Cor Vasa 2023, 65(4):656-687 | DOI: 10.33678/cor.2023.061

(EHRA clinical consensus statement on conduction system pacing implantation: endorsed by the Asia Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS), and Latin American Heart Rhythm Society (LAHRS). Translation of the document prepared by the Czech Society of Cardiology)

Haran Burri1, Marek Jastrzebski2, Oscar Cano3,4, Karol Čurila5, Jan de Pooter6, Weijian Huang7, Carsten Israel8, Jacqueline Joza9, Jorge Romero10,, Kevin Vernooy11, Pugazhendhi Vijayaraman12, Zachary Whinnett13,, Francesco Zanon14, Miloš Táborskýa, Karol Čurilab, Marián Fedorcoa, Josef Kautznerc, Alan Bulavad, Patrik Jarkovskýe, Rostislav Polášekf, Miroslav Novákg, Vít Glogerh, Milan Kozákch, Štěpán Havráneki, Vlastimil Vančuraj, Alexandr Scheek, Milena Kubíčkovál
1 Cardiac Pacing Unit, Cardiology Department, University Hospital of Geneva, Rue Gabrielle Perret Gentil 4, 1211 Geneva 14, Švýcarsko
2 First Department of Cardiology and Electrocardiology and Arterial Hypertension, Jagiellonian University, Kopernika 17, 31-501 Krakow, Polsko
3 Hospital Universitario y Politecnico La Fe, Avinguda de Fernando Abril Martorell 106, 46026 Valencia, Španělsko
4 Centro de Investigaciones Biomedicas en RED en Enfermedades Cardiovasculares (CIBERCV), Av. Monforte de Lemos, 3-5 Pabellón 11, Planta 0 28029 Madrid, Španělsko
5 Cardiocenter, Third Faculty of Medicine, Charles University and University Hospital, Královské Vinohrady, Ruská 87, 100 00 Praha 10, Česká republika
6 Heart Centre, University Hospital Ghent, Corneel Heymanslaan 10, 9000 Gent, Belgie
7 The First Affiliated Hospital of Wenzhou Medical University, Nanbaixiang, Wenzhou 325000, Čína
8 Bethel-Clinic, Burgsteig 13, 33617 Bielefeld, Německo
9 Department of Medicine, McGill University Health Center, 1001 Decarie Boulevard, H4A 3J1 Montreal (Quebec), Kanada
10 Brigham and Women?s Hospital, 75 Francis St, Boston, MA 02115, USA
11 Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Universiteitssingel 50, 6229 Maastricht, Nizozemsko
12 Geisinger Wyoming Valley Medical Center, 1000 East Mountain Blvd., Wilkes-Barre, PA 18711, USA
13 National Heart and Lung Institute, Imperial College London, Guy Scadding Building, Dovehouse St, London SW3 6LY, Velká Británie
14 Arrhythmia and Electrophysiology Unit, Santa Maria della Misericordia General Hospital, Viale Tre Martiri 140, 45100 Rovigo, Itálie
a I. interní klinika - kardiologická, Lékařská fakulta Univerzity Palackého v Olomouci a Fakultní nemocnice Olomouc, Olomouc
b Kardiocentrum, 3. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha
c Klinika kardiologie, Institut klinické a experimentální medicíny, Praha
d Kardiocentrum, Nemocnice České Budějovice, a. s., a Zdravotně sociální fakulta Jihočeské univerzity v Českých Budějovicích, České Budějovice
e Oddělení kardiologie, Interní klinika, 1. lékařská fakulta Univerzity Karlovy a Ústřední vojenská nemocnice, Praha
f Kardiocentrum, Krajská nemocnice Liberec, Liberec
g I. interní kardioangiologická klinika, Lékařská fakulta Masarykovy univerzity a Fakultní nemocnice u sv. Anny v Brně, Brno
h Kardiologické oddělení, Krajská nemocnice Tomáše Bati ve Zlíně, Zlín
ch Interní kardiologická klinika, Lékařská fakulta Masarykovy univerzity a Fakultní nemocnice Brno, Brno
i II. interní klinika kardiologie a angiologie, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice v Praze, Praha
j Kardiologická klinika, Lékařská fakulta Plzeň, Univerzita Karlova a Fakultní nemocnice Plzeň, Plzeň
k Kardiocentrum, Nemocnice v Karlových Varech, Karlovy Vary
l Kardiologická klinika, Fakulta zdravotnických studií Univerzity J. E. Purkyně v Ústí nad Labem a Krajská zdravotní, a.s., a Masarykova nemocnice v Ústí nad Labem, o. z., Ústí nad Labem

Conduction system pacing (CSP) has emerged as a more physiological alternative to right ventricular pacing and is also being used in selected cases for cardiac resynchronization therapy. His bundle pacing was first introduced over two decades ago and its use has risen over the last five years with the advent of tools which have facilitated implantation. Left bundle branch area pacing is more recent but its adoption is growing fast due to a wider target area and excellent electrical parameters. Nevertheless, as with any intervention, proper technique is a prerequisite for safe and effective delivery of therapy. This document aims to stan- dardize the procedure and to provide a framework for physicians who wish to start CSP implantation, or who wish to improve their technique.

Keywords: Conduction system pacing Device implantation, His bundle pacing, Left bundle branch area pacing

Received: July 9, 2023; Revised: July 9, 2023; Accepted: July 25, 2023; Published: September 1, 2023  Show citation

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Burri H, Jastrzebski M, Cano O, Čurila K, de Pooter J, Huang W, et al.. (EHRA clinical consensus statement on conduction system pacing implantation: endorsed by the Asia Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS), and Latin American Heart Rhythm Society (LAHRS). Translation of the document prepared by the Czech Society of Cardiology). Cor Vasa. 2023;65(4):656-687. doi: 10.33678/cor.2023.061.
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