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Review
. 2022 Jun;14(2):141-149.
doi: 10.1016/j.ccep.2021.12.016.

His Bundle Pacing: My Experience, Tricks, and Tips

Francesco Zanon  1 , Lina Marcantoni  2 , Marco Centioni  3 , Gianni Pastore  3 , Enrico Baracca  3
Affiliations
Review

His Bundle Pacing: My Experience, Tricks, and Tips

Francesco Zanon et al. Card Electrophysiol Clin. 2022 Jun.

Abstract

His Bundle Pacing (HBP) is a form of physiologic pacing achieved through implantation of a pacing electrode into the His bundle. HBP began 20 years ago without any dedicated tools. As specific tools became available HBP quickly spread and proved to be a viable alternative to traditional right ventricle pacing. HBP is reliable and effective in preserving the physiologic ventricular synchrony with clinical benefits particularly evident when a high percentage of pacing is required. Unipolar signals from the lead tip guide the implant. 3D electroanatomical mapping could further assist the procedure.

Keywords: Conduction system pacing; His bundle pacing; Physiologic pacing.

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Conflict of interest statement

Disclosure F. Zanon reports speaker fees (modest) from Abbott, Biotronik, Boston Scientific, Medtronic, and Microport. Other authors report no disclosure.

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