EHRA clinical consensus statement on conduction system pacing implantation: executive summary. Endorsed by the Asia-Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS) and Latin-American Heart Rhythm Society (LAHRS)

Author:

Burri Haran1ORCID,Jastrzebski Marek2,Cano Óscar3,Čurila Karol4,de Pooter Jan5,Huang Weijian6,Israel Carsten7,Joza Jacqueline8,Romero Jorge9,Vernooy Kevin10,Vijayaraman Pugazhendhi11,Whinnett Zachary12,Zanon Francesco13

Affiliation:

1. Cardiac Pacing Unit, University Hospital of Geneva , Geneva , Switzerland

2. First Department of Cardiology and Electrocardiology and Arterial Hypertension, Jagiellonian University , Krakow , Poland

3. Hospital Universitario y Politecnico La Fe, ValenciamSpain and Centro de Investigaciones Biomédicas en RED en Enfermedades Cardiovasculares (CIBERCV) , Madrid , Spain

4. Cardiocenter, Third Faculty of Medicine, Charles University and University Hospital, Kralovske Vinohrady , Prague , Czech Republic

5. Heart Centre, University Hospital Ghent , Ghent , Belgium

6. The First Affiliated Hospital of Wenzhou Medical University , Wenzhou , China

7. Bethel-Clinic , Bielefeld , Germany

8. Department of Medicine, McGill University Health Center , Montreal , Canada

9. Brigham and Women's Hospital , Boston, Massachusetts , United States of America

10. Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center , Maastricht , The Netherlands

11. Geisinger Wyoming Valley Medical Center , Wilkes-Barre, PA , United States of America

12. National Heart and Lung institute, Imperial College London , United Kingdom

13. Arrhythmia and Electrophysiology Unit, Santa Maria della Misericordia General Hospital , Rovigo , Italy

Abstract

AbstractConduction system pacing (CSP) has emerged as a more physiological alternative to right ventricular pacing and is also being used in selected cases for cardiac resynchronization therapy. His bundle pacing was first introduced over two decades ago and its use has risen over the last years with the advent of tools which have facilitated implantation. Left bundle branch area pacing is more recent but its adoption is growing fast due to a wider target area and excellent electrical parameters. Nevertheless, as with any intervention, proper technique is a prerequisite for safe and effective delivery of therapy. This document aims to standardize the procedure and to provide a framework for physicians who wish to start CSP implantation, or who wish to improve their technique. A synopsis is provided in this print edition of EP-Europace. The full document may be consulted online, and a ‘Key Messages’ App can be downloaded from the EHRA website.

Publisher

Oxford University Press (OUP)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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