Publications by authors named "J De Pooter"
Lead Integrity and Failure Evaluation in Left Bundle Branch Area Pacing (LIFE-LBBAP) Study.
JACC Clin Electrophysiol
November 2024
Background: Left bundle branch area pacing (LBBAP) has gained increased adoption globally with the use of both lumenless leads (LLLs) and stylet-driven leads (SDLs). As these leads have been developed for conventional endocardial pacing sites, concerns remain regarding the lead integrity with LBBAP.
Objectives: This study evaluates lead integrity of pacing leads used for LBBAP in a large, real-world cohort of patients with LBBAP.
Stylet-driven Leads or Lumenless Leads for Conduction System Pacing.
Arrhythm Electrophysiol Rev
September 2024
Stylet-driven leads have been recently introduced for conduction system pacing, while most of the previous experience has been obtained with lumenless leads. Design and structural characteristics of both lead types are significantly different, resulting in different implant techniques and independent learning curves. Lead performance appears to be comparable, whereas data on direct comparison of clinical outcomes are scarce.
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- Implantable loop recorders (ILRs) are used for monitoring heart rhythms in patients with unexplained fainting (syncope), and this study investigated how long their batteries actually last in real-world settings.
- The study followed 309 patients over several years, finding that ILRs had a median battery life of 42 months, with nearly all (99.5%) reaching or exceeding the expected lifespan.
- It also revealed that the diagnostic yield for identifying arrhythmias was relatively low at 27%, although diagnostic rates improved over time, highlighting the importance of prolonged monitoring for better diagnosis.
Left bundle branch area pacing using a stylet-driven, retractable-helix lead: Short-term results from a prospective multicenter IDE trial (the BIO-CONDUCT study).
Heart Rhythm
November 2024
Background: Left bundle branch area pacing (LBBAP) has swiftly emerged as a safe and effective alternative to right ventricular pacing. Limited data exist on the use of retractable-helix, stylet-driven leads for LBBAP.
Objective: The objective of this study was to prospectively evaluate the performance and safety of a stylet-driven pacing lead in a rigorously controlled multicenter trial to support US market application.
Background: Conduction system pacing (CSP) by His bundle pacing or left bundle branch area pacing (LBBAP) is incorporated into Heart Rhythm Society guidelines for the management of bradycardia and cardiac resynchronization therapy. Despite increasing adoption with both lumenless leads and stylet-driven leads, concerns regarding the feasibility and safety of the extraction of CSP leads remain.
Objective: The aim of the study was to report on the safety, feasibility, and clinical outcomes of the extraction of CSP leads.