His bundle (HB) pacing (HBP) is limited by higher capture thresholds at implant that may be unstable during follow-up, resulting in an increased risk of long-term lead-related complications compared to left bundle branch area pacing (LBBAP).1,2 Some studies suggest that in HBP, the appearance of a transient current of injury (COI) in the electrogram (EGM) after lead fixation indicates good lead fixation and can predict thresholds that are lower at implantation and remain stable during follow-up
Long-term outcome of His bundle pacing with current of injury compared to left bundle branch area pacing
Bonanno S;Giuranna M;Carluccio ESupervision
;
2025
Abstract
His bundle (HB) pacing (HBP) is limited by higher capture thresholds at implant that may be unstable during follow-up, resulting in an increased risk of long-term lead-related complications compared to left bundle branch area pacing (LBBAP).1,2 Some studies suggest that in HBP, the appearance of a transient current of injury (COI) in the electrogram (EGM) after lead fixation indicates good lead fixation and can predict thresholds that are lower at implantation and remain stable during follow-upFile in questo prodotto:
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