His-bundle pacing
What do we know so far?
Keywords:
Pacemaker, Artificial, Bundle of His, Cardiac Resynchronization Therapy DevicesAbstract
His-bundle pacing provides a harmonic and synchronized
depolarization of both ventricles. It has been studied for more than 50 years. The development of new tools and leads has helped improve the implantation of pacemakers with His-bundle pacing routinely, especially in the last 15 years. According to current evidences, this modality of pacing is a promising alternative to traditional single-site right ventricular pacing for a potential reduction of artificial pacing-induced damages, such as ejection fraction decrease, hospital admission due to heart failure and even death. The use of His-bundle pacing has also been described as an alternative to cardiac esynchronization therapy with encouraging results. Higher command threshold, inappropriate inhibitions or
oversensing ventricular loss of capture (atrial far-field) and potential lead displacements by septal leaflet motion of the mitral valve must be considered before implantation of a His-bundle pacemaker. Large randomized clinical trials with high statistical power are still needed for a better understanding of the benefits of His-bundle pacing at medium and long-term in comparison to traditional right ventricle pacing and cardiac resynchronization therapies.
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References
1. Wilkoff BL, Cook JR, Epstein AE, et al.; Dual Chamber and VVI Implantable Defibrillator Trial Investigators. Dual-chamber pacing or ventricular backup pacing in patients with an implantable defibrillator: the Dual Chamber and VVI Implantable Defibrillator (DAVID) Trial. JAMA. 2002;288(24):3115-23. DOI: 10.1001/jama.288.24.3115.
2. Vijayaraman P, Bordachar P, Ellenbogen KA. The Continued Search for Physiological Pacing: Where Are We Now? J Am Coll Cardiol. 2017;69(25):3099-114. DOI: https://doi.org/10.1016/j.jacc.2017.05.005.
3. Scherlag BJ, Kosowsky BD, Damato AN. A technique for ventricular pacing from the His bundle of the intact heart. J Appl Physiol. 1967;22(3):584-7.
4. Deshmukh P, Casavant DA, Romanyshyn M, Anderson K. Permanent, direct His-bundle pacing: a novel approach to cardiac pacing in patients with normal His-Purkinje activation. Circulation. 2000;101(8):869-77.
5. Occhetta E, Bortnik M, Marino P. Permanent parahisian pacing. Indian Pacing Electrophysiol J. 2007;7(2):110-25.
6. Barba-Pichardo R, Moriña-Vázquez P, Venegas-Gamero J, Maroto-Monserrat F, Cid-Cumplido M, Herrera-Carranza M. Permanent His-bundle pacing in patients with infra-Hisian atrioventricular block. Rev Esp Cardiol. 2006;59(6):553-8. DOI: 10.1016/S1885-5857(07)60006-1.
7. Kronborg MB, Mortensen PT, Gerdes JC, Jensen HK, Nielsen JC. His and para-His pacing in AV block: feasibility and electrocardiographic findings. J Interv Card Electrophysiol. 2011;31(3):255-62. DOI: https://doi.org/10.1007/s10840-011-9565-1.
8. Zanon F, Bacchiega E, Rampin L, et al. Direct His bundle pacing preserves coronary perfusion compared with right ventricular apical pacing: a prospective, cross-over mid-term study. Europace. 2008;10(5):580-7. DOI: 10.1093/europace/eun089.
9. Catanzariti D, Maines M, Manica A, Angheben C, Varbaro A, Vergara G. Permanent His-bundle pacing maintains long-term ventricular synchrony and left ventricular performance, unlike conventional right ventricular apical pacing. Europace. 2013;15(4):546-53. DOI: 10.1093/europace/eus313.
10. Gammage MD, Lieberman RA, Yee R, et al.; Worldwide SelectSecure Clinical Investigators. Multi-center clinical experience with a lumenless, catheter-delivered, bipolar, permanent pacemaker lead: implant safety and electrical performance. Pacing Clin Electrophysiol. 2006;29(8):858-65.
DOI: https://doi.org/10.1111/j.1540-8159.2006.00452.x.
11. Tawara S. Das Reizleitungssystem des Säugetierherzens. Eine anatomisch-histologische Studie über das Atrioventrikularbündel und die Purkinjeschen Fäden. Jena: Gustav Fischer; 1906.
