First Pediatric Application of Bachmann's Bundle Pacing and Left Bundle Branch Area Pacing for Bi-Physiologic
Hei-To Leung1, Sabrina Tsao1,2, Samuel Chung-Sum Ho1
1Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong.
Journal of Cardiovascular Electrophysiology
|April 22, 2026
Summary
Bachmann's bundle (BB) pacing offers a synchronized alternative to traditional atrial pacing. This study shows BB pacing is safe and effective in a pediatric patient, shortening P-wave duration and reducing interatrial mechanical delay.
Area of Science:
- Pediatric Electrophysiology
- Cardiac Pacing
- Atrial Synchrony
Background:
- Conventional right atrial appendage pacing can lead to nonphysiologic delays.
- Bachmann's bundle (BB) pacing is a potential alternative that preserves cardiac synchrony.
- Limited pediatric data exists for BB pacing techniques.
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