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Perino AC, Wang PJ, Lloyd M, Zanon F, Fujiu K, Osman F, Briongos-Figuero S, Sato T, Aksu T, Jastrzebski M, Sideris S, Rao P, Boczar K, Yuan-Ning X, Wu M, Namboodiri N, Garcia R, Kataria V, De Pooter J, Przibille O, Gehi AK, Cano O, Katsouras G, Cai B, Astheimer K, Tanawuttiwat T, Datino T, Rizkallah J, Alasti M, Feld G, Barrio-Lopez MT, Gilmore M, Conti S, Yanagisawa S, Indik JH, Zou J, Saha SA, Rodriguez-Munoz D, Chang KC, Lebedev DS, Leal MA, Haeberlin A, Forno ARJD, Orlov M, Frutos M, Cabanas-Grandio P, Lyne J, Leyva F, Tolosana JM, Ollitrault P, Vergara P, Balla C, Devabhaktuni SR, Forleo G, Letsas KP, Verma A, Moak JP, Shelke AB, Curila K, Cronin EM, Futyma P, Wan EY, Lazzerini PE, Bisbal F, Casella M, Turitto G, Rosenthal L, Bunch TJ, Baszko A, Clementy N, Cha YM, Chen HC, Galand V, Schaller R, Jarman JWE, Harada M, Wei Y, Kusano K, Schmidt C, Hurtado MAA, Naksuk N, Hoshiyama T, Kancharla K, Iida Y, Mizobuchi M, Morin DP, Cay S, Paglino G, Dahme T, Agarwal S, Vijayaraman P, Sharma PS. Worldwide survey on implantation of and outcomes for conduction system pacing with His bundle and left bundle branch area pacing leads. J Interv Card Electrophysiol 2023; 66:1589-1600. [PMID: 36607529 PMCID: PMC9817436 DOI: 10.1007/s10840-022-01417-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 11/03/2022] [Indexed: 01/07/2023]
Abstract
BACKGROUND Adoption and outcomes for conduction system pacing (CSP), which includes His bundle pacing (HBP) or left bundle branch area pacing (LBBAP), in real-world settings are incompletely understood. We sought to describe real-world adoption of CSP lead implantation and subsequent outcomes. METHODS We performed an online cross-sectional survey on the implantation and outcomes associated with CSP, between November 15, 2020, and February 15, 2021. We described survey responses and reported HBP and LBBAP outcomes for bradycardia pacing and cardiac resynchronization CRT indications, separately. RESULTS The analysis cohort included 140 institutions, located on 5 continents, who contributed data to the worldwide survey on CSP. Of these, 127 institutions (90.7%) reported experience implanting CSP leads. CSP and overall device implantation volumes were reported by 84 institutions. In 2019, the median proportion of device implants with CSP, HBP, and/or LBBAP leads attempted were 4.4% (interquartile range [IQR], 1.9-12.5%; range, 0.4-100%), 3.3% (IQR, 1.3-7.1%; range, 0.2-87.0%), and 2.5% (IQR, 0.5-24.0%; range, 0.1-55.6%), respectively. For bradycardia pacing indications, HBP leads, as compared to LBBAP leads, had higher reported implant threshold (median [IQR]: 1.5 V [1.3-2.0 V] vs 0.8 V [0.6-1.0 V], p = 0.0008) and lower ventricular sensing (median [IQR]: 4.0 mV [3.0-5.0 mV] vs. 10.0 mV [7.0-12.0 mV], p < 0.0001). CONCLUSION In conclusion, CSP lead implantation has been broadly adopted but has yet to become the default approach at most surveyed institutions. As the indications and data for CSP continue to evolve, strategies to educate and promote CSP lead implantation at institutions without CSP lead implantation experience would be necessary.
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Affiliation(s)
- Alexander C Perino
- Center for Academic Medicine, Department of Medicine/Division of Cardiovascular Medicine, Stanford University School of Medicine, 453 Quarry Road, Palo Alto, CA, 94304, USA.
