We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Safety and feasibility of left bundle branch area pacing following valvular interventions: Multicenter study.
- Authors
Gul, Enes Elvin; Kabadi, Rajiv A.; Padala, Santosh K.; Sanchez Somonte, Paula; Kron, Jordana; Shepard, Richard K.; Koneru, Jayanthi N.; Kalahasty, Gautham; Terricabras, Maria; Tsang, Bernice; Khaykin, Yaariv; Wulffhart, Zaev; Pantano, Alfredo; Ellenbogen, Kenneth A.; Verma, Atul
- Abstract
Objectives: To evaluate the safety and feasibility of left bundle branch area pacing (LBBAP) in patients with valvular interventions. Methods: Eighty‐four patients were included in this study. All patients underwent recent surgical or percutaneous valvular interventions. LBBAP was attempted in all patients. Implant success rates, peri‐ and postprocedure electrocardiogram, pacing parameters, and complications were assessed at implant, and during follow‐up. Results: LBBAP implantation was successful in 80/84 (95%) patients. Mean age was 74.1 ± 13.8 years and 56% patients were male. Prior valvular replacements included: percutaneous aortic (26), surgical aortic (36), combined surgical aortic plus mitral (6), MVR (10), tricuspid (1), and pulmonic (1). Average LVEF was 52.6 ± 11%. Majority of patients underwent LBBAP due to atrioventricular block (76%) and sinus node disease (13%). Total procedure duration was 74.1 ± 12.5 min and fluoroscopic duration was 9.7 ± 6.8 min. Pacing parameters were stable during follow‐up period of 10.0 ± 6.3 months. Pacing QRS duration was significantly narrower than baseline QRS duration (131.5 ± 31.4 ms vs. 114.3 ± 13.7 ms, p <.001, respectively). No acute complications were observed. Mean follow‐up was 10.0 ± 6.3 months (median: 8.4 months, min: 1 and max: 24 months). During follow‐up, there were three device infections and two patients had loss of LBBA capture within 1 month of implant. Conclusions: LBBAP is a feasible and safe pacing modality in patients with prior interventions for valvular heart disease.
- Subjects
HEART valve surgery; RESEARCH; MEDICAL cooperation; CARDIAC pacing; DESCRIPTIVE statistics; PATIENT safety
- Publication
Journal of Cardiovascular Electrophysiology, 2021, Vol 32, Issue 9, p2515
- ISSN
1045-3873
- Publication type
Article
- DOI
10.1111/jce.15153