HIS bundle pacing lead

Morning!

Just a quicky for people's experiences.

If it was not possible first time around to fix a lead on HIS bundle pacing position is it possible it could be done in the future?

Or if it was difficult to impossible once that means it's the same in the future? 

3 Comments

It is always possible the second time around

by Gemita - 2021-03-04 05:33:07

https://www.ahajournals.org/doi/10.1161/CIRCEP.118.006801

https://pubmed.ncbi.nlm.nih.gov/33174216/

John,

If you are a suitable candidate for HIS bundle pacing, then why not?

With technology rapidly improving, techniques getting better all the time, operators becoming more experienced, we can never say never !   I attach a couple of links, the second summary link clearly shows the progress being made.

It could well be too that newer, better approaches are found in the not too distant future to provide a more natural means of pacing.  You are still young and have every reason to look forward to a better pacing experience ahead

depends

by Tracey_E - 2021-03-04 10:19:34

I would say it depends on the structure of your heart, the skill of the surgeon, and technology.  HIS pacing is so new, who knows where it will be 5 or 10 or 20 years down the road. 

His pacing

by AgentX86 - 2021-03-04 17:10:32

Sure it's possible, down the road. It might have been possible now but the EP wasn't up to it or maybe even had a bad day.

The same sort of thing happens with CRT lead placement. Sometimes the EP just can't get the catheter placed right, though often your anatomy just makes it difficult. A different EP may have no trouble or even the same, on a different day. OR maybe your anatomy makes it particularly difficult. It's still a relatively new procedure and techniques are constantly evolving.

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