Observational studyEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2023
Left bundle branch area pacing in congenital heart disease.
Observational study in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Pediatric Pacing from Proximal Right Ventricular Septum: Preserved Left Ventricular Systolic Function at Follow-Up.Pediatric cardiology · 2026Article
- Left bundle branch pacing in double-chambered left ventricle and perimembranous ventricular septal aneurysm: a case report.European heart journal. Case reports · 2026Article
- Conversion from cardiac resynchronization therapy to left bundle branch area pacing in a child with congenital heart disease and pacing-induced cardiomyopathy: A case report.HeartRhythm case reports · 2026Article
- From Minor Monitoring to Major Insight: Predicting AF Development in the Congenital Heart Disease Population.Journal of cardiovascular development and disease · 2026Article
- Advancements in pacing and ICD technologies: Potential implications for complex congenital heart disease in adults.International journal of cardiology. Congenital heart disease · 2026Review
- Feasibility and safety of left bundle branch area pacing in patients with surgical VSD closure.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Article
- Left bundle branch pacing in anatomically repaired congenitally corrected transposition of the great arteries: a case report.European heart journal. Case reports · 2026Article
- Successful Left Bundle Branch Area Pacing Using the Sheath-In-Sheath Technique in a Patient With Right Atrial Enlargement and Tricuspid Annuloplasty Ring.Journal of arrhythmia · 2025Article
- Left bundle branch area pacing for pacing-induced cardiomyopathy in a patient with dextrocardia after ventricular septal defect closure.HeartRhythm case reports · 2025Article
- Post-traumatic ventricular septal defect manifesting as intermittent third-degree atrioventricular block: a case report.European heart journal. Case reports · 2025Article
- Cardiac devices in the adult congenital population; A blessing and a curse.International journal of cardiology. Congenital heart disease · 2024Article
- Advances in cardiac pacing with leadless pacemakers and conduction system pacing.Current opinion in cardiology · 2024Review
- Conduction System Pacing in Children and Congenital Heart Disease.Arrhythmia & electrophysiology review · 2024Review
- Advancing the science of management of arrhythmic disease in children and adult congenital heart disease patients within the last 25 years.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023Review
- Cardiac resynchronization therapy using conduction system pacing after double-switch surgery for congenitally corrected transposition of the great arteries: a case report.European heart journal. Case reports · 2023Article
- EHRA clinical consensus statement on conduction system pacing implantation: endorsed by the Asia Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS), and Latin American Heart Rhythm Society (LAHRS).Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023Article
- Conduction system pacing in pediatric and congenital heart disease.Frontiers in physiology · 2023Review
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsLeft bundle branch area pacing (LBBAP) has been shown to be effective and safe. Limited data are available on LBBAP in the congenital heart disease (CHD) population. This study aims to describe the feasibility and safety of LBBAP in CHD patients compared with non-CHD patients. METHODS AND
resultsThis is a single-centre, non-randomized observational study recruiting consecutive patients with bradycardia indication. Demographic data, ECGs, imaging, and procedural data including lead parameters were recorded. A total of 39 patients were included: CHD group (n = 13) and non-CHD group (n = 26). Congenital heart disease patients were younger (55 ± 14.5 years vs. 73.2 ± 13.1, P < 0.001). Acute success was achieved in all CHD patients and 96% (25/26) of non-CHD patients. No complications were encountered in either group. The procedural time for CHD patients was comparable (96.4 ± 54 vs. 82.1 ± 37.9 min, P = 0.356). Sheath reshaping was required in 7 of 13 CHD patients but only in 1 of 26 non-CHD patients, reflecting the complex and distorted anatomy of the patients in this group. Lead parameters were similar in both groups; R wave (11 ± 7 mV vs. 11.5 ± 7.5, P = 0.881) and pacing threshold (0.6 ± 0.3 V vs. 0.7 ± 0.3, P = 0.392). Baseline QRS duration was longer in the CHD group (150 ± 28.2 vs. 118.6 ± 26.6 ms, P = 0.002). Despite a numerically greater reduction in QRS and a similar left ventricular activation time (65.9 ± 6.2 vs. 67 ± 16.8 ms, P = 0.840), the QRS remained longer in the CHD group (135.5 ± 22.4 vs. 106.9 ± 24.7 ms, P = 0.005).
conclusionLeft bundle branch area pacing is feasible and safe in CHD patients as compared to that in non-CHD patients. Procedural and fluoroscopy times did not differ between both groups. Lead parameters were satisfactory and stable over a short-term follow-up.
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