12. James TN, Sherf L. Fine structure of the His bundle. Circulation. 1971;44(1):9-28.
13. Alanís J, González H, López E. The electrical activity of the bundle of His. J Physiol. 1958;142(1):127-40.
14. Vijayaraman P, Dandamudi G. How to Perform Permanent His Bundle Pacing: Tips and Tricks. Pacing Clin Electrophysiol. 2016;39(12):1298-304. DOI: 10.1111/pace.12904.
15. Madhavan M, Mulpuru SK, McLeod CJ, Cha YM, Friedman PA. Advances and Future Directions in Cardiac Pacemakers: Part 2 of a 2-Part Series. J Am Coll Cardiol. 2017;69(2):211-35. DOI: 10.1016/j.jacc.2016.10.064.
16. Vijayaraman P, Chung MK, Dandamudi G, et al.; ACC’s Electrophysiology Council. His Bundle Pacing. J Am Coll Cardiol. 2018;72(8):927-47. DOI: 10.1016/j.jacc.2018.06.017.
17. Deshmukh PM, Romanyshyn M. Direct His-bundle pacing: present and future. Pacing Clin Electrophysiol. 2004;27(6 Pt 2):862-70. DOI: 10.1111/j.1540-8159.2004.00548.x.
18. Vijayaraman P, Subzposh FA, Naperkowski A. Atrioventricular node ablation and His bundle pacing. Europace. 2017;19 Suppl 4:iv10-iv16. DOI: 10.1093/europace/eux263.
19. Huang W, Su L, Wu S, et al. Benefits of Permanent His Bundle Pacing Combined With Atrioventricular Node Ablation In Atrial Fibrillation Patients With Heart Failure With Both Preserved And Reduced Left Ventricular Ejection Fraction. J Am Heart Assoc. 2017;6(4). pii: e005309. DOI: 10.1161/JAHA.116.005309.
20. Occhetta E, Bortnik M, Magnani A, et al. Prevention of ventricular desynchronization by permanent para-Hisian pacing after atrioventricular node ablation in chronic atrial fibrillation: a crossover, blinded, randomized study versus apical right ventricular pacing. J Am Coll Cardiol. 2006;47(10):1938-45. DOI: 10.1016/j.jacc.2006.01.056.
21. Barba-Pichardo R, Moriña-Vázquez P, Fernández-Gómez JM, Venegas-Gamero J, Herrera-Carranza M. Permanent His-bundle pacing: seeking physiological ventricular pacing. Europace. 2010;12(4):527-33. DOI: 10.1093/europace/euq038.
22. Vijayaraman P, Naperkowski A, Ellenbogen KA, Dandamudi G. Electrophysiologic Insights Into Site of Atrioventricular Block: Lessons From Permanent His Bundle Pacing. JACC Clin Electrophysiol. 2015;1(6):571-81. DOI: 10.1016/j.jacep.2015.09.012.
23. Kronborg MB, Mortensen PT, Poulsen SH, Gerdes JC, Jensen HK, Nielsen JC. His or para-His pacing preserves left ventricular function in atrioventricular block: a double-blind, randomized, crossover study. Europace. 2014;16(8):1189-96. DOI: 10.1093/europace/euu011.
24. Zhang J, Guo J, Hou X, et al. Comparison of the effects of selective and non-selective His bundle pacing on cardiac electrical and mechanical synchrony. Europace. 2018;20(6):1010-7. DOI: 10.1093/europace/eux120.
25. Catanzariti D, Maines M, Cemin C, Broso G, Marotta T, Vergara G. Permanent direct his bundle pacing does not induce ventricular dyssynchrony unlike conventional right ventricular apical pacing. An intrapatient acute comparison study. J Interv Card Electrophysiol. 2006;16(2):81-92. DOI: 10.1007/s10840-006-9033-5.
26. Vijayaraman P, Naperkowski A, Subzposh FA, et al. Permanent His-bundle pacing: Long-term lead performance and clinical outcomes. Heart Rhythm. 2018;15(5):696-702. DOI: 10.1016/j.hrthm.2017.12.022.
27. Abdelrahman M, Subzposh FA, Beer D, et al. Clinical Outcomes of His Bundle Pacing Compared to Right Ventricular Pacing. J Am Coll Cardiol. 2018;71(20):2319-30. DOI: 10.1016/j.jacc.2018.02.048.
