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Emerging evidence increasingly supports the non-inferiority of left bundle branch pacing compared to biventricular pacing in heart failure patients with a Class I indication for cardiac resynchronization therapy (CRT). Conduction system pacing, in lieu of conventional CRT, offers the advantage of reducing both fluoroscopy time and contrast dye exposure. This chapter presents a case of cardiac resynchronization defibrillator (CRT-D) implant using a stylet-driven lead for left bundle branch pacing, connected to the IS-1 LV port of the device.

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Conduction System Pacing or Biventricular Pacing, Which Is the Right Choice?

  • 章节

  • 发表日期：

    2026年

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  • Francesco Deluca,
  • Francesco Zanon

摘要

Emerging evidence increasingly supports the non-inferiority of left bundle branch pacing compared to biventricular pacing in heart failure patients with a Class I indication for cardiac resynchronization therapy (CRT). Conduction system pacing, in lieu of conventional CRT, offers the advantage of reducing both fluoroscopy time and contrast dye exposure. This chapter presents a case of cardiac resynchronization defibrillator (CRT-D) implant using a stylet-driven lead for left bundle branch pacing, connected to the IS-1 LV port of the device.