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Mid-term performance of His bundle pacing and usefulness of backup leads. | LitMetric

Mid-term performance of His bundle pacing and usefulness of backup leads.

Europace

Cardiac Pacing Unit, Department of Cardiology, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, CH-1211 Geneva, Switzerland.

Published: July 2024

Ventricular backup leads may be considered in selected patients with His bundle pacing (HBP), but it remains unknown to what extent this is useful. A total of 184 HBP patients were studied. At last follow-up, 147 (79.9%) patients retained His bundle capture at programmed output. His bundle pacing lead revision was performed in 5/36 (13.9%) patients without a backup lead and in 3/148 (2.0%) patients with a backup lead (P = 0.008). One patient without a backup lead had syncope due to atrial oversensing. Thus, implantation of ventricular backup leads may avoid lead revision and adverse events in selected HBP patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218557PMC
http://dx.doi.org/10.1093/europace/euae168DOI Listing

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