His-Bundle Pacing

HIS Lead

by Suzypoozy - 2019-01-28 22:46:00

Hopefully it's way past the experimental phase because I just got a His lead six weeks ago...

HIS

by Sibber - 2019-01-29 17:20:05

Whilst the theory is sound there is NO quality evidence for HIS pacing, hence whilst there are many current studies. Don't let this put you off however as it is a relatively safe procedure and personally I think we will see more of it in the future. If it was me I would make sure that the implanter is experienced in HIS pacing and goes through the procedure thourughly with you.

Back to Sibber and Suzypoozyand ar_vin

by Steve Gregorich - 2019-01-29 20:21:56

I have researched His-Bundle Pacing fairly thoroughly, but I have learned from responses on this site.  Sibber's comment helped me clarify a generalization about the status of His Pacing and Suzypoozy and ar_vin's comments helped me to know that His lead's are being commonly used.  Can any of you help me with one more question -- does Medicare cover his-bundle pacing just as they would BiV pacing?

His bundle lead

by fox30 - 2019-10-28 22:32:19

Someone had asked if Medicare covered it .I had HBP done 4 years ago. It has worked well I had exercise induced high grade second degree HB and LBBB. The His pacing normalized my QRS .and yes Medicare covered it and the every 3 month followup interrogations.My EP also put in a third lead (to pace the LV via a coronary vein) as a backup.Now days it see many EP docs believe there is no need to have a backup lead with HBP.A recent publication described results from several centers (844 patients) and overall results were good but were better when a fixed curve delivery sheath was used (4.2 % complications and a capture threshold of 1.7 volts)

Zanon,F et al. Long term performance  and safety of his bundle pacing:a multicenter experience. J.of Cardiovascular electrophysiology.july 2019