Conduction System Pacing: Recent Advances and Clinical Applications

Published: 14 November 2024

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    Pugazhendhi Vijayaraman, Marek Jastrzębski, Óscar Cano
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    Part 1 Welcome Pugazhendhi Vijayaraman, Marek Jastrzębski, Óscar Cano
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    Part 2 Introduction Pugazhendhi Vijayaraman, Marek Jastrzębski, Óscar Cano
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    Part 5 Panel Discussion Pugazhendhi Vijayaraman, Marek Jastrzębski, Óscar Cano
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Overview

Conduction System Pacing: Recent Advances and Clinical Applications

Conduction system pacing (CSP) has significantly evolved in recent years, expanding from His bundle pacing to include left bundle branch pacing and left ventricular septal pacing. This webinar, led by Dr Pugazhendhi Vijayaraman, a renowned expert in the field, features presentations from esteemed faculty, Prof Marek Jastrzębski and Dr Oscar Cano. The session aims to provide an in-depth overview of the latest advancements in CSP, with a particular focus on the current role of His bundle pacing, new insights gained from the use of stylet-driven leads, and guidance on outpatient follow-up and troubleshooting for patients undergoing CSP.

In addition to exploring the application of CSP in bradycardia, this webinar will present emerging data on its use in patients with heart failure who require cardiac resynchronization therapy, particularly those with left bundle branch block or mixed conduction disease.

For further reading on conduction system pacing, explore the special focus issue curated by our moderator, Dr Pugazhendi Vijayaraman in AER Journal.

Key Learning Objectives

  • To define the role of His bundle pacing in the era of left bundle branch area pacing (LBBAP)
  • To describe the pros and cons of stylet-driven leads to achieve LBBAP
  • To evaluate therapeutic options for left bundle branch block associated cardiomyopathy
  • To analyze the role of conduction system pacing for cardiac resynchronization therapy and in patients with congenital heart disease
  • To recognize and troubleshoot complications associated with conduction system pacing during follow-up

Target Audience

  • Cardiologists with device implantations/follow-up experience
  • Cardiac Electrophysiologists
  • Advanced practitioners
  • Physiologists
  • Device Specialists

More from this programme

Part 1

Welcome

In this session, the learning objectives for the presentations are outlined before Dr Vijayaraman introduces the panelists.

1 session
Welcome Watch now

Part 2

Introduction

Dr Vijayaraman gives a brief overview of the current landscape of CSP.

Part 3

HBP, LBBAP for CRT and LBBB Associated Cardiomyopathy

Prof Jastrzębski presents the CSP and cardiac resynchronization therapy milestones, before defining His bundle pacing and left bundle branch area pacing.

Part 4

LBBAP Using Stylet-Driven Leads and CSP in Congenital Heart Disease

Dr Cano provides insights into stylet-driven leads to achieve LBBAP, highlighting their pros and cons, differences to lumenless leads, and future perspectives.

Part 5

Panel Discussion

The panel further explore the topic in a discussion about their own clinical practises.

Part 6

Audience Questions

The panel answer audience questions using their own expert advice.

Part 7

Closing Remarks

Dr Vijayaraman concludes the session.

Faculty Biographies

Pugazhendhi Vijayaraman

Pugazhendhi Vijayaraman

Dr Pugazhendhi Vijayaraman obtained his medical degree from Madurai Medical College and completed his residency at Jacobi Medical Center. He completed his fellowships in cardiovascular diseases and clinical cardiac electrophysiology at the Albert Einstein College of Medicine of Yeshiva University, Montefiore Medical Center.

Dr Vijayaraman specialises in cardiac electrophysiology, cardiac ablations, cardiac device implantation, His bundle pacing and Watchman. His clinical interests include electrophysiology. He is board certified by the American Board of Internal Medicine in internal medicine, cardiovascular disease and clinical cardiac electrophysiology.

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Marek Jastrzębski

Marek Jastrzębski

Head of the EP Lab and Professor

Personal History

Prof Marek Jastrzębski is a heart rhythm specialist, professor and head of the EP Laboratory at Jagiellonian University in Kraków, Poland. He was the first electrophysiologist in Poland.1, 4

In his spare time, Prof Jastrzębski enjoys classic photography, snowboarding and beekeeping.1

 

Academic History

In 1995, Prof Jastrzębski graduated from Jagiellonian University, where he also obtained his doctorate in Medicine in 2003 and pursued his specialisation training in cardiology in 2006.2, 5

His scientific interests and main directions of research include cardiac electrophysiology and cardiac electrostimulation, resynchronization therapy, His-Purkinje system stimulation, and clinical electrocardiography.3

 

Career Overview

Prof Jastrzębski is the head of the EP Laboratory in…

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Óscar Cano

Óscar Cano

Dr Óscar Cano is a cardiac electrophysiologist at the Hospital Universitari i Politècnic La Fe, in Valencia, Spain.

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