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Initial Experience of Left Bundle Branch Pacing using the Abbott Agilis HisPro Catheter with stylet-driven leads
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  • Julian Cheong Kiat Tay,
  • Eric Tien Siang Lim,
  • Evan Yih Shan Sim,
  • Kelvin Chi Ming Chua,
  • Hooi Khee Teo,
  • Paul Chun Yih Lim,
  • Daniel Thuan Tee Chong,
  • Kah Leng Ho,
  • Chi Keong Ching,
  • Boon Yew Tan
Julian Cheong Kiat Tay
National Heart Centre Singapore Department of Cardiology

Corresponding Author:juliantay91@gmail.com

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Eric Tien Siang Lim
National Heart Centre Singapore Department of Cardiology
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Evan Yih Shan Sim
Abbott Medical
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Kelvin Chi Ming Chua
National Heart Centre Singapore Department of Cardiology
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Hooi Khee Teo
National Heart Centre Singapore Department of Cardiology
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Paul Chun Yih Lim
National Heart Centre Singapore
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Daniel Thuan Tee Chong
National Heart Centre Singapore
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Kah Leng Ho
National Heart Centre Singapore
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Chi Keong Ching
National Heart Centre Singapore
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Boon Yew Tan
National Heart Centre Singapore
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Abstract

Aims Conduction system pacing has gained steady interest over recent years. While the majority of tools and delivery techniques were developed for His bundle pacing (HBP), the feasibility and reproducibility of using these similar tools for left bundle branch pacing (LBBP) has yet to be determined. We describe our technique for performing LBBP using the Abbott Agilis HisProTM Steerable Catheter. Methods and results A series of 22 patients with a mean age of 71.7 years (16 males, 72.7%), underwent LBBP procedure with this catheter between May and October 2021. Nineteen patients (86%) had successful LBBP lead implantation. There were no major complications or mortality. Conclusion The Agilis HisProTM catheter along with the stylet driven Tendril STS Model 2088TC lead is a safe and feasible delivery system for LBBP.