28. Epstein AE, DiMarco JP, Ellenbogen KA, et al.; American College of Cardiology Foundation; American Heart Association Task Force on Practice Guidelines; Heart Rhythm Society. 2012 ACCF/AHA/HRS focused update incorporated into the ACCF/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology Foundation/American
Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2013;61(3):e6-75. DOI: 10.1016/j.jacc.2012.11.007.
29. European Society of Cardiology (ESC); European Heart Rhythm Association (EHRA), Brignole M, Auricchio A, Baron-Esquivias G, et al. 2013 ESC guidelines on cardiac pacing and cardiac resynchronization therapy: the task force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Europace. 2013;15(8):1070-118. DOI: 10.1093/europace/eut206.
30. Martinelli Filho M, Zimerman LI, Lorga AM, Vasconcelos JTM, Rassi A Jr. Guidelines for implantable electronic cardiac devices of the Brazilian Society of Cardiology. Arq Bras Cardiol. 2007;89(6):e210-e238.
31. Barba-Pichardo R, Manovel Sánchez A, Fernández-Gómez JM, Moriña-Vázquez P, Venegas-Gamero J, Herrera-Carranza M. Ventricular resynchronization therapy by direct His-bundle pacing using an internal cardioverter defibrillator. Europace. 2013;15(1):83-8. DOI: 10.1093/europace/eus228.
32. Lustgarten DL, Crespo EM, Arkhipova-Jenkins I, et al. His-bundle pacing versus biventricular pacing in cardiac resynchronization therapy patients: a crossover design comparison. Heart Rhythm. 2015;12(7):1548-57. DOI: 10.1016/j.hrthm.2015.03.048.
33. Ajijola OA, Upadhyay GA, Macias C, Shivkumar K, Tung R. Permanent His-bundle pacing for cardiac resynchronization therapy: Initial feasibility study in lieu of left ventricular lead. Heart Rhythm. 2017;14(9):1353-61. DOI: 10.1016/j.hrthm.2017.04.003.
34. Sharma PS, Dandamudi G, Herweg B, et al. Permanent His-bundle pacing as an alternative to biventricular pacing for cardiac resynchronization therapy: A multicenter experience. Heart Rhythm. 2018;15(3):413-20. DOI: 10.1016/j.hrthm.2017.10.014.
35. Vijayaraman P, Subzposh FA, Panikkath R, Abdelrahman M, Naperkowski A. Extraction of His bundle pacing lead: safety outcomes and feasibility of reimplantation (abstr). Heart Rhythm. 2018;15:S407.
36. Vijayaraman P, Dandamudi G, Lustgarten D, Ellenbogen KA. Permanent His bundle pacing: Electrophysiological and echocardiographic observations from long-term follow-up. Pacing Clin Electrophysiol. 2017;40(7):883-91. DOI: 10.1111/pace.13130.
2. Vijayaraman P, Bordachar P, Ellenbogen KA. The Continued Search for Physiological Pacing: Where Are We Now? J Am Coll Cardiol. 2017;69(25):3099-114. DOI: https://doi.org/10.1016/j.jacc.2017.05.005.
3. Scherlag BJ, Kosowsky BD, Damato AN. A technique for ventricular pacing from the His bundle of the intact heart. J Appl Physiol. 1967;22(3):584-7.
4. Deshmukh P, Casavant DA, Romanyshyn M, Anderson K. Permanent, direct His-bundle pacing: a novel approach to cardiac pacing in patients with normal His-Purkinje activation. Circulation. 2000;101(8):869-77.
5. Occhetta E, Bortnik M, Marino P. Permanent parahisian pacing. Indian Pacing Electrophysiol J. 2007;7(2):110-25.
6. Barba-Pichardo R, Moriña-Vázquez P, Venegas-Gamero J, Maroto-Monserrat F, Cid-Cumplido M, Herrera-Carranza M. Permanent His-bundle pacing in patients with infra-Hisian atrioventricular block. Rev Esp Cardiol. 2006;59(6):553-8. DOI: 10.1016/S1885-5857(07)60006-1.
7. Kronborg MB, Mortensen PT, Gerdes JC, Jensen HK, Nielsen JC. His and para-His pacing in AV block: feasibility and electrocardiographic findings. J Interv Card Electrophysiol. 2011;31(3):255-62. DOI: https://doi.org/10.1007/s10840-011-9565-1.