| | - Paul J Wang
- Center for Academic Medicine, Department of Medicine/Division of Cardiovascular Medicine, Stanford University School of Medicine, 453 Quarry Road, Palo Alto, CA, 94304, USA
| | | | - Francesco Zanon
- Santa Maria Della Misericordia General Hospital, Perugia, Italy
| | | | | | | | | | - Tolga Aksu
- Yeditepe University Hospital, Istanbul, Turkey
| | | | | | - Praveen Rao
- Baylor University Medical Center, Dallas, USA
| | | | - Xu Yuan-Ning
- West China Hospital, Sichuan University, Chengdu, China
| | - Michael Wu
- Lifespan Cardiovascular Institute, Brown University, Providence, USA
| | - Narayanan Namboodiri
- Sree Chitra Institute for Medical Sciences and Technology, Thiruvananthapuram, India
| | | | | | | | | | - Anil K Gehi
- University of North Carolina School of Medicine, Chapel Hill, USA
| | - Oscar Cano
- Hospital Universitari I Politècnic La Fe, Valencia, Spain
- Centro de Investigaciones Biomédicas en RED en Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | | | - Binni Cai
- Xiamen Cardiovascular Hospital, Xiamen, China
| | | | | | - Tomas Datino
- Hospital General Universitario Gregorio Marañon, Madrid, Spain
| | | | | | - Gregory Feld
- University of California San Diego Health System, San Diego, USA
| | | | | | | | | | - Julia H Indik
- University of Arizona College of Medicine, Tucson, USA
| | - Jiangang Zou
- First Affiliated Hospital of Nanjing Medical University, Jiangsu Provincial Hospital, Nanjing, China
| | | | | | - Kuan-Cheng Chang
- School of Medicine, China Medical University, Taichung, Taiwan
- China Medical University Hospital, Taichung, Taiwan
| | - Dmitry S Lebedev
- National Medical Research Center. VA Almazov, Saint Petersburg, Russia
| | - Miguel A Leal
- School of Medicine and Public Health, University of Wisconsin, Madison, USA
| | | | | | | | - Manuel Frutos
- Hospital Universitario Virgen del Rocío, Seville, Spain
| | | | | | - Francisco Leyva
- Aston University, Birmingham, UK
- Queen Elizabeth Hospital, Birmingham, UK
| | | | | | | | - Cristina Balla
- Azienda Ospedaliero Universitaria Di Ferrara, Cona, Italy
| | | | | | | | - Atul Verma
- Southlake Regional Health Centre, Newmarket, Canada
| | | | | | - Karol Curila
- Cardiocenter, 3Rd Faculty of Medicine, Charles University, Prague, Czechia
| | - Edmond M Cronin
- Lewis Katz School of Medicine at, Temple University, Philadelphia, USA
| | - Piotr Futyma
- Medical College, University of Rzeszów, Rzeszów, Poland
- St. Joseph's Heart Rhythm Center, Rzeszów, Poland
| | | | - Pietro Enea Lazzerini
- University of Siena, Siena, Italy
- Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - Felipe Bisbal
- University Hospital Germans Trias I Pujol, Barcelona, Spain
| | | | - Gioia Turitto
- New York-Presbyterian Brooklyn Methodist Hospital, New York, NY, USA
| | | | - T Jared Bunch
- University of Utah School of Medicine, Salt Lake City, USA
| | - Artur Baszko
- Poznań University of Medical Sciences, Poznań, Poland
| | | | | | | | | | - Robert Schaller
- Hospital of the University of Pennsylvania, Philadelphia, USA
| | | | | | - Yong Wei
- Shanghai General Hospital, Shanghai, China
| | - Kengo Kusano
- National Cerebral and Cardiovascular Center, Suita, Japan
| | | | | | | | | | | | - Yoji Iida
- Kobari General Hospital, Noda, Japan
| | | | | | | | | | - Tillman Dahme
- Universitätsklinikum Ulm (Ulm University Medical Center), Ulm, Germany
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Baron T, Kosmala W, Sarvari SI, Garcia Martin A, Dumitrescu SI, Galli E, Pagourelias E, Martinez Santos P, Christersson C, Hedin EM, Johansson K, Flachskampf FA, Rojek A, Przewlocka-Kosmala M, Karolko B, Mysiak A, Marwick TH, Sitges M, Sanz M, Tolosana Viu JM, Edvardsen T, Stokke TM, Mont L, Bijnens B, Moya-Mur JL, Carbonell-San Roman SA, Rodriguez-Munoz D, Garcia-Lledo A, Jimenez-Nacher JJ, Segura-De La Cal T, Fernandez-Golfin C, Zamorano-Gomez JL, Droc I, Neagoe G, Mocanu I, Murgu V, Savoiu D, Crisan I, Dragomir D, Stamate SC, Cristian G, Fournet M, Samset E, Leclercq C, Donal E, Vovas G, Duchenne J, Mirea OC, Van Aelst L, Claus P, Delforge M, Van Cleemput J, Bogaert J, Voigt JU, Batlle Lopez E, Vilacosta I, De La Rosa Riestra A, Sanchez Sauce B, Jimenez Valtierra J, Espana Barrio E, Campuzano Ruiz R, Alonso Bello J, Perez Gonzalez F. Rapid Fire Abstract session: assessment of systolic function: clinical perspectives and future directions782How the echocardiographic parameters of left ventricular function change during the first year after myocardial infarction when the ejection fraction remains normal?783Blunted increase in LV longitudinal deformation during exercise contributes to the transition from an asymptomatic stage to clinically overt HFpEF784A septal flash induced by right ventricular pacing is associated with left ventricular dysfunction and remodeling785Assessment of right ventricular systolic function in patients with significant functional tricuspid regurgitation: longitudinal parameters increase accuracy and predict cardiovascular outcomes786Effect of left ventricular augmentation with alginate biopolymer on right heart function787Left ventricular mechanics: novel tools to evaluate function and dyssynchrony in controls and cardiac resynchronization therapy candidates788How does regional wall thickness influence strain measurements?789TAPSE-estimated right ventricular systolic dysfunction predicts mortality among acute decompensated heart failure with preserved ejection fraction patients: a prospective study in a secondary center. Eur Heart J Cardiovasc Imaging 2015. [DOI: 10.1093/ehjci/jev268] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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