Worldwide survey on implantation of and outcomes for conduction system pacing with His bundle and left bundle branch area pacing leads.
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Perino Alexander C, Wang Paul J, Lloyd Michael, Zanon Francesco, Fujiu Katsuhito, Osman Faizel, Briongos-Figuero Sem, Sato Toshiaki, Aksu Tolga, Jastrzebski Marek, Sideris Skevos, Rao Praveen, Boczar Krzysztof, Yuan-Ning Xu, Wu Michael, Namboodiri Narayanan, Garcia Rodrigue, Kataria Vikas, De Pooter Jan, Przibille Oliver, Gehi Anil K, Cano Oscar, Katsouras Grigorios, Cai Binni, Astheimer Klaus, Tanawuttiwat Tanyanan, Datino Tomas, Rizkallah Jacques, Alasti Mohammad, Feld Gregory, Barrio-Lopez Maria Teresa, Gilmore Mark, Conti Sergio, Yanagisawa Satoshi, Indik Julia H, Zou Jiangang, Saha Sandeep A, Rodriguez-Munoz Daniel, Chang Kuan-Cheng, Lebedev Dmitry S, Leal Miguel A, Haeberlin Andreas, Forno Alexander R J Dal, Orlov Michael, Frutos Manuel, Cabanas-Grandio Pilar, Lyne Jonathan, Leyva Francisco, Tolosana Jose Maria, Ollitrault Pierre, Vergara Pasquale, Balla Cristina, Devabhaktuni Subodh R, Forleo Giovanni, Letsas Konstantinos P, Verma Atul, Moak Jeffrey P, Shelke Abhijeet B, Curila Karol, Cronin Edmond M, Futyma Piotr, Wan Elaine Y, Lazzerini Pietro Enea, Bisbal Felipe, Casella Michela, Turitto Gioia, Rosenthal Lawrence, Bunch T Jared, Baszko Artur, Clementy Nicolas, Cha Yong-Mei, Chen Huang-Chung, Galand Vincent, Schaller Robert, Jarman Julian W E, Harada Masahide, Wei Yong, Kusano Kengo, Schmidt Constanze, Hurtado Marco Antonio Arguello, Naksuk Niyada, Hoshiyama Tadashi, Kancharla Krishna, Iida Yoji, Mizobuchi Mashiro, Morin Daniel P, Cay Serkan, Paglino Gabriele, Dahme Tillman, Agarwal Sharad, Vijayaraman Pugazhendhi, Sharma Parikshit S
Аннотация
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.