Difficult Implants in the Conduction System: Tips and Tricks from the Experts-Difficult Implants in the Conduction System: Tips and Tricks from the Experts

Video Transcription

Video Summary

The speakers in this video present various cases of conduction system pacing, specifically focusing on left bundle pacing. The first speaker, Dr. Bengt Herweg, presents a case of a 64-year-old female with non-ischemic cardiomyopathy and left bundle branch block. The patient was implanted with a resynchronization pacemaker using left bundle pacing. The patient's symptoms improved and the ejection fraction normalized after the procedure. The second speaker, Dr. Domenico Zanno, presents a case of a 69-year-old male with aortic stenosis who underwent transcatheter aortic valve replacement (TAVR) . The patient developed bradycardia and AV block post-TAVR, and a dual lead approach was used, with one lead in the His bundle and one lead in the left ventricle. The third speaker, Dr. Weizhong Wang, presents a case of a 77-year-old male with ischemic cardiomyopathy and left bundle branch block. The patient underwent His bundle pacing, but due to scarring, left bundle pacing was attempted. Multiple attempts were made to achieve left bundle pacing, but ultimately it was unsuccessful. The patient received a combination of His bundle and left bundle pacing. The speakers highlight the challenges and considerations in conduction system pacing, as well as the potential benefits of left bundle pacing in improving cardiac function and patient outcomes.

Keywords

conduction system pacing

left bundle pacing

resynchronization pacemaker

non-ischemic cardiomyopathy

aortic stenosis

transcatheter aortic valve replacement

AV block

His bundle pacing

ischemic cardiomyopathy

cardiac function