Left Bundle Branch Area Pacing With TAVR
Daisuke Sato1, Noriaki Moriyama2, Mikko Jalanko3
1Department of Cardiology, Shonan Kamakura General Hospital, Kanagawa, Japan; Department of Cardiology, Heart and Lung Center, Helsinki University and Helsinki University Central Hospital, Helsinki, Finland.
Insights
This study shows left bundle branch area pacing can be successfully combined with transcatheter aortic valve replacement. Imaging techniques can help pinpoint the pacing target after valve replacement.
Area of Science:
- Cardiology
- Cardiac Electrophysiology
- Interventional Cardiology
Background:
- Left bundle branch area pacing (LBBAP) is an alternative to right ventricular pacing.
- Transcatheter aortic valve replacement (TAVR) is a common procedure for aortic stenosis.
- Combining LBBAP with TAVR presents unique procedural challenges.
Abstract:
We illustrate a successful case of left bundle branch area pacing with contemporary transcatheter aortic valve replacement. The association between the position of the transcatheter heart valve and the cusp-overlap view may be used to effectively identify the targeted left bundle branch area after transcatheter aortic valve replacement.
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