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- W4377015952 abstract "Left bundle branch area pacing (LBBAP) has been shown to have acceptable acute procedural outcomes and stable lead trends over time. There are limited data regarding outcomes of lead implantation distally to capture the left posterior fascicle (LPF). To evaluate the safety and feasibility of achieving LBBAP through LPF. Patients referred for pacemaker implantation between 2/1/19-7/31/22 were considered for LBBAP. LBBAP success was guided by conventional parameters. Patients with left ventricular activation time (LVAT) ≤ 85ms were included for analysis. Paced QRS morphology was analyzed for RBBB pattern in V1, as well as left axis deviation indicative of LPF capture. Implant success rates, complications, electrophysiologic and echocardiographic parameters were assessed in patients with and without LPF capture (LBBAP). 440 patients were included for analysis. LPF capture characteristics were noted in 159 (36.1%) patients. Baseline demographics, ECG, and implantation characteristics were similar between groups. Paced QRSd for the LPF group was 117.43 ± 11.06 vs. 114.25 ± 13.02 (p=0.01) for the LBBAP group. Mean LVAT was 71.23 ± 8.32 vs. 71.85 ± 8.31 (p>0.05) in the LPF and LBBAP group, respectively. Pacing thresholds, lead impedance and sensed R waves were similar and stable at follow-up period. Mean pre-procedural vs. post-procedural LVEF in the LPF cohort was 53.83 ± 11.87 vs. 55.52 ± 7.86 (p>0.05), compared to 56.37 ± 9.66 vs. 56.29 ± 8.37 (p>0.05) in the LBBAP group. 1 patient in the LPF group underwent lead revision. LPF capture during LBBAP is safe, feasible, and a reliable alternative to achieve physiologic pacing." @default.
- W4377015952 created "2023-05-19" @default.
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- W4377015952 date "2023-05-01" @default.
- W4377015952 modified "2023-09-26" @default.
- W4377015952 title "PO-03-018 PERFORMANCE AND ECHOCARDIOGRAPHIC OUTCOMES OF LEFT POSTERIOR FASCICULAR CAPTURE DURING CONDUCTION SYSTEM PACING: A SINGLE CENTER EXPERIENCE" @default.
- W4377015952 doi "https://doi.org/10.1016/j.hrthm.2023.03.1034" @default.
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