Use Trends and Adverse Reports of SelectSecure 3830 Lead Implantations in the United States

The year in cardiovascular medicine 2020: arrhythmias

“…The number of HBP related publications increased from 5 in 2014 to 75 in 2018. 41 Worldwide sales of the 3830 lead increased nine-fold between 2014 and 2018. The Twitter '#dontdisthehis' attracted almost 1200 users within 2.5 years.…”

“…For LBBAP, the 3830 lead is introduced transvenously and subsequently screwed through the interventricular septum until the tip of the lead is (almost) at the većao se s 5 u 2014. na 75 u 2018. godini. 41 Širom svijeta prodaja elektrode 3830 povećala se devet puta između 2014. i 2018. godine. Twitter hashtag "#dontdisthehis" privukao je gotovo 1200 korisnika unutar 2,5 godina.…”

Worldwide survey on implantation of and outcomes for conduction system pacing with His bundle and left bundle branch area pacing leads

“…His bundle pacing (HBP) and left bundle branch area pacing (LBBAP) have emerged as two approaches to pace the conduction system [1,2], with mounting evidence that conduction system pacing (CSP) avoids the deleterious effects of right ventricular myocardial pacing [3][4][5][6][7][8][9][10]. Peerreviewed publications on CSP have risen rapidly since 2017 [11], along with multiple national meetings on the topic, in parallel with CSP becoming a common topic of discussion on social media platforms (such as Twitter) within the electrophysiology community [12]. However, other than a marked increase in the use of the SelectSecure 3830 lead (Medtronic; Minneapolis, MN) in 2017 [11], historically the only option to perform CSP, there is little known about real-world adoption of CSP lead implantation or subsequent outcomes.…”

Image-guided device therapy: An opportunity for personalized medicine

“…4,5 The latter approach, although theoretically the most physiological, is fraught with the technical challenges of lead stability and increasing pacing thresholds over time. 6 More recently, left bundle branch (LBB) pacing has been proposed 7 as an alternative to His-bundle pacing with the hope of overcoming some of these shortcomings with potential improved long-term stability and thresholds allowing maximal battery life. Unique downsides to LBB pacing are the possibility of septal perforation and potential coronary injury in addition to injury to the His-Purkinje system with repositioning, all of which need to be evaluated in larger studies.…”

“…In this issue of the Journal, Qian, and colleagues from the Nanjing Medical University report on an interesting and pragmatic study on the important clinical topic of identifying LBB capture 9 . They postulate that the metric of LV activation time (LVAT), which is analogous to the intrinsicoid deflection of the QRS complex, may be useful to determine if LBB capture has occurred in cases where an LBB signal cannot be obtained.…”