Heart Disease Experiencementioning

confidence: 99%

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