Left bundle branch area pacing as alternative to his bundle pacing for cardiac resynchronisation therapy: a case report.
(2020) Acta Cardiologica : an international journal of cardiology — p. 1-3 (2020)
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- Authors
Le Polain De Waroux, Jean-Benoît 
- Abstract
- Case description : A 74-year-old man suffering from severe heart failure (NYHA III – LVEF 28%) associated with left bundle branch block (LBBB) (Figure 1(A)) and uncontrolled permanent atrial fibrillation (AF) despite optimal medical treatment was referred for His ablation and rescue physiological pacing after a first unsuccessful LV lead implantation through the coronary sinus (CS). Careful review of the occluded CS angiogram indeed revealed no side branches. Concordantly, the patient was offered a ‘rescue’ HBP procedure. Using the SelectSecure lead (model 3830) and a C315 His sheath (Both Medtronic, Inc. MN), His mapping (HV ¼ 106ms) and recruitment were easily obtained, unfortunately without LBBB correction.
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Citations
Wielandts, J.-Y., Almorad, A., Hilfiker, G., Gauthey, A., Knecht, S., Duytschaever, M., Vandekerckhove, Y., Tavernier, R., & Le Polain De Waroux, J.-B. (2020). Left bundle branch area pacing as alternative to his bundle pacing for cardiac resynchronisation therapy: a case report. Acta Cardiologica : an international journal of cardiology, 1-3. https://doi.org/10.1080/00015385.2020.1838127 (Original work published 2020)