Feasibility and stability of left bundle branch pacing in patients after prosthetic valve implantation.

Abstract:

BACKGROUND:Left bundle branch pacing (LBBP) has emerged as a promising pacing modality for preventing pacing induced cardiomyopathy in patients complicated with conduction abnormalities (CAs) after prosthetic valve (PV) implantation. OBJECTIVE:The present study aimed to evaluate the safety and feasibility of LBBP in this patient population. METHODS:LBBP was attempted in 20 patients complicated with atrioventricular block after PV implantation. Surface, intracardiac electrical measurements, and echocardiographic data were documented. Lead parameters and complications were routinely tracked at implantation and each follow-up visit. RESULTS:LBBP was successful in 90% (18/20) participants. The paced QRS duration and the stimulus to left ventricular activation time were 106.8 ± 6.8 ms and 65.5 ± 5.4 ms, respectively. Left bundle branch (LBB) potential was recorded in 61.1% (11/18) patients who succeeded in LBBP. During the procedure, the mean unipolar myocardium capture threshold was 0.51 ± 0.15 V@0.4 ms while the unipolar bundle capture threshold was 0.84 ± 0.51 V@0.4 ms. The mean fluoroscopic exposure time and the radiation dose were 13.0 ± 9.2 min and 81.7 ± 8.3 mGy, respectively. The average follow-up period was 10.4 ± 5.9 months (range 3-23 months). Pacing parameters remained stable and no significant lead-related complications occurred during the whole observation period. CONCLUSIONS:LBBP was safe and feasible in patients with PVs. Acceptable and stable pacing parameters could be expected during the procedure and the follow-ups.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Guo J,Li L,Xiao G,Huang X,Li Q,Wang Y,Cai B

doi

10.1002/clc.23413

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

1110-1118

issue

10

eissn

0160-9289

issn

1932-8737

journal_volume

43

pub_type

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