ArticleJACC. Case reports2025
Leadless Atrial Pacing Targeting Bachmann's Bundle for Atrial Resynchronization.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- AI-Enabled ECG Mapping to Guide Leadless Atrial Pacemaker Implantation in the Bachmann's Bundle Region.JACC. Case reports · 2026Article
- Direct comparison of transvenous and leadless Bachmann bundle area pacing in the same patient.HeartRhythm case reports · 2026Article
- Anteroseptal implantation of a leadless atrial pacemaker: Relevant anatomy for alternate sites into the Bachmann area.HeartRhythm case reports · 2026Article
- Leadless Atrial Pacing at Bachmann's Bundle Guided by Electroanatomic Mapping and Intracardiac Ultrasound.Journal of cardiovascular electrophysiology · 2026Article
- Leadless atrial pacemakers at the Bachmann bundle region: Early experience and procedural challenges.HeartRhythm case reports · 2026Article
- A place to pace: Multimodal imaging for atrial leadless pacemaker implantation.HeartRhythm case reports · 2026Article
- Leadless pacemaker implantation in the region of Bachmann's bundle: initial results.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 · 2026Article
- Era of Synchronized Physiologic Leadless Pacing: A Novel Approach to Cardiac Pacing and Ongoing Development.Journal of clinical medicine · 2026Review
- Case Report: Double-click on the ventricle: ventricular safety pacing triggered by right atrial lead dislodgement in a patient after right atrial tumor resection.Frontiers in cardiovascular medicine · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLeadless pacemakers have transformed pacing by reducing risk for infection and lead-related complications. The feasibility of achieving leadless Bachmann's bundle area pacing (BBAP) for atrial resynchronization is not known. FIRST-IN-HUMAN SUMMARY: A 49-year-old woman with sinus node dysfunction and interatrial conduction delay underwent leadless atrial pacemaker targeting Bachmann's bundle (BB). Using intracardiac echocardiography and electrographic mapping, the pacemaker was positioned at the BB region. Reduced right atrium-to-lateral left atrium conduction time and paced P wave duration were confirmed. DISCUSSION: Right atrial appendage pacing may exacerbate interatrial conduction delay and promote atrial fibrillation. BBAP using a leadless atrial pacemaker, in contrast, has been shown to enhance atrial synchrony. NOVELTY: This case demonstrates the first-in-human permanent implantation of a leadless pacemaker in the BB area, providing a strategy for leadless atrial resynchronization. TAKE-HOME MESSAGE: Leadless BBAP may offer a physiological approach to atrial conduction system pacing by improving atrioventricular dromotropy and reducing subsequent risk for atrial fibrillation.
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