The Lead Episode 1: A Discussion of Left Bundle Branch Area Pacing Versus Biventricular Pacing as the Initial Implant Strategy for Cardiac Resynchronization Therapy-The Lead Episode 1

Video Transcription

Video Summary

In the first episode of the LEAD Podcast, the hosts discuss the results of a study comparing left bundle branch area pacing versus biventricular pacing as an initial implant strategy for cardiac resynchronization therapy (CRT). The study, a prospective non-randomized registry, enrolled 371 patients and compared the primary endpoint of heart failure hospitalization and all-cause mortality between the two pacing strategies. The initial success rate was higher in the biventricular pacing group, but the primary endpoint favored the left bundle branch area pacing group, driven by a lower rate of heart failure hospitalizations. The left bundle branch area pacing group also had shorter procedure times and fluoroscopy times compared to the biventricular pacing group. The discussion raises questions about the durability of leads in this position and the need for further randomized controlled trials. Overall, the authors conclude that left bundle branch area pacing may be a viable initial implant strategy for CRT.

Keywords

LEAD Podcast

study

left bundle branch area pacing

biventricular pacing

cardiac resynchronization therapy