His Bundle Pacing 360 Degrees-What is the Future of HB Pacing? (Presenter: Kenneth A. Ellenbogen, MD, FHRS)

What is the Future of HB Pacing? (Presenter: Kenneth A. Ellenbogen, MD, FHRS)

Video Transcription

Video Summary

Dr. Ken Ellenbogen discusses the future of his bundle pacing, highlighting the major issues that need to be addressed. Firstly, the long-term reliability of thresholds and QRS narrowing with his bundle pacing needs to be determined. Secondly, a simple and reproducible method of implanting leads in the conduction system needs to be established. Thirdly, the hemodynamic outcomes of selective his bundle pacing, non-selective his bundle pacing, and pacing of the conduction system from the septum need to be demonstrated. Clinical trials are needed to compare the outcomes of conduction system pacing in patients with heart block and bundle branch block to determine if it is superior to conventional pacing. Furthermore, there is a need for new tools and leads for lead implantation, with the ultimate goal being leadless implantation in the conduction system. Dr. Ellenbogen also mentions ongoing clinical trials and emphasizes the need for large-scale, multicenter trials to assess the safety and efficacy of conduction system pacing. Once these trials are completed, conduction system pacing may receive a class one indication with a good level of evidence.

Meta Tag

Lecture ID 5340

Location Room 155

Presenter Kenneth A. Ellenbogen, MD, FHRS

Role Invited Speaker

Session Date and Time May 09, 2019 4:30 PM - 6:00 PM

Session Number S-039

Keywords

bundle pacing

QRS narrowing

implanting leads

hemodynamic outcomes

conduction system pacing