Conduction System Pacing in Children and Congenital Heart Disease

Óscar Cano; Jeremy P Moore

doi:10.15420/aer.2024.09

Conduction System Pacing in Children and Congenital Heart Disease

Arrhythm Electrophysiol Rev. 2024 Nov 7:13:e19. doi: 10.15420/aer.2024.09. eCollection 2024.

Authors

Óscar Cano^{1

2}, Jeremy P Moore^{3

4

5}

Affiliations

¹ Hospital Universitari i Politècnic La Fe Valencia, Spain.
² Centro de Investigaciones Biomédicas en RED en Enfermedades Cardiovasculares (CIBERCV) Madrid, Spain.
³ University of California Los Angeles (UCLA) Cardiac Arrhythmia Center Los Angeles, CA, US.
⁴ Ahmanson/UCLA Adult Congenital Heart Disease Center Los Angeles, CA, US.
⁵ Division of Pediatric Cardiology, Department of Pediatrics, David Geffen School of Medicine, UCLA Health System Los Angeles, CA, US.

Abstract

Permanent cardiac pacing in children with congenital complete atrioventricular block (CCAVB) and/or congenital heart disease (CHD) is challenging. Conduction system pacing (CSP) represents a novel pacing strategy aiming to preserve physiological ventricular activation. Patients with CCAVB or CHD are at high risk of developing pacing-induced cardiomyopathy with chronic conventional right ventricular myocardial pacing. CSP may be a valuable pacing modality in this particular setting because it can preserve ventricular synchrony. In this review, we summarise implantation techniques, the available clinical evidence and future directions related to CSP in CCAVB and CHD.

Keywords: CHD; Conduction system pacing; His bundle pacing; congenital complete atrioventricular block; left bundle branch area pacing.

Publication types

Review