His-Purkinje conduction system pacing and atrioventricular node ablation; [Stimulation des His-Purkinje-Systems und Ablation des atrioventrikulären Knotens]

被引：10
作者：
Muthumala A. [1 ]
Vijayaraman P. [2 ]
机构：
[1] North Middlesex University Hospital and St Bartholomew’s Hospital, London
[2] Geisinger Commonwealth School of Medicine, Director, Cardiac Electrophysiology, Geisinger Heart Institute, MC 36-10, Mountain Blvd, Wilkes-Barre, 1000, PA
来源：
Herzschrittmachertherapie + Elektrophysiologie | 2020年 / 31卷 / 2期
关键词：
Atrial fibrillation; AV node ablation; His bundle pacing; His-Purkinje system; Left bundle branch pacing;
D O I：
10.1007/s00399-020-00679-7
中图分类号：
学科分类号：
摘要：
His-Purkinje conduction system pacing (HPCSP) in the form of His bundle pacing and left bundle branch pacing allows normal ventricular activation, thereby preventing the adverse consequences of right ventricular pacing. One potential area where HPCSP could be used is in the field of atrioventricular (AV) node ablation in patients with atrial fibrillation refractory to medical therapy and/or catheter ablation. His bundle pacing has been established for several years, with centres from North America, Europe and China publishing their experience. The differing patterns of His bundle capture are clearly described with established guidance as to how to implant such systems. Left bundle branch pacing has only recently been reported, but there are several advantages with better pacing parameters and lower risk of threshold change after AV node ablation. Six studies have been identified in the literature which describe the experience of His bundle pacing in patients requiring AV node ablation. Overall the results are positive and favour this new technique; however, they are limited by low numbers of patients and non-randomised study design. An observational study was recently published demonstrating better outcomes with left bundle branch pacing in a small number of patients with left ventricular dysfunction and atrial fibrillation that underwent AV node ablation. HPCSP has the potential to be the primary pacing modality in patients with atrial fibrillation requiring AV node ablation. However, it is essential that this is confirmed in large randomised clinical trials. © 2020, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
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页码：117 / 123
页数：6
相关论文
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  • [1] Deshmukh P., Casavant D.A., Romanyshyn M., Anderson K., Permanent, direct His-bundle pacing: a novel approach to cardiac pacing in patients with normal His-Purkinje activation, Circulation, 101, 8, pp. 867-869, (2000)
  • [2] Kronborg M.B., Mortensen P.T., Poulsen S.H., Gerdes J.C., Jensen H.K., Nielsen J.C., His or para-His pacing preserves left ventricular function in atrioventricular block: a double-blind, randomized, crossover study, Europace, 16, 8, pp. 1189-1196, (2014)
  • [3] Sharma P.S., Dandamudi G., Naperkowski A., Oren J.W., Storm R.H., Ellenbogen K.A., Et al., Permanent His-bundle pacing is feasible, safe, and superior to right ventricular pacing in routine clinical practice, Heart Rhythm, 12, 2, pp. 305-312, (2015)
  • [4] Zanon F., Svetlich C., Occhetta E., Catanzariti D., Cantu F., Padeletti L., Et al., Safety and performance of a system specifically designed for selective site pacing, Pacing Clin Electrophysiol, 34, 3, pp. 339-347, (2011)
  • [5] Huang W., Su L., Wu S., Xu L., Xiao F., Zhou X., Et al., Benefits of permanent His bundle pacing combined with Atrioventricular node ablation in atrial fibrillation patients with heart failure with both preserved and reduced left ventricular ejection fraction, J Am Heart Assoc, 6, 4, (2017)
  • [6] Beer D., Sharma P.S., Subzposh F.A., Naperkowski A., Pietrasik G.M., Durr B., Et al., Clinical outcomes of selective versus nonselective His bundle pacing, JACC Clin Electrophysiol, 5, 7, pp. 766-774, (2019)
  • [7] Upadhyay G.A., Tung R., Selective versus non-selective his bundle pacing for cardiac resynchronization therapy, J Electrocardiol, 50, 2, pp. 191-194, (2017)
  • [8] Curila K., Prochazkova R., Jurak P., Jastrzebski M., Halamek J., Moskal P., Et al., Both selective and nonselective His bundle, but not myocardial, pacing preserve ventricular electrical synchrony assessed by ultra-high-frequency ECG, Heart Rhythm, (2019)
  • [9] Vijayaraman P., Dandamudi G., Zanon F., Sharma P., Tung R., Huang W., Et al., Permanent His Bundle Pacing (HBP): recommendations from a Multi-Center HBP Collaborative Working Group For Standardization Of Definitions, Implant Measurements And Follow-Up, Heart Rhythm, 15, 3, pp. 460-468, (2018)
  • [10] Vijayaraman P., Chung M.K., Dandamudi G., Upadhyay G.A., Krishnan K., Crossley G., Et al., His bundle pacing, J Am Coll Cardiol, 72, 8, pp. 927-947, (2018)
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