His Bundle Pacing

Zanon, Francesco; Marcantoni, Lina; Centioni, M; Pastore, Gianni; Baracca, Enrico

doi:10.1016/j.ccep.2021.12.016

Cited by 4 publications

(4 citation statements)

References 30 publications

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“…Pacemapping was performed to define the locations with successful HB capture and QRS narrowing in patients with baseline bundle branch block. Finally, the 3D-EAM allows a detailed map of all tested lead positions to be traced, avoiding repeated unsuccessful attempts in the same position, thus saving procedural and fluoroscopy time [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Conduction system pacing in difficult cardiac anatomies: Systematic approach with the 3D electroanatomic mapping guide

Marcantoni,

Centioni,

Pastore

et al. 2023

Indian Pacing and Electrophysiology Journal

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Section: Discussionmentioning

confidence: 99%

Conduction system pacing in difficult cardiac anatomies: Systematic approach with the 3D electroanatomic mapping guide

Marcantoni,

Centioni,

Pastore

et al. 2023

Indian Pacing and Electrophysiology Journal

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“…The first permanent HBP lead implantation was reported in 2000, with 70% of success in patients with permanent atrial fibrillation (AF) candidates for AV junction ablation (AVJA). 9 , 10 …”

Section: How To Perform His-bundle Pacingmentioning

confidence: 99%

“…However, the implanting technique was subsequently refined when in 2014, Sharma and colleagues described 80% of the success of permanent HB lead implantation with the adoption of a lumen-less (LLL) electrically actively exposed helix lead delivered through pre-shaped sheaths and without the need for mapping or bailout catheters. 9 , 10 …”

Section: How To Perform His-bundle Pacingmentioning

confidence: 99%

“…Next, the His-bundle region is mapped with the HB lead from the ventricular to the atrial aspect with rotation and withdrawal of the sheath body. 9 , 10 Mapping for the His potential is generally performed in unipolar configuration with electrograms (EGMs) visualized by an electrophysiological recording system (at 100 mm/s sweep speed) or by a pacing system analyzer (PSA). Mapping could be assisted by standard fluoroscopic views, particularly in the left anterior oblique (LAO) view, to ensure that the lead is orthogonal to the septal surface.…”

Section: How To Perform His-bundle Pacingmentioning

confidence: 99%

See 1 more Smart Citation

Pacing of the specialized His–Purkinje conduction system: ‘back to the future’

Bressi

Grieco

Čurila

et al. 2023

European Heart Journal Supplements

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The conduction system of the human heart is composed of specialized cardiomyocytes that initiate and propagate the electric impulse with consequent rhythmic and synchronized contraction of the atria and ventricles, resulting in the normal cardiac cycle. Although the His–Purkinje system (HPS) was already described more than a century ago, there has been a recent resurgence of conduction system pacing (CSP), where pacing leads are positioned in the His bundle region and left bundle branch area to provide physiological cardiac activation as alternatives to the unnatural myocardial stimulation obtained with conventional right ventricular and biventricular pacing. In this review, we describe the fundamental anatomical and pathophysiological aspects of the specialized HPS along with the CSP technique’s nuts and bolts to highlight its potential benefits in everyday clinical practice.

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