This session will provide an in-depth exploration of conduction system pacing, focusing on practical techniques and strategies to optimize patient outcomes. Attendees will gain insights into the nuances of implanting stylet-driven versus lumenless conduction system leads, including tips for successful procedures and avoiding common pitfalls. The session will also cover how to effectively address challenges and complications that may arise during lead implantation.

Additionally, the session will discuss advanced pacing techniques, such as when and how to perform His-Optimized CRT (HOT-CRT) and Left Bundle Branch Area Pacing Optimized CRT (LOT-CRT), helping clinicians to make informed decisions for complex cases. Finally, the session will offer a guide on troubleshooting the programming of conduction system pacing, ensuring reliable and effective pacing performance.

• Differentiate between stylet-driven and lumenless conduction system leads, and identify the technical aspects and procedural considerations for successful implantation.
• Recognize common challenges and complications during conduction system pacing lead implantation, and apply effective strategies to manage these issues.
• Determine the appropriate use of His-Optimized CRT (HOT-CRT) and Left Bundle Branch Area Pacing Optimized CRT (LOT-CRT), and demonstrate the ability to troubleshoot and optimize pacing programming for effective therapy.

Gaurav Upadhyay, MD
Kristen Patton, MD

How to Implant Stylet-driven vs Lumenless Conduction System Lead
Presenter(s): Marek Jastrzebski, MD, PhD

How to Approach Challenges and Complications During Conduction System Pacing Lead Implantation
Presenter(s): Francesco Zanon, MD

How to Achieve True Conduction System Pacing
Presenter(s): Amir Schricker, MD, MS

How to Troubleshoot Programming of Conduction System Pacing
Presenter(s): Haran Burri, MD

Marek Jastrzebski:

• Medtronic (Honoraria/Speaking/Consulting Fee - Consulting)
• Abbott Medical (Honoraria/Speaking/Consulting Fee - Consulting)
• Biotronik (Honoraria/Speaking/Consulting Fee - Consulting)

Francesco Zanon:

• Biotronik (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• LivaNova (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• Boston Scientific (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• Medtronic (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• St. Jude Medical (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)

Amir Schricker:

• Medtronic (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• Farapulse (Honoraria/Speaking/Consulting Fee - Consulting)

Haran Burri:

• Abbott (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• Medtronic (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• Biotronik (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• Boston Scientific (Speakers' Bureau - Research)
• MicroPort Scientific Corporation (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)

To view all Heart Rhythm 2025 Faculty Disclosures, please click here.

Bradyarrhythmias
   --   Pacemakers
      --   55. Skill to implant transvenous atrial and ventricular pacemakers, including leadless and conduction system.

Bradyarrhythmias
   --   Pacemakers
      --   58. Skill to test and troubleshoot conduction system pacemakers.

Bradyarrhythmias
   --   Pacemakers
      --   63. Know how to interpret intracardiac electrogram tracings and other information downloaded from cardiovascular implantable electronic device (CIED), with respect to both arrhythmias and heart failure management.