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Review
. 2020 Feb 15;11(2):4005-4012.
doi: 10.19102/icrm.2020.110205. eCollection 2020 Feb.

Permanent His-bundle Pacing in Pediatrics and Congenital Heart Disease

Shannon Lyon  1 , Gopi Dandamudi  2 , Adam C Kean  3
Affiliations
Review

Permanent His-bundle Pacing in Pediatrics and Congenital Heart Disease

Shannon Lyon et al. J Innov Card Rhythm Manag. .

Abstract

Permanent His-bundle pacing has been gaining popularity in the adult population requiring cardiac resynchronization therapy. Initial procedural challenges are being overcome, and this method of pacing has been shown to improve left ventricular function and heart failure symptoms secondary to ventricular dyssynchrony. Though the etiologies of ventricular dyssynchrony may differ in children and those with congenital heart disease than in adults with structurally normal hearts, His-bundle pacing may also be a preferred option in these groups to restore more physiologic electric conduction and improve ventricular function. We present a review of the current literature and suggested directions involving deploying permanent His-bundle pacing in the pediatric and congenital heart disease population.

Keywords: Adult congenital heart disease; His-bundle pacing; congenital heart disease; pediatric cardiology.

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Figures

Figure 1:
Figure 1:
A: Anteroposterior chest radiograph showing lead placement in a dual-chamber transvenous pacing system in a structurally normal heart. B: Lateral chest radiograph showing lead placement in a dual-chamber transvenous pacing system in a structurally normal heart.
Figure 2:
Figure 2:
A: Anteroposterior chest radiograph showing lead placement of a bipolar dual-chamber epicardial pacing system in a structurally normal heart. B: Lateral chest radiograph showing lead placement of a bipolar dual-chamber epicardial pacing system in a structurally normal heart.
Figure 3:
Figure 3:
A: Selective His-bundle pacing in a patient with a structurally normal heart. B: Nonselective His-bundle pacing in a patient with LTGA. C: RV pacing in a structurally normal heart with a resultant LBBB pattern.
Figure 4:
Figure 4:
A: Anteroposterior chest radiograph showing lead placement in a His-bundle pacing system in a patient with a structurally normal heart. B: Lateral chest radiograph showing lead placement in a His-bundle pacing system in a patient with a structurally normal heart.
Figure 5:
Figure 5:
A: Anteroposterior chest radiograph showing lead placement in a His-bundle pacing system in a patient with LTGA. B: Lateral chest radiograph showing lead placement in a His-bundle pacing system in a patient with LTGA.
See this image and copyright information in PMC

References

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