News and Announcements
CASE REPORT
A novel pacing strategy for heart block in bilateral septal pacing: A case report
Shanshan He1† ,
Wanyu Zhao1† ,
Xiaoli Dong1 ,
Ke Liu1 ,
Yulong Guo1 ,
Tao Guo1 ,
Yu Qiao1 ,
Guo Dong Niu1,2 ,
Yan Shen1* ,
Jinrui Guo1*
Show Less
1
Department of Arrhythmia, Fuwai Yunnan Hospital, Chinese Academy of Medical Sciences, Beijing,
China
2
Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing,
China
Submitted: 24 August 2023 | Accepted: 21 November 2023 | Published: 13 February 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract
We present the case of a patient referred for conduction system pacemaker implantation after a complete block associated with transcatheter aortic valve replacement and reduced left ventricular function. In this case, we achieved bilateral septal pacing through the anodal capture of the right ventricular septum during bipolar pacing. This approach generated superior ventricular mechanical synchrony compared to left ventricular septum pacing (LVSP).
Keywords
Bilateral septal pacing
Left bundle branch pacing
Conduction system pacing
Funding
None.
Conflict of interest
The authors declare no conflict of interest.
References
- Strocchi M, Lee AWC, Neic A, et al. His-bundle and left bundle pacing with optimized atrioventricular delay achieve superior electrical synchrony over endocardial and epicardial pacing in left bundle branch block patients. Heart Rhythm. 2020;17:1922-1929. doi: 10.1016/j.hrthm.2020.06.028
- Wu S, Chen X, Wang S, et al. Evaluation of the criteria to distinguish left bundle branch pacing from left ventricular septal pacing. JACC Clin Electrophysiol. 2021;7:1166-1177. doi: 10.1016/j.jacep.2021.02.018
- Bax JJ, Bleeker GB, Marwick TH, et al. Left ventricular dyssynchrony predicts response and prognosis after cardiac resynchronization therapy. J Am Coll Cardiol. 2004;44:1834-1840. doi: 10.1016/j.jacc.2004.08.016
- Glikson M, Nielsen JC, Kronborg MB, et al. 2021 esc guidelines on cardiac pacing and cardiac resynchronization therapy. Russ J Cardiol. 2022;27:5159. doi: 10.15829/1560-4071-2022-5159
- Vijayaraman P, Subzposh FA, Naperkowski A, et al. Prospective evaluation of feasibility and electrophysiologic and echocardiographic characteristics of left bundle branch area pacing. Heart Rhythm. 2019;16(12):1774-1782. doi: 10.1016/j.hrthm.2019.05.011
- Lin J, Chen K, Dai Y, et al. Bilateral bundle branch area pacing to achieve physiological conduction system activation. Circ Arrhythm Electrophysiol. 2020;13:e008267. doi: 10.1161/CIRCEP.119.008267
- Cleland JG, Daubert JC, Erdmann E, et al. The effect of cardiac resynchronization on morbidity and mortality in heart failure. N Engl J Med. 2005;352:1539-1549. doi: 10.1056/NEJMoa050496
- Li J, He J, Yu H, et al. Bilateral septal pacing in combination with coronary venous pacing for cardiac resynchronization therapy. Pacing Clin Electrophysiol. 2023;46:226-234. doi: 10.1111/pace.14628
- Rijks J, Luermans J, Heckman L, et al. Physiology of left ventricular septal pacing and left bundle branch pacing. Card Electrophysiol Clin. 2022;14:181-189. doi: 10.1016/j.ccep.2021.12.010
- Vijayaraman P, Nayak HM, Ellenbogen KA. Left ventricular septal versus left bundle branch pacing: A new beginning in cardiac resynchronization therapy? J Am Coll Cardiol. 2020;75:360-362. doi: 10.1016/j.jacc.2019.11.041