Arrhythmias & electrophysiology
Intracardiac Echocardiography–Guided Implantation for Proximal Left Bundle Branch Pacing
Authors' conclusion
ICE-guided PLBB pacing is feasible and safe, with a shorter duration required for the procedure and fluoroscopy, and generates greater LBB trunk pacing and PLBB pacing.
Study context
- Population
- Consecutive pacemaker-indicated patients undergoing left bundle branch (LBB) pacing implantationplus 20 in mapping part
- Participants
- 101 patients
- Comparison
- Intracardiac echocardiography (ICE)-guided vs non-ICE LBB pacing lead implantation
Primary result
As reported in the abstract
Lead screw-in attempts in the septum
ICE
1.43
± 0.62
non-ICE
1.98
± 0.75
P = 0.0002
Further findings
Procedure duration
P < 0.001
Fluoroscopy time for LBB pacing implantation
P < 0.001
LBB trunk pacing
P = 0.031
PLBB pacing
P = 0.0267
QRS duration
- Lesser QRS duration with ICE
Proximal LBB (PLBB) location (mapping part, n=20)
- PLBB at 10 to 20 mm from tricuspid annulus toward apex; area (cm²)
- 4.5±1.1
Original publication
Intracardiac Echocardiography–Guided Implantation for Proximal Left Bundle Branch Pacing. Circ Arrhythm Electrophysiol. Published 16 March 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →