His Bundle (Conduction System) Pacing : A Contemporary Appraisal - 31/08/18

Doi : 10.1016/j.ccep.2018.05.015

Alan Sugrue, MBChB ^a, Subir Bhatia, MD ^b, Vaibhav R. Vaidya, MBBS ^a, Ugur Kucuk, MD ^a, Siva K. Mulpuru, MD ^a, Samuel J. Asirvatham, MD ^a,^⁎
^a Division of Heart Rhythm, Department of Cardiovascular Diseases, Mayo Clinic, 200 1st Street South West, Rochester, MN 55902, USA
^b Division of Internal Medicine, Department of Medicine, Mayo Clinic, 200 1st Street South West, Rochester, MN 55902, USA

^∗Corresponding author. Department of Cardiovascular Diseases, Mayo Clinic Rochester, 200 1st Street Southwest, Rochester, MN 55905.Department of Cardiovascular DiseasesMayo Clinic Rochester200 1st Street SouthwestRochesterMN55905

Résumé

The His bundle (conduction system) is an attractive target for physiologic pacing because it uses the native conduction system. Although the potential benefits of conduction system pacing were recognized in the 1970s, in the past 2 decades, it has grown in interest as a potentially preferred method of ventricular stimulation in appropriate patients. This review provides an appraisal of conduction system pacing, with focus on anatomy, physiology, tools, and techniques as well as an appraisal of current published data and thoughts on future directions.

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Keywords : His bundle, His bundle pacing, Cardiac resynchronization therapy

Plan

Disclosures: S.J. Asirvatham receives no significant honoraria and is a consultant with Abiomed, Aegis, ATP, Atricure, Biotronik, Boston Scientific, FocusStart, Medtronic, Medtelligence, Nevro, Sanovas, Sorin Medical, Spectranetics, St. Jude, Sanofi-Aventis, Wolters Kluwer, Elsevier, and Zoll. All other authors have no disclosures.