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- Title
Left Bundle Branch Area Pacing to Overcome Coronary Sinus Anatomy-Related Technical Problems Encountered during Implantation of Biventricular CRT—A Case Report.
- Authors
Michalik, Jędrzej; Moroz, Roman; Szołkiewicz, Marek; Dąbrowska-Kugacka, Alicja; Daniłowicz-Szymanowicz, Ludmiła
- Abstract
The results of clinical trials show that up to one-third of patients who are eligible for cardiac resynchronization therapy (CRT) do not benefit from biventricular pacing. The reasons vary, including technical problems related to left ventricle pacing lead placement in the appropriate branch of the coronary sinus. Herein, we present a case report of a patient with heart failure with reduced ejection fraction and left bundle branch block, in whom a poor coronary sinus bed made implantation of classic biventricular CRT impossible, but in whom, alternatively, rescue-performed left bundle branch area pacing allowed effective electrical and mechanical cardiac resynchronization. The report confirms that left bundle branch area pacing may be a rational alternative in such cases.
- Subjects
HEART failure; BUNDLE-branch block; CARDIAC pacing; HEART failure patients; VENTRICULAR ejection fraction
- Publication
Journal of Clinical Medicine, 2024, Vol 13, Issue 11, p3307
- ISSN
2077-0383
- Publication type
Case Study
- DOI
10.3390/jcm13113307