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Related Experiment Video

Updated: Jun 21, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

Direct His bundle pacing post AVN ablation.

Umashankar Lakshmanadoss¹, Ashim Aggarwal, David T Huang

¹Unity Health System, Rochester, New York 14626, USA. udoss@unityhealth.org

Pacing and Clinical Electrophysiology : PACE

|August 8, 2009

Summary

This summary is machine-generated.

Atrioventricular nodal ablation for atrial fibrillation can be improved with His bundle pacing, offering an alternative to right ventricular pacing. This case study explores direct His bundle pacing in a patient with symptomatic paroxysmal AF.

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Remote Magnetic Navigation for Accurate, Real-time Catheter Positioning and Ablation in Cardiac Electrophysiology Procedures

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Remote Magnetic Navigation for Accurate, Real-time Catheter Positioning and Ablation in Cardiac Electrophysiology Procedures

Remote Magnetic Navigation for Accurate, Real-time Catheter Positioning and Ablation in Cardiac Electrophysiology Procedures

Published on: April 21, 2013

Area of Science:

Cardiology
Electrophysiology
Medical Devices

Background:

Atrioventricular nodal (AVN) ablation with pacemaker implantation manages atrial fibrillation (AF) symptoms.
Right ventricular (RV) apical pacing has long-term adverse effects, prompting research into alternative pacing sites.
Biventricular pacing shows functional improvement over RV pacing in AVN ablation patients.

Observation:

This case report details direct His bundle pacing in a patient with symptomatic paroxysmal AF.
A steerable lead delivery system was utilized for the His bundle pacing procedure.
The patient underwent concurrent AVN ablation.

Findings:

Direct His bundle pacing presents a viable alternative to RV apical pacing.
This pacing strategy aims to mitigate the adverse outcomes associated with RV pacing.
The procedure was successfully performed in a patient with symptomatic paroxysmal AF.

Implications:

His bundle pacing may offer a safer and more effective pacing strategy post-AVN ablation.
Further research into His bundle pacing could optimize AF management and reduce pacing-related complications.
This approach could lead to improved patient outcomes and quality of life in AF patients.