8. Zanon F, Bacchiega E, Rampin L, et al. Direct His bundle pacing preserves coronary perfusion compared with right ventricular apical pacing: a prospective, cross-over mid-term study. Europace. 2008;10(5):580-7. DOI: 10.1093/europace/eun089.
9. Catanzariti D, Maines M, Manica A, Angheben C, Varbaro A, Vergara G. Permanent His-bundle pacing maintains long-term ventricular synchrony and left ventricular performance, unlike conventional right ventricular apical pacing. Europace. 2013;15(4):546-53. DOI: 10.1093/europace/eus313.
10. Gammage MD, Lieberman RA, Yee R, et al.; Worldwide SelectSecure Clinical Investigators. Multi-center clinical experience with a lumenless, catheter-delivered, bipolar, permanent pacemaker lead: implant safety and electrical performance. Pacing Clin Electrophysiol. 2006;29(8):858-65.
DOI: https://doi.org/10.1111/j.1540-8159.2006.00452.x.
11. Tawara S. Das Reizleitungssystem des Säugetierherzens. Eine anatomisch-histologische Studie über das Atrioventrikularbündel und die Purkinjeschen Fäden. Jena: Gustav Fischer; 1906.
12. James TN, Sherf L. Fine structure of the His bundle. Circulation. 1971;44(1):9-28.
13. Alanís J, González H, López E. The electrical activity of the bundle of His. J Physiol. 1958;142(1):127-40.
14. Vijayaraman P, Dandamudi G. How to Perform Permanent His Bundle Pacing: Tips and Tricks. Pacing Clin Electrophysiol. 2016;39(12):1298-304. DOI: 10.1111/pace.12904.
15. Madhavan M, Mulpuru SK, McLeod CJ, Cha YM, Friedman PA. Advances and Future Directions in Cardiac Pacemakers: Part 2 of a 2-Part Series. J Am Coll Cardiol. 2017;69(2):211-35. DOI: 10.1016/j.jacc.2016.10.064.
16. Vijayaraman P, Chung MK, Dandamudi G, et al.; ACC’s Electrophysiology Council. His Bundle Pacing. J Am Coll Cardiol. 2018;72(8):927-47. DOI: 10.1016/j.jacc.2018.06.017.
17. Deshmukh PM, Romanyshyn M. Direct His-bundle pacing: present and future. Pacing Clin Electrophysiol. 2004;27(6 Pt 2):862-70. DOI: 10.1111/j.1540-8159.2004.00548.x.
18. Vijayaraman P, Subzposh FA, Naperkowski A. Atrioventricular node ablation and His bundle pacing. Europace. 2017;19 Suppl 4:iv10-iv16. DOI: 10.1093/europace/eux263.
19. Huang W, Su L, Wu S, et al. Benefits of Permanent His Bundle Pacing Combined With Atrioventricular Node Ablation In Atrial Fibrillation Patients With Heart Failure With Both Preserved And Reduced Left Ventricular Ejection Fraction. J Am Heart Assoc. 2017;6(4). pii: e005309. DOI: 10.1161/JAHA.116.005309.
20. Occhetta E, Bortnik M, Magnani A, et al. Prevention of ventricular desynchronization by permanent para-Hisian pacing after atrioventricular node ablation in chronic atrial fibrillation: a crossover, blinded, randomized study versus apical right ventricular pacing. J Am Coll Cardiol. 2006;47(10):1938-45. DOI: 10.1016/j.jacc.2006.01.056.
21. Barba-Pichardo R, Moriña-Vázquez P, Fernández-Gómez JM, Venegas-Gamero J, Herrera-Carranza M. Permanent His-bundle pacing: seeking physiological ventricular pacing. Europace. 2010;12(4):527-33. DOI: 10.1093/europace/euq038.
22. Vijayaraman P, Naperkowski A, Ellenbogen KA, Dandamudi G. Electrophysiologic Insights Into Site of Atrioventricular Block: Lessons From Permanent His Bundle Pacing. JACC Clin Electrophysiol. 2015;1(6):571-81. DOI: 10.1016/j.jacep.2015.09.012.
23. Kronborg MB, Mortensen PT, Poulsen SH, Gerdes JC, Jensen HK, Nielsen JC. His or para-His pacing preserves left ventricular function in atrioventricular block: a double-blind, randomized, crossover study. Europace. 2014;16(8):1189-96. DOI: 10.1093/europace/euu011.
24. Zhang J, Guo J, Hou X, et al. Comparison of the effects of selective and non-selective His bundle pacing on cardiac electrical and mechanical synchrony. Europace. 2018;20(6):1010-7. DOI: 10.1093/europace/eux120.
25. Catanzariti D, Maines M, Cemin C, Broso G, Marotta T, Vergara G. Permanent direct his bundle pacing does not induce ventricular dyssynchrony unlike conventional right ventricular apical pacing. An intrapatient acute comparison study. J Interv Card Electrophysiol. 2006;16(2):81-92. DOI: 10.1007/s10840-006-9033-5.
26. Vijayaraman P, Naperkowski A, Subzposh FA, et al. Permanent His-bundle pacing: Long-term lead performance and clinical outcomes. Heart Rhythm. 2018;15(5):696-702. DOI: 10.1016/j.hrthm.2017.12.022.
27. Abdelrahman M, Subzposh FA, Beer D, et al. Clinical Outcomes of His Bundle Pacing Compared to Right Ventricular Pacing. J Am Coll Cardiol. 2018;71(20):2319-30. DOI: 10.1016/j.jacc.2018.02.048.
28. Epstein AE, DiMarco JP, Ellenbogen KA, et al.; American College of Cardiology Foundation; American Heart Association Task Force on Practice Guidelines; Heart Rhythm Society. 2012 ACCF/AHA/HRS focused update incorporated into the ACCF/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology Foundation/American
Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2013;61(3):e6-75. DOI: 10.1016/j.jacc.2012.11.007.
29. European Society of Cardiology (ESC); European Heart Rhythm Association (EHRA), Brignole M, Auricchio A, Baron-Esquivias G, et al. 2013 ESC guidelines on cardiac pacing and cardiac resynchronization therapy: the task force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Europace. 2013;15(8):1070-118. DOI: 10.1093/europace/eut206.
30. Martinelli Filho M, Zimerman LI, Lorga AM, Vasconcelos JTM, Rassi A Jr. Guidelines for implantable electronic cardiac devices of the Brazilian Society of Cardiology. Arq Bras Cardiol. 2007;89(6):e210-e238.
31. Barba-Pichardo R, Manovel Sánchez A, Fernández-Gómez JM, Moriña-Vázquez P, Venegas-Gamero J, Herrera-Carranza M. Ventricular resynchronization therapy by direct His-bundle pacing using an internal cardioverter defibrillator. Europace. 2013;15(1):83-8. DOI: 10.1093/europace/eus228.
32. Lustgarten DL, Crespo EM, Arkhipova-Jenkins I, et al. His-bundle pacing versus biventricular pacing in cardiac resynchronization therapy patients: a crossover design comparison. Heart Rhythm. 2015;12(7):1548-57. DOI: 10.1016/j.hrthm.2015.03.048.
33. Ajijola OA, Upadhyay GA, Macias C, Shivkumar K, Tung R. Permanent His-bundle pacing for cardiac resynchronization therapy: Initial feasibility study in lieu of left ventricular lead. Heart Rhythm. 2017;14(9):1353-61. DOI: 10.1016/j.hrthm.2017.04.003.
34. Sharma PS, Dandamudi G, Herweg B, et al. Permanent His-bundle pacing as an alternative to biventricular pacing for cardiac resynchronization therapy: A multicenter experience. Heart Rhythm. 2018;15(3):413-20. DOI: 10.1016/j.hrthm.2017.10.014.
35. Vijayaraman P, Subzposh FA, Panikkath R, Abdelrahman M, Naperkowski A. Extraction of His bundle pacing lead: safety outcomes and feasibility of reimplantation (abstr). Heart Rhythm. 2018;15:S407.
36. Vijayaraman P, Dandamudi G, Lustgarten D, Ellenbogen KA. Permanent His bundle pacing: Electrophysiological and echocardiographic observations from long-term follow-up. Pacing Clin Electrophysiol. 2017;40(7):883-91. DOI: 10.1111/pace.13130.
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Published
2017-07-02
How to Cite
de Castro Galvão, R., Duarte, C. E., & Medeiros de Vasconcelos, J. T. (2017). His-bundle pacing: What do we know so far?. JOURNAL OF CARDIAC ARRHYTHMIAS, 31(3), 102–108. Retrieved from https://jca.org.br/jca/article/view/86
