Anatomical considerations for left bundle branch area pacing

Heart Rhythm 2026 Open access

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Authors: Marco Zuin, Pugazhendhi Vijayaraman, Gustavo Abuin, Francesco Vitali, Luca Canovi, Mauro Biffi, Biagio Sassone, Giuseppe Boriani, José Ángel Cabrera, Matteo Bertini
DOI: 10.1016/j.hrthm.2026.05.013
Cited by: 1
References: 52

Abstract

Over the past decade, left bundle branch area pacing (LBBAP) has been established as a novel modality in conduction system pacing. However, successful implementation of LBBAP necessitates a thorough understanding of anatomical landmarks, physiology, and histology to accurately identify the optimal pacing site. Various anatomical factors can significantly influence both the procedural success and long-term effectiveness of LBBAP. This review aims to provide a practical overview of the most relevant anatomical considerations and potential complications associated with LBBAP, offering valuable insights for electrophysiologists to enhance procedural success and minimize complications.

Fields of Study & Subjects

Cardiac pacing and defibrillation studies Cardiac Arrhythmias and Treatments Cardiac electrophysiology and arrhythmias

Publication details

Journal / source
Heart Rhythm
Publisher
Elsevier BV
Volume
23
Issue
10
Pages
2248-2261
Publication date
1 May 2026
Language
EN