How to Approach Conduction System Pacing-How to Approach Conduction System Pacing

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Video Summary

In a session on conduction system pacing, experts discussed various approaches and considerations for successful implantation and programming of pacing systems. Dr. Merrick Yastrzebski focused on the similarities and differences between stylet-driven and lumenless leads for pacing, highlighting that while both types can achieve similar success rates, personal preference and experience often influence outcome. The importance of proper technique in overcoming challenges during implantation, such as anatomical variations and stiffness of the septum, was emphasized.<br /><br />Dr. Amir Shrikar provided insights into achieving true conduction system pacing, explaining the significance of identifying the target area, ensuring proper septal penetration, and confirming left bundle branch area capture to enhance patient outcomes.<br /><br />In troubleshooting programming, Dr. Haran Buri discussed managing oversensing issues and optimizing device settings for conduction system pacing. He emphasized the importance of adjusting sensitivity and programming specific settings based on whether the pacing lead is plugged into the right atrial, ventricular, or left ventricular port.<br /><br />The panel also discussed pacing strategies for patients with conditions like sinus node dysfunction and heart failure, weighing the benefits of conduction system pacing against traditional methods, while acknowledging the need for more comprehensive data to support CSP as a standard heart failure therapy.

Keywords

conduction system pacing

implantation

programming

stylet-driven leads

lumenless leads

septal penetration

oversensing issues

device settings

heart failure therapy