The Zwolle experience with left bundle branch area pacing using stylet-driven active fixation leads
- 18.06.2022
- Original Paper
Erschienen in:
- Verfasst von
- F. Daniëls
- A. Adiyaman
- K. M. Aarnink
- F. J. Oosterwerff
- J. R. A. Verbakel
- A. Ghani
- J. J. J. Smit
- M. A. Kanters
- P. P. H. M. Delnoy
- A. Elvan
- Erschienen in
- Clinical Research in Cardiology | Ausgabe 12/2023
Abstract
Aims
Left bundle branch area pacing (LBBAP) is a novel physiological pacing modality and is regarded as a viable alternative to His bundle pacing. LBBAP has mostly been performed with the lumen-less permanent pacing lead (SelectSecure™ Model 3830, Medtronic, Inc.) with a fixed helix. The aim of this study was to compare the non-stylet driven lumen-less lead (LLL) (Medtronic 3830) with a standard stylet-driven active fixation lead (SDL) (Tendril™ STS Model 2088TC-38, Abbott Laboratories) in terms of lead parameters, procedural success and complication rates.
Methods
Patients receiving a LBBA pacemaker in the Isala Hospital, The Netherlands, were prospectively enrolled. The majority received a standard right ventricular (RV) lead as backup, the implanter chose between LLL and SDL for the LBBAP lead.
Results
The study included 94 patients with a mean follow-up of 30 weeks. 30/31 LLL procedures were successful, compared with 62/63 in the SDL group. Including the participants that lost LBBAP during follow-up resulted in success rates of 90.3% for LLL versus 96.8% for SDL, P = 0.199. Mean number of deployments was significantly lower in the SDL group compared with the LLL group (2 ± 2.3 versus 4 ± 3.4, P = 0.005), implantation and procedural times were comparable. Pacing thresholds were low and remained low in both groups (at last follow-up 0.8 ± 0.30 V for LLL versus 0.6 ± 0.20 V for SDL). Complication rates did not differ significantly between both groups, P = 0.805.
Conclusion
LBBAP using SDL is feasible and has comparable success rates with lower number of deployments of the active fixation screw.
Graphical abstract
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- Titel
- The Zwolle experience with left bundle branch area pacing using stylet-driven active fixation leads
- Verfasst von
-
F. Daniëls
A. Adiyaman
K. M. Aarnink
F. J. Oosterwerff
J. R. A. Verbakel
A. Ghani
J. J. J. Smit
M. A. Kanters
P. P. H. M. Delnoy
A. Elvan
- Publikationsdatum
- 18.06.2022
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
Clinical Research in Cardiology / Ausgabe 12/2023
Print ISSN: 1861-0684
Elektronische ISSN: 1861-0692 - DOI
- https://doi.org/10.1007/s00392-022-02048-5
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