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

Julia Herbert; Arianne Kovacsovics; Rita Brito; Nicolas Masson; Haran Burri

doi:10.1093/europace/euae168

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

Europace. 2024 Jul 2;26(7):euae168. doi: 10.1093/europace/euae168.

Authors

Julia Herbert¹, Arianne Kovacsovics¹, Rita Brito¹, Nicolas Masson¹, Haran Burri¹

Affiliation

¹ Cardiac Pacing Unit, Department of Cardiology, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, CH-1211 Geneva, Switzerland.

Abstract

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.

Keywords: Adverse events; Backup lead; Conduction system pacing; His bundle pacing; Lead revision.

MeSH terms

Aged
Aged, 80 and over
Bundle of His* / physiopathology
Cardiac Pacing, Artificial* / methods
Electrodes, Implanted
Female
Humans
Male
Middle Aged
Pacemaker, Artificial*
Retrospective Studies
Time Factors
Treatment Outcome

Abstract

MeSH terms

Grants